KODY SELZER (M.D.) – Family Medicine Physician, NPI 1265894323

KODY SELZER (M.D.) is a healthcare provider. based in Fort worth, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. R5036 (TX). The NPI Number for KODY SELZER (M.D.) is 1265894323

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
KODY SELZER (M.D.)
NPI
1265894323
Phone
(817) 702-3431
Address
1500 S MAIN ST
Enumeration Date
27 March 2016
Last Update Date
7 April 2020

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
3612395015
Graduation Year
2016 (10 years ago)
PAC ID
4385904036
Group Practice PAC ID
8527963776
Professional Enrollment ID
I20180129001335
Address ID
TX779845873SH207XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for KODY SELZER (M.D.)

  • John Peter Smith Hospital, 1500, South Main Street, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 761044917

    Phone: (817) 702-3431

    Type: Mailing

  • 1110 N Sarah DeWitt Dr

    Gonzales, TX 786293311

    Phone: (830) 672-8502

    Fax: (830) 672-3035

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-01-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180129001335IFamily PracticeTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2020$0
99239Hospital discharge day management, more than 30 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527963776View full group profile

Reviews

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Frequently asked questions

What NPI should I save for KODY SELZER (M.D.)?
Save NPI 1265894323 if you need a stable reference for KODY SELZER (M.D.).
Does this profile mean KODY SELZER (M.D.) is currently active?
Yes — KODY SELZER (M.D.) appears active in the national provider directory.
What does KODY SELZER (M.D.) treat or focus on?
Patients typically see KODY SELZER (M.D.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is KODY SELZER (M.D.)'s primary listing?
We display Fort Worth, Texas because that is what the record indicates for KODY SELZER (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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