DR. KYLE CORNELIUS GILLESPIE (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1487093746

DR. KYLE CORNELIUS GILLESPIE (D.P.M.) is a healthcare provider. based in Glendale, Arizona. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 9065045-0501 (UT). The NPI Number for DR. KYLE CORNELIUS GILLESPIE (D.P.M.) is 1487093746

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. KYLE CORNELIUS GILLESPIE (D.P.M.)
NPI
1487093746
Phone
(623) 544-9090
Address
18301 N 79TH AVE
Enumeration Date
20 June 2013
Last Update Date
18 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6235449090
Graduation Year
2019 (7 years ago)
PAC ID
0345579124
Group Practice PAC ID
7113359555
Professional Enrollment ID
I20190903002731
Address ID
AZ853086045GL18301AVEX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:12State licenses:2Digital endpointsOther names

472 PODIATRY in AZ

Provider Addresses for DR. KYLE CORNELIUS GILLESPIE (D.P.M.)

  • 18301 N 79TH AVE

    BLDG F #168

    GLENDALE, AZ 853088463

    Phone: (623) 544-9090

    Fax: (602) 603-5666

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2023-03-20 • Largest payer in this snapshot: Stryker Corporation ($33).

Total Amount

$33

General + Research + Ownership

Payments

1

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$33
View all Open Payments →|Open Payments Risk Radar →

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: 2019-09-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190903002731IPodiatryAZTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88312Special stained specimen slides to identify organisms including interpretation and report1,340192$0
97750Test or measurement for functional capacity, each 15 minutes762188$0
88305Pathology examination of tissue using a microscope, intermediate complexity704197$0
88311Preparation of tissue for examination by removing any calcium present670192$0
88313Special stained specimen slides to examine tissue including interpretation and report670192$0
View full utilization report →

Insurance plans in this area (ZIP 85308)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113359555View full group profile
NameSpecialtyState
P O D I A T R YAZ
P O D I A T R YAZ
Nurse PractitionerAZ
P O D I A T R YTX
P O D I A T R YAZ
P O D I A T R YTX
P O D I A T R YID
P O D I A T R YAZ
P O D I A T R YUT
P O D I A T R YAZ

Reviews

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Frequently asked questions

Where can patients find DR. KYLE CORNELIUS GILLESPIE (D.P.M.)'s NPI?
You can confirm DR. KYLE CORNELIUS GILLESPIE (D.P.M.) with NPI 1487093746; it appears in the national provider directory.
Is DR. KYLE CORNELIUS GILLESPIE (D.P.M.)'s NPI currently valid?
The extract we use shows DR. KYLE CORNELIUS GILLESPIE (D.P.M.) as active.
What field does DR. KYLE CORNELIUS GILLESPIE (D.P.M.) work in?
You can think of DR. KYLE CORNELIUS GILLESPIE (D.P.M.) as practicing within Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. KYLE CORNELIUS GILLESPIE (D.P.M.)?
The snapshot lists Glendale, Arizona for DR. KYLE CORNELIUS GILLESPIE (D.P.M.); download NPPES for the complete set.
What if Glendale, Arizona seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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