Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KELLY R KUNKEL M.D.
NPI 1730144502
Plastic Surgery in Fort Worth, TX

Active since April 17, 2006Opted out of Medicare · through Jan 1, 2028
1830 8TH AVE, FORT WORTH, TX 76110(817) 335-5200(817) 923-0780 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly R Kunkel M.d. NPPES

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

KELLY R KUNKEL M.D. (NPI 1730144502) is an individual plastic surgery provider in Fort Worth, Texas, licensed in Texas (H2520) and active in the NPI registry since April 2006. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1730144502
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameKELLY R KUNKELCredential: M.D.
Location Address1830 8TH AVEFort Worth, TX 76110-1391
Mailing Address1830 8th AveFort Worth, TX 76110-1391 · (817) 335-5200 · Fax (817) 923-0780
Fax(817) 923-0780
Sole ProprietorNo
Enumeration DateApril 17, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1730144502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in TX · H2520
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

1830 8TH AVE, Fort Worth, TX 76110

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kelly R Kunkel M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2022 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2022
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76110 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
89%37 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%45 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

Specialist
1830 8TH AVE
FORT WORTH, TX 76110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730144502, enumerated as an "individual" on April 17, 2006.

The provider is located at 1830 8TH AVE FORT WORTH, TX 76110 and the phone number is (817) 335-5200.

Plastic Surgery with taxonomy code 208200000X.

The provider might be accepting Accepts: Baylor Scott and White Health Plan. Please consult your insurance carrier or call the provider to verify.