JOHN KYLE DORMAN (MD) – Neurological Surgery Physician, NPI 1215030333
Neurological Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
589 NEUROSURGERY in TX
Provider Addresses for JOHN KYLE DORMAN (MD)
540 W 5TH ST STE 320
ODESSA, TX 797615002
Phone: (432) 580-4700
Fax: (432) 332-2678
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 13 Open Payments records for all available years, with a total value of $945.
Total Amount is formed as General ($945) + Research ($0) + Ownership ($0) = $945.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Zavation Medical Products, LLC ($297).
Total Amount
$945
General + Research + Ownership
Payments
13
Total payment records
General Amount
$945
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
2
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zavation Medical Products, LLC | $297 |
| Circinus Medical Technology LLC | $236 |
| Alphatec Spine, Inc | $114 |
| Orthofix Medical, Inc. | $112 |
| Augmedics Inc. | $100 |
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: 2004-06-22
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20040622000148 | I | Neurosurgery | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 89 | 64 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 81 | 81 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 30 | 25 | $0 |
| 22612 | Fusion of spine in lower back | 22 | 22 | $0 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 21 | 21 | $0 |
Insurance plans in this area (ZIP 79761)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| - | TX |
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