ROY B KENDRICK (MD) – Family Medicine Physician, NPI 1710979349

ROY B KENDRICK (MD) is a healthcare provider. based in Canadian, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. L7447 (TX). The NPI Number for ROY B KENDRICK (MD) is 1710979349

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
ROY B KENDRICK (MD)
NPI
1710979349
Phone
(806) 323-8882
Address
1025 S 3RD ST
Enumeration Date
19 August 2005
Last Update Date
27 July 2007

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
8305833401
Graduation Year
2002 (24 years ago)
PAC ID
4082601190
Group Practice PAC ID
7810117223
Professional Enrollment ID
I20040429001097
Address ID
TX781195247KE3349X181X400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for ROY B KENDRICK (MD)

  • 1025, South 3rd Street, Yukon, Canadian County, Oklahoma, 73099, United States

    CANADIAN, TX 790143047

    Phone: (806) 323-8882

    Fax: (806) 323-6108

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-04-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040429001097IFamily 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
99284Emergency department visit with moderate level of medical decision making8979$0
99285Emergency department visit with high level of medical decision making5952$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4543$0
99283Emergency department visit with low level of medical decision making2727$0
View full utilization report →

Insurance plans in this area (ZIP 79014)

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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: 7810117223View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm ROY B KENDRICK (MD)'s NPI?
Yes. ROY B KENDRICK (MD) is listed with NPI 1710979349 in the public NPI dataset.
Can I rely on ROY B KENDRICK (MD) being an active provider?
As of the registry snapshot, ROY B KENDRICK (MD) is marked active.
What taxonomy line describes ROY B KENDRICK (MD)?
For research purposes, treat ROY B KENDRICK (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is ROY B KENDRICK (MD) based?
ROY B KENDRICK (MD) is tied to Canadian, Texas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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