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DR. KENNY LANE BOWMAN D.O.
NPI 1740471960
Family Medicine in Dallas, TX

Active since August 05, 2007PECOS Enrolled
95.84/100
CMS Quality Rating
2710 N STEMMONS FWY (MAXIM PHYSICIAN RESOURCES), SUITE 100, NORTH TOWER, DALLAS, TX 75207(888) 800-1853(214) 741-0701 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kenny Lane Bowman D.o. NPPES

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

DR. KENNY LANE BOWMAN D.O. (NPI 1740471960) is an individual family medicine provider in Dallas, Texas, licensed in Kentucky (03047) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740471960
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENNY LANE BOWMANCredential: D.O.
Location Address2710 N STEMMONS FWY (MAXIM PHYSICIAN RESOURCES), SUITE 100, NORTH TOWERDallas, TX 75207-2210
Mailing Address253 Cedar Hills DrPikeville, KY 41501-8700 · (606) 432-2213
Phone(888) 800-1853
Fax(214) 741-0701
Sole ProprietorNo
Enumeration DateAugust 5, 2007
Last NPPES UpdateJanuary 28, 2022
NPPES CertifiedJanuary 28, 2022
✔ NPI 1740471960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 03047
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 03047 (KY)
2710 N STEMMONS FWY (MAXIM PHYSICIAN RESOURCES), Dallas, TX 75207
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Other Identifiers 1

Medicaid7100044960KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenny Lane Bowman D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kenny Bowman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Western Healthcare Services Kentucky LLC
829 mi
Emergency Medicine
540 JETT DR
Jackson, KY 41339
  • Reassigned Medicare billing, Kentucky enrollment
  • 32 clinicians in this Medicare group
NPI 1770243842 (606) 666-6000
Southeastern Emergency Physicians LLC
835 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Kentucky enrollment
  • 828 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
232 services179 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
170 services119 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
134 services110 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
28 services28 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75207 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
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
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.

95.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.35
Improvement Activities40

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 Kenny Bowman's NPI number?

The NPI number for Kenny Bowman is 1740471960. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Where is Kenny Bowman located?

Kenny Bowman practices at 2710 N Stemmons Fwy (maxim Physician Resources) Suite 100, North Tower, Dallas, TX 75207. The listed phone number is (888) 800-1853.

What is Kenny Bowman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenny Bowman enrolled in Medicare?

Yes. Kenny Bowman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kenny Bowman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenny Bowman reassigns Medicare benefits to 2 organizations: Western Healthcare Services Kentucky LLC (Jackson, KY) and Southeastern Emergency Physicians LLC (Maysville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenny Bowman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenny Bowman was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.