DR. KEVIN JOHN FORMES (D.O.) – Interventional Cardiology Physician, NPI 1497878474

Interventional Cardiology Physician

DR. KEVIN JOHN FORMES (D.O.) is a healthcare provider. based in Texarkana, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. M0077 (TX). The NPI Number for DR. KEVIN JOHN FORMES (D.O.) is 1497878474

Main info

Male

23 Years Of Experience

Accepts Medicare Assignment

Name

DR. KEVIN JOHN FORMES (D.O.)

NPI

1497878474

Phone

(903) 794-8820

Address

1002 TEXAS BLVD

Enumeration Date

6 April 2007

Last Update Date

17 December 2025

Doctor Profile

Medical School Name

UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED

Secondary Phone

9036143013

Graduation Year

2003 (23 years ago)

PAC ID

7517095052

Group Practice PAC ID

3072426741

Professional Enrollment ID

I20100504000820

Address ID

TX755039701TE5002XRDXX401

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience62

Completeness85

Years active:19State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

Provider Addresses for DR. KEVIN JOHN FORMES (D.O.)

1002 TEXAS BLVD
SUITE 401
TEXARKANA, TX 755015107
Phone: (903) 794-8820
Fax: (903) 794-8878
Type: Location
5002 Cowhorn Creek Rd
Texarkana, TX 755039766
Phone: (903) 614-3213
Type: Location
1002 Texas Blvd
Suite 401
Texarkana, TX 755015107
Phone: (903) 794-8820
Fax: (903) 794-8878
Type: Location
2604 Saint Michael Dr Ste 238
Texarkana, TX 755032378
Phone: (903) 794-8820
Type: Location
1002 TEXAS BLVD STE 401
TEXARKANA, TX 755015113
Phone: (903) 794-8820
Fax: (903) 794-8878
Type: Mailing
2604 SAINT MICHAEL DR STE 346
TEXARKANA, TX 755032378
Phone: (903) 614-5750
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 78 Open Payments records for all available years, with a total value of $1,486.

Total Amount is formed as General ($1,486) + Research ($0) + Ownership ($0) = $1,486.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($410).

Total Amount

$1,486

General + Research + Ownership

Payments

Total payment records

General Amount

$1,486

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2024-10-31

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
Boehringer Ingelheim Pharmaceuticals, Inc.	$410
Merck Sharp & Dohme LLC	$272
PFIZER INC.	$180
E.R. Squibb & Sons, L.L.C.	$98
Novartis Pharmaceuticals Corporation	$93

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: 2012-12-05

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

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
I20100504000820	I	Internal Medicine	TX	TBD
I20121205000050	I	Internal Medicine	AR	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	566	530	$0
99214	Established patient office or other outpatient visit, 30-39 minutes	510	330	$0
93016	Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	199	199	$0
93018	Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	199	199	$0
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	199	97	$0

View full utilization report →

Insurance plans in this area (ZIP 75501)

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Provider's Procedures

DR. KEVIN JOHN FORMES (D.O.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
INTERNAL MEDICINE	TX	78452	Nuclear medicine study of vessels of heart using drugs or exercise multiple studies	55	55
INTERNAL MEDICINE	TX	85610	Blood test, clotting time	169	37

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: 3072426741View full group profile

Name	Specialty	State
ALEX BRYAN OLSEN (M.D.)	General Surgery	AZ
ZEHRA HUSSAIN (DO)	Internal Medicine	TX
JACOB G THOELE (AGACNP-C)	Nurse Practitioner	TX
JERI SWAIM BROWN (FNP)	Nurse Practitioner	TX
DR. JOHN W SCROGGINS (MD)	-	TX
DR. AMANDA NICOLE LONG (D.O.)	E N D O C R I N O L O G Y	TX
MS. ERICA O SALAMI (NP)	Nurse Practitioner	IL
FATIMA KHAN (M.D.)	-	NC
MR. HUGO F. QUEVEDO (PA-C)	Physician Assistant	LA
DR. SAILAJA SAKAM (M.D.)	Hospitalist, Gastroenterology	TX

Reviews

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Frequently asked questions

Can I cross-check DR. KEVIN JOHN FORMES (D.O.) using NPI 1497878474?

NPI 1497878474 belongs to DR. KEVIN JOHN FORMES (D.O.); compare other details if you need extra assurance.

Is there an active status for DR. KEVIN JOHN FORMES (D.O.)?

For scheduling context, DR. KEVIN JOHN FORMES (D.O.) is shown as active in the registry.

How would a patient describe DR. KEVIN JOHN FORMES (D.O.)'s focus?

For DR. KEVIN JOHN FORMES (D.O.), the primary taxonomy reads as Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.

Is DR. KEVIN JOHN FORMES (D.O.) located near Texarkana?

DR. KEVIN JOHN FORMES (D.O.) currently maps to Texarkana, Texas in this extract.

Can I trust this NPI listing for DR. KEVIN JOHN FORMES (D.O.)?

The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.