KEVIN BRADLEY CEDERBERG MD
NPI 1104020296
Radiology - Diagnostic Radiology in Dallas, TX

Q: What is Kevin Cederberg's NPI number?

The NPI number for Kevin Cederberg is 1104020296. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Q: What is Kevin Cederberg's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Cederberg was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 12, 2007PECOS EnrolledAccepts Medicare Assignment

74.59/100

CMS Quality Rating

5323 HARRY HINES BLVD, DEPARTMENT OF RADIOLOGY, DALLAS, TX 75390(214) 648-8004 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2026, Oct 16, 2023, Nov 17, 2022 and 1 more (4 updates tracked since 2022).

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About Kevin Bradley Cederberg Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN BRADLEY CEDERBERG MD (NPI 1104020296) is an individual diagnostic radiology provider in Dallas, Texas, licensed in Texas (M6070) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Childrens Medical Ctr Of Dallas, and is a graduate of Georgetown University School Of Medicine (2004).

NPPES Registry Identity

NPI1104020296

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameKEVIN BRADLEY CEDERBERGCredential: MD

Location Address5323 HARRY HINES BLVD, DEPARTMENT OF RADIOLOGYDallas, TX 75390-8896

Mailing Address5323 Harry Hines Blvd, Department Of RadiologyDallas, TX 75390-8896 · (214) 648-8004

Phone(214) 648-8004

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 2004

Enumeration DateJune 12, 2007

Last NPPES UpdateApril 15, 20264 updates tracked since enumeration

NPPES CertifiedApril 15, 2026

✔ NPI 1104020296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in TX · M6070

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X · License M6070 (TX)

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License M6070 (TX)

5323 HARRY HINES BLVD, Dallas, TX 75390

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Other Identifiers 1

OtherBP1-0018147Institutional Permit

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Bradley Cederberg Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981737780

PECOS Enrollment IDI20100730000386

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Childrens Medical Ctr Of Dallas

Childrens · Dallas, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number453302

Location1935 Medical District DriveDallas, TX 75235 · Dallas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

56.12

Promoting Interoperability

100

Improvement Activities

Cost

59.2

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TANYA MARIE PLETIN PA-C

Physician Assistant