JOHN ELIASON KENWORTHY (D.O.) – Family Medicine Physician, NPI 1700260130

JOHN ELIASON KENWORTHY (D.O.) is a healthcare provider. based in Sherman, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. BP10054762 594752 (TX). The NPI Number for JOHN ELIASON KENWORTHY (D.O.) is 1700260130

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JOHN ELIASON KENWORTHY (D.O.)
NPI
1700260130
Phone
(903) 892-8398
Address
1906 W US HIGHWAY 82
Enumeration Date
15 July 2015
Last Update Date
13 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9038928398
Graduation Year
2015 (11 years ago)
PAC ID
9638428691
Group Practice PAC ID
2264418557
Professional Enrollment ID
I20180823003236
Address ID
TX750926893SH1906X82XX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:10State licenses:2Digital endpointsOther names

8,706 FAMILY PRACTICE in TX

Provider Addresses for JOHN ELIASON KENWORTHY (D.O.)

  • 1906 W US HIGHWAY 82

    SHERMAN, TX 75092

    Phone: (903) 892-8398

    Fax: (903) 892-6665

    Type: Location

  • 5016 S US Highway 75

    ATTN: RESIDENCY PROGRAM

    Denison, TX 750204584

    Phone: (714) 414-6339

    Fax: (903) 416-6195

    Type: Location

  • 5016 S US HIGHWAY 75

    ATTN: RESIDENCY PROGRAM

    DENISON, TX 750204584

    Phone: (714) 414-6339

    Fax: (903) 416-6195

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $124.

Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.

Last reported payment date: 2024-06-04 • Largest payer in this snapshot: HeartFlow, Inc. ($44).

Total Amount

$124

General + Research + Ownership

Payments

3

Total payment records

General Amount

$124

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-04

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: 2018-08-23

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
I20180823003236IFamily 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
99214Established patient office or other outpatient visit, 30-39 minutes514285$0
36415Insertion of needle into vein for collection of blood sample480310$0
80053Blood test, comprehensive group of blood chemicals426294$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count423296$0
80061Blood test, lipids (cholesterol and triglycerides)352265$0
View full utilization report →

Insurance plans in this area (ZIP 75092)

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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: 2264418557View full group profile

Reviews

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Frequently asked questions

How do payers reference JOHN ELIASON KENWORTHY (D.O.)?
For JOHN ELIASON KENWORTHY (D.O.), use NPI 1700260130 as the unique 10-digit identifier.
Is JOHN ELIASON KENWORTHY (D.O.) shown as active in public data?
Registry records indicate JOHN ELIASON KENWORTHY (D.O.) maintains an active NPI.
What expertise is attributed to JOHN ELIASON KENWORTHY (D.O.)?
JOHN ELIASON KENWORTHY (D.O.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is JOHN ELIASON KENWORTHY (D.O.) located near Sherman?
JOHN ELIASON KENWORTHY (D.O.) currently maps to Sherman, Texas in this extract.
Can I trust this NPI listing for JOHN ELIASON KENWORTHY (D.O.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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