Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KEVIN BRADLEY WALDREP M.D.
NPI 1790912061
Surgery in Dallas, TX

Active since June 15, 2009PECOS Enrolled
7777 FOREST LN STE B111, DALLAS, TX 75230(214) 934-6994 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 13, 2026, Feb 20, 2023, May 17, 2020 and 2 more (5 updates tracked since 2019).

About Dr. Kevin Bradley Waldrep M.d. NPPES

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

DR. KEVIN BRADLEY WALDREP M.D. (NPI 1790912061) is an individual surgery provider in Dallas, Texas, licensed in Texas (N9326) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Medical City Dallas Hospital, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2009).

NPPES Registry Identity

NPI1790912061
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. KEVIN BRADLEY WALDREPCredential: M.D.
Location Address7777 FOREST LN STE B111Dallas, TX 75230-2539
Mailing Address7777 Forest Ln Ste B111, Suite B-111Dallas, TX 75230-2539 · (972) 566-5556 · Fax (972) 566-7486
Sole ProprietorYes
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2009
Enumeration DateJune 15, 2009
Last NPPES UpdateOctober 22, 20265 updates tracked since enumeration
NPPES CertifiedOctober 22, 2026
✔ NPI 1790912061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · N9326
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
7777 FOREST LN STE B111, Dallas, TX 75230

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin Bradley Waldrep M.d. 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 ID4587912332
PECOS Enrollment IDI20190205002471
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

5

Medicare enrollment records show Kevin Waldrep reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
7777 FOREST LN STE B111
Dallas, TX 75230
  • Reassigned Medicare billing, Texas enrollment
Internal Medicine
3500 GASTON AVE
Dallas, TX 75246
  • Reassigned Medicare billing, Texas enrollment
  • 2,795 clinicians in this Medicare group
Trauma Surgery
2710 SWISS AVENUE
Dallas, TX 75204
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Urgent Surgery Associates PA
  • 120 clinicians in this Medicare group
Obstetrics & Gynecology
2700 E BROAD ST
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 127 clinicians in this Medicare group
Internal Medicine
50 HILLCREST MEDICAL BLVD STE 102
Waco, TX 76712
  • Reassigned Medicare billing, Texas enrollment
  • 184 clinicians in this Medicare group

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
176 services65 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
96 services91 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
54 services54 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services26 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
20 services20 patients
Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563
This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Medical City Dallas Hospital

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450647
Location7777 Forest LaneDallas, TX 75230 · Dallas County
Emergency services Birthing friendly

Methodist Charlton Medical Center

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450723
Location3500 W Wheatland RoadDallas, TX 75237 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75230 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.

Other Providers at the Same Location NPPES

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

Surgery
7777 FOREST LN STE B111
DALLAS, TX 75230

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 Waldrep's NPI number?

The NPI number for Kevin Waldrep is 1790912061. It was assigned to this individual provider in the NPPES registry on June 15, 2009.

Where is Kevin Waldrep located?

Kevin Waldrep practices at 7777 Forest Ln Ste B111, Dallas, TX 75230. The listed phone number is (214) 934-6994.

What is Kevin Waldrep's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kevin Waldrep enrolled in Medicare?

Yes. Kevin Waldrep 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.

Which organizations bill Medicare for Kevin Waldrep's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Waldrep reassigns Medicare benefits to 5 organizations: Kevin B. Waldrep, M.D.,pllc (Dallas, TX), Scott & White Clinic (Dallas, TX), Urgent Surgery Associates, P.A. (Dallas, TX), Arlington Physician Services PA (Mansfield, TX) and Hillcrest Physician Services (Waco, TX). 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 Kevin Waldrep's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Waldrep accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kevin Waldrep 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 Waldrep affiliated with any hospitals?

According to CMS data, Kevin Waldrep is affiliated with Medical City Dallas Hospital and Methodist Charlton Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Waldrep was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.