KEVIN L JU (M.D.) – Orthopaedic Surgery of the Spine Physician, NPI 1205157443
Orthopaedic Surgery of the Spine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,189 ORTHOPEDIC SURGERY in TX
Provider Addresses for KEVIN L JU (M.D.)
3164 HORIZON RD
SUITE 100
ROCKWALL, TX 750327805
Phone: (972) 772-8780
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $3,314.
Total Amount is formed as General ($3,314) + Research ($0) + Ownership ($0) = $3,314.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Medtronic, Inc. ($1,778).
Total Amount
$3,314
General + Research + Ownership
Payments
7
Total payment records
General Amount
$3,314
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,778 |
| 4WEB, INC. | $1,475 |
| Pylant Medical | $61 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-08-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160830003119 | I | Orthopedic Surgery | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 72100 | X-ray of lower and sacral spine, 2-3 views | 309 | 250 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 307 | 189 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 224 | 224 | $0 |
| 72040 | X-ray of upper spine, 2-3 views | 98 | 74 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 91 | 74 | $0 |
Insurance plans in this area (ZIP 75032)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | TX | |
| Physician Assistant | TX | |
| Orthopedic Surgery | TX | |
| - | TN | |
| Physician Assistant | TX | |
| Physical Medicine And Rehabilitation | TX | |
| Physical Medicine And Rehabilitation | TX | |
| - | TX | |
| Physician Assistant | TX | |
| Orthopedic Surgery | TX |
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