KYLE ANDREW PACKER – Surgery Physician, NPI 1710228986
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
523 GENERAL SURGERY in AL
Provider Addresses for KYLE ANDREW PACKER
1130 22ND ST S STE 1000
BIRMINGHAM, AL 352052881
Phone:
Type: Mailing
3400 HIGHWAY 78 E STE 316
JASPER, AL 355018951
Phone: (205) 385-7860
Fax: (205) 385-7861
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $4,303.
Total Amount is formed as General ($4,303) + Research ($0) + Ownership ($0) = $4,303.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Boston Scientific Corporation ($1,679).
Total Amount
$4,303
General + Research + Ownership
Payments
38
Total payment records
General Amount
$4,303
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $1,679 |
| Davol Inc. | $1,128 |
| Enterra Medical, Inc. | $996 |
| Intuitive Surgical, Inc. | $415 |
| CONMED Corporation | $62 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-10-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191010001900 | I | General Surgery | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 95 | 44 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 94 | 62 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 88 | 88 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 83 | 80 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 61 | 46 | $0 |
Insurance plans in this area (ZIP 35205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | AL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | AL | |
| General Surgery | AL | |
| Nurse Practitioner | AL | |
| - | AL | |
| - | AL | |
| Nurse Practitioner | AL | |
| Cardiovascular Disease (Cardiology) | AL | |
| - | AL | |
| Qualified Audiologist | AL |
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