DR. KYLE PATRICK GORDLEY (M.D.) – Plastic and Reconstructive Surgery Physician, NPI 1437328002
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
589 PLASTIC AND RECONSTRUCTIVE SURGERY in TX
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Provider Addresses for DR. KYLE PATRICK GORDLEY (M.D.)
Vision Park Boulevard, Shenandoah, Montgomery County, Texas, 77384, United States
SHENANDOAH, TX 773843024
Phone: (832) 813-5839
Fax: (832) 813-8512
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 8 Open Payments records for all available years, with a total value of $263.
Total Amount is formed as General ($263) + Research ($0) + Ownership ($0) = $263.
Last reported payment date: 2024-09-17 • Largest payer in this snapshot: ABBVIE INC. ($84).
Total Amount
$263
General + Research + Ownership
Payments
8
Total payment records
General Amount
$263
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $84 |
| Medtronic, Inc. | $49 |
| Baxter Healthcare | $40 |
| TELA Bio, Inc. | $34 |
| Musculoskeletal Transplant Foundation Inc. | $30 |
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: 2008-07-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080729000714 | I | Plastic And Reconstructive Surgery | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 30 | 30 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 28 | $0 |
| 15771 | Graft using patient's fat removed by liposuction and inserted into trunk, breasts, scalp, arms, or legs, 50.0 cc or less | 12 | 12 | $0 |
Insurance plans in this area (ZIP 77384)
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