MR. HENRY SLOAN IV KINNEBREW (PA-C) – Surgical Physician Assistant, NPI 1306247267
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,497 PHYSICIAN ASSISTANT in TX
Provider Addresses for MR. HENRY SLOAN IV KINNEBREW (PA-C)
1010 W 40TH ST
AUSTIN, TX 787564010
Phone: (512) 459-8753
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 146 Open Payments records for all available years, with a total value of $32,394.
Total Amount is formed as General ($32,394) + Research ($0) + Ownership ($0) = $32,394.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($21,943).
Total Amount
$32,394
General + Research + Ownership
Payments
146
Total payment records
General Amount
$32,394
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $21,943 |
| Ethicon US, LLC | $4,110 |
| ATRICURE, INC. | $3,991 |
| Getinge USA Sales, LLC | $1,078 |
| Silk Road Medical, Inc. | $453 |
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: 2015-03-03
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 |
|---|---|---|---|---|
| I20150303001610 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 33508 | Harvest of vein using an endoscope | 28 | 28 | $0 |
| 33533 | Coronary artery bypass using artery graft, 1 graft | 26 | 26 | $0 |
| 36821 | Relocation of arm vein with connection to arm artery for hemodialysis | 14 | 13 | $0 |
| 33518 | Coronary artery bypass using vein or artery graft, 2 grafts | 12 | 12 | $0 |
| 36830 | Creation of artery-vein connection using tube graft for hemodialysis | 12 | 12 | $0 |
Insurance plans in this area (ZIP 78756)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | TX | 33533 | Heart artery bypass to repair one artery | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Thoracic Surgery, Cardiac Surgery | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Thoracic Surgery, General Surgery | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| - | TX | |
| Thoracic Surgery, General Surgery | TX | |
| Vascular Surgery | NC | |
| - | TX |
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