DR. KENNY LANE BOWMAN (D.O.) – Family Medicine Physician, NPI 1740471960

DR. KENNY LANE BOWMAN (D.O.) is a healthcare provider. based in Dallas, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 03047 (KY). The NPI Number for DR. KENNY LANE BOWMAN (D.O.) is 1740471960

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNY LANE BOWMAN (D.O.)
NPI
1740471960
Phone
(888) 800-1853
Address
2710 N STEMMONS FWY (MAXIM PHYSICIAN RESOURCES)
Enumeration Date
5 August 2007
Last Update Date
28 January 2022

Doctor Profile

Medical School Name
UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
5027324321
Graduation Year
2002 (24 years ago)
PAC ID
8729167531
Group Practice PAC ID
0941695936
Professional Enrollment ID
I20080506000116
Address ID
KY410081435CA309XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

8,706 FAMILY PRACTICE in TX

Provider Addresses for DR. KENNY LANE BOWMAN (D.O.)

  • 2710 N STEMMONS FWY (MAXIM PHYSICIAN RESOURCES)

    SUITE 100, NORTH TOWER

    DALLAS, TX 752072210

    Phone: (888) 800-1853

    Fax: (214) 741-0701

    Type: Location

  • 253, Cedar Hills Drive, Pikeville, Pike County, Kentucky, 41501, United States

    PIKEVILLE, KY 415018700

    Phone: (606) 432-2213

    Type: Mailing

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: 2008-05-06

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
I20080506000116IFamily PracticeKYTBD

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
99285Emergency department visit with high level of medical decision making166130$0
99284Emergency department visit with moderate level of medical decision making13698$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only135112$0
99291Critical care, first 30-74 minutes3835$0
View full utilization report →

Insurance plans in this area (ZIP 75207)

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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: 0941695936View full group profile
NameSpecialtyState
Family PracticeKY
Internal MedicineKY

Reviews

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Frequently asked questions

What number should I use to identify DR. KENNY LANE BOWMAN (D.O.) for billing?
Administrative and clinical systems typically use NPI 1740471960 for DR. KENNY LANE BOWMAN (D.O.).
Does the public listing show DR. KENNY LANE BOWMAN (D.O.) as active?
DR. KENNY LANE BOWMAN (D.O.)'s NPI record reflects an active status in NPPES.
What type of care does DR. KENNY LANE BOWMAN (D.O.) provide?
DR. KENNY LANE BOWMAN (D.O.)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. KENNY LANE BOWMAN (D.O.)?
DR. KENNY LANE BOWMAN (D.O.) shows a connection to Dallas, Texas in registry-derived data.
Can I export DR. KENNY LANE BOWMAN (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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