OLIVER LEE III KESTERSON (M.D.) – Neurological Surgery Physician, NPI 1306997515

OLIVER LEE III KESTERSON (M.D.) is a healthcare provider. based in Fort worth, Texas. specializing in NEUROSURGERY. They hold the professional credentials M.D.. They hold a License No. 18384 (MS). The NPI Number for OLIVER LEE III KESTERSON (M.D.) is 1306997515

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
OLIVER LEE III KESTERSON (M.D.)
NPI
1306997515
Phone
(817) 336-0551
Address
1000 Houston Street
Enumeration Date
15 January 2007
Last Update Date
30 November 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
9402343000
Graduation Year
1981 (45 years ago)
PAC ID
9335116300
Group Practice PAC ID
3072853910
Professional Enrollment ID
I20171202000140
Address ID
TX763082170WI3808XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

588 NEUROSURGERY in TX

Provider Addresses for OLIVER LEE III KESTERSON (M.D.)

  • 1000 Houston Street

    Suite 200

    Fort Worth, TX 761026415

    Phone: (817) 336-0551

    Fax: (888) 316-3855

    Type: Location

  • 1500 S MAIN ST

    FORT WORTH, TX 761044917

    Phone: (817) 702-3100

    Fax: (817) 927-3603

    Type: Location

  • 1000, Houston Street, Downtown Fort Worth, Fort Worth, Tarrant County, Texas, 76102, United States

    SUITE 200

    FORT WORTH, TX 761026415

    Phone: (817) 336-0551

    Fax: (888) 316-3855

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $104.

Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.

Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Integra LifeSciences Corporation ($45).

Total Amount

$104

General + Research + Ownership

Payments

4

Total payment records

General Amount

$104

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040910000735INeurosurgeryMSTBD
I20171202000140INeurosurgeryTXTBD

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 minutes2625$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2416$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2019$0
View full utilization report →

Insurance plans in this area (ZIP 76102)

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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: 3072853910View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantAL
N E U R O S U R G E R YTX
-TX
N E U R O S U R G E R YCO
-TX
Physician AssistantTX

Reviews

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Frequently asked questions

What identifier follows OLIVER LEE III KESTERSON (M.D.) across health systems?
The NPI 1306997515 uniquely identifies OLIVER LEE III KESTERSON (M.D.) in U.S. healthcare data.
Does the public listing show OLIVER LEE III KESTERSON (M.D.) as active?
OLIVER LEE III KESTERSON (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits OLIVER LEE III KESTERSON (M.D.)?
NPPES ties OLIVER LEE III KESTERSON (M.D.) to Neurological Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to OLIVER LEE III KESTERSON (M.D.)?
OLIVER LEE III KESTERSON (M.D.) is associated with Fort Worth, Texas in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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