DR. KEVIN LEN WACASEY (M.D.) – General Practice Physician, NPI 1902825946

DR. KEVIN LEN WACASEY (M.D.) is a healthcare provider. based in Colleyville, Texas. specializing in General Practice Physician. They hold the professional credentials M.D.. They hold a License No. K3519 (TX). The NPI Number for DR. KEVIN LEN WACASEY (M.D.) is 1902825946

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN LEN WACASEY (M.D.)
NPI
1902825946
Phone
(817) 416-6111
Address
6400 COLLEYVILLE BLVD
Enumeration Date
19 July 2006
Last Update Date
18 February 2016

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
2545592241
Graduation Year
1994 (32 years ago)
PAC ID
9931194719
Group Practice PAC ID
7810117223
Professional Enrollment ID
I20040824001393
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KEVIN LEN WACASEY (M.D.)

  • 6400, Colleyville Boulevard, Colleyville, Tarrant County, Texas, 76034, United States

    COLLEYVILLE, TX 760346444

    Phone: (817) 416-6111

    Fax: (866) 929-9602

    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 22 Open Payments records for all available years, with a total value of $18,339.

Total Amount is formed as General ($18,339) + Research ($0) + Ownership ($0) = $18,339.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: CSL Plasma Inc. ($18,339).

Total Amount

$18,339

General + Research + Ownership

Payments

22

Total payment records

General Amount

$18,339

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Plasma Inc.$18,339
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: 2004-08-24

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
I20040824001393IEmergency MedicineTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76034)

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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 DR. KEVIN LEN WACASEY (M.D.)'s NPI?
Yes. DR. KEVIN LEN WACASEY (M.D.) is listed with NPI 1902825946 in the public NPI dataset.
Is DR. KEVIN LEN WACASEY (M.D.) listed as active for patients and plans?
The listing shows DR. KEVIN LEN WACASEY (M.D.) as active in the NPI system.
What is DR. KEVIN LEN WACASEY (M.D.)'s specialty?
The listing groups DR. KEVIN LEN WACASEY (M.D.) with General Practice Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KEVIN LEN WACASEY (M.D.)?
DR. KEVIN LEN WACASEY (M.D.)'s geographic hint is Colleyville, Texas in our summary view.
Is the information about DR. KEVIN LEN WACASEY (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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