KEVIN NIXON (MD) – Family Medicine Physician, NPI 1417991340

KEVIN NIXON (MD) is a healthcare provider. based in Dallas, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. L0883 (TX). The NPI Number for KEVIN NIXON (MD) is 1417991340

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN NIXON (MD)
NPI
1417991340
Phone
(903) 324-6450
Address
PO BOX 846098
Enumeration Date
14 June 2006
Last Update Date
10 April 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
4981612751
Group Practice PAC ID
9234025636
Professional Enrollment ID
I20060405000401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for KEVIN NIXON (MD)

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752846098

    Phone: (903) 324-6450

    Type: Mailing

  • 18780 INTERSTATE 20

    CANTON, TX 75103

    Phone: (903) 567-4841

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2023-06-13 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($50).

Total Amount

$50

General + Research + Ownership

Payments

1

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-13

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: 2006-04-05

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
I20060405000401IFamily 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
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count161126$0
81001Manual urinalysis test with examination using microscope, automated7869$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza2929$0
81003Automated urinalysis test2626$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing1515$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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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: 9234025636View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)TX
Family PracticeTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)TX
-TX

Reviews

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Frequently asked questions

How do I look up KEVIN NIXON (MD) by NPI?
Use NPI 1417991340 when you need to reference KEVIN NIXON (MD) in forms, claims, or directories.
Is KEVIN NIXON (MD)'s NPI currently valid?
The extract we use shows KEVIN NIXON (MD) as active.
What field does KEVIN NIXON (MD) work in?
You can think of KEVIN NIXON (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for KEVIN NIXON (MD)?
The page summarizes Dallas, Texas for KEVIN NIXON (MD); expand the address list for detail.
How can I contact KEVIN NIXON (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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