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DR. KEVIN RAY WADDELL MD
NPI 1679569594
Obstetrics & Gynecology in Beaumont, TX

Active since September 26, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 45D1072895 · Waiver
740 HOSPITAL DR, SUITE 250, BEAUMONT, TX 77701(409) 212-1000(409) 813-3302 Get Directions Write a Review

NPPES record last updated: November 19, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2018, Aug 23, 2016 (2 updates tracked since 2016).

About Dr. Kevin Ray Waddell Md NPPES

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

DR. KEVIN RAY WADDELL MD (NPI 1679569594) is an individual obstetrics & gynecology provider in Beaumont, Texas, licensed in Texas (M4976) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 26, 2027, and is affiliated with Baptist Beaumont Hospital.

NPPES Registry Identity

NPI1679569594
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. KEVIN RAY WADDELLCredential: MD
Location Address740 HOSPITAL DR, SUITE 250Beaumont, TX 77701-4664
Mailing Address740 Hospital Dr, Suite 250Beaumont, TX 77701-4664 · (409) 212-1000 · Fax (409) 813-3302
Phone(409) 212-1000
Fax(409) 813-3302
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1998
Enumeration DateSeptember 26, 2005
Last NPPES UpdateNovember 19, 20182 updates tracked since enumeration
✔ NPI 1679569594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · M4976
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
740 HOSPITAL DR, Beaumont, TX 77701
Open in Google Maps ↗

Other Identifiers 1

Medicaid184821001TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare and more.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

Dr. Kevin Ray Waddell 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 ID5294755286
PECOS Enrollment IDI20070222000225
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1072895

Kevin R Waddell MD PA · Beaumont, TX
Active · expires Aug 26, 2027
CLIA Number45D1072895
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorKevin R. Waddell, MD PA
Laboratory Phone(409) 212-1000
Laboratory LocationKevin R Waddell MD PA740 Hospital Dr Ste 250, Beaumont, TX 77701
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospital Affiliations CMS Care Compare

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

Baptist Beaumont Hospital

Acute Care Hospitals · Beaumont, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450346
Location3080 College StreetBeaumont, TX 77701 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77701 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
$124.88 typical visit price
range $54.04 – $164.93
Typical copayment $31.22 (range $13.51 – $41.23)
Most-billed visit code 99204
Established Patient
$67.64 typical visit price
range $17.17 – $134.47
Typical copayment $16.91 (range $4.29 – $33.61)
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.

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.

JACQUELINE NACOLE DUGAS FNP-BC
Nurse Practitioner
740 HOSPITAL DR, SUITE 300
BEAUMONT, TX 77701
Jefferson County (409) 212-8111
SOPHIA L BURNS MD PA
Obstetrics & Gynecology
740 HOSPITAL DR, SUITE 250
BEAUMONT, TX 77701
Jefferson County (409) 212-9117
PREVITY SURGICAL, PLLC
Surgery
740 HOSPITAL DR, SUITE 280
BEAUMONT, TX 77701
Jefferson County (409) 835-9500
DARRYL C. HARRIS , MD, PA
Obstetrics & Gynecology
740 HOSPITAL DR, SUITE 250
BEAUMONT, TX 77701
Jefferson County (409) 212-1000
BEAUMONT RETINA CONSULTANT PA
Ophthalmology
740 HOSPITAL DR, SUITE 200
BEAUMONT, TX 77701
Jefferson County (409) 832-8883
DR. SHANNON FRUGIA AU.D.
Audiologist
740 HOSPITAL DR, SUITE 310
BEAUMONT, TX 77701
Jefferson County (409) 981-1702
RICK L EVANS MD PA
Obstetrics & Gynecology
740 HOSPITAL DR, SUITE 250
BEAUMONT, TX 77701
Jefferson County (409) 212-1000
DR. GARY R CLAYTON M.D.
Family Medicine
740 HOSPITAL DR, SUITE 210
BEAUMONT, TX 77701
Jefferson County (409) 839-4757

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Waddell's NPI number?

The NPI number for Kevin Waddell is 1679569594. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Kevin Waddell located?

Kevin Waddell practices at 740 Hospital Dr Suite 250, Beaumont, TX 77701. The listed phone number is (409) 212-1000.

What is Kevin Waddell's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kevin Waddell enrolled in Medicare?

Yes. Kevin Waddell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Kevin Waddell hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1072895) is associated with this NPI, valid through August 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kevin Waddell accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare, UnitedHealthcare and WellPoint list Kevin Waddell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kevin Waddell affiliated with any hospitals?

According to CMS data, Kevin Waddell is affiliated with Baptist Beaumont Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Waddell was last updated on November 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.