KYRIE HEYDENBURG (PA) – Surgical Physician Assistant, NPI 1144995697
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,564 PHYSICIAN ASSISTANT in CA
Provider Addresses for KYRIE HEYDENBURG (PA)
2823 Fresno St
Fresno, CA 937211324
Phone: (559) 443-2682
Fax: (559) 443-2681
Type: Location
1200 E Michigan Ave Ste 655
Lansing, MI 489121837
Phone: (517) 364-2616
Fax: (517) 364-3525
Type: Location
2625 E DIVISADERO ST
FRESNO, CA 937211431
Phone: (559) 443-2682
Fax: (559) 443-2681
Type: Mailing
2823 FRESNO ST
FRESNO, CA 937211324
Phone: (559) 443-2682
Fax: (559) 443-2681
Type: Location
PO BOX 13008
LANSING, MI 489013008
Phone:
Type: Mailing
1215 E MICHIGAN AVE
LANSING, MI 489121811
Phone: (517) 364-2616
Fax: (517) 364-3525
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $835.
Total Amount is formed as General ($835) + Research ($0) + Ownership ($0) = $835.
Last reported payment date: 2023-11-15 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($710).
Total Amount
$835
General + Research + Ownership
Payments
5
Total payment records
General Amount
$835
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $710 |
| ABBVIE INC. | $125 |
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: 2024-12-11
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 |
|---|---|---|---|---|
| I20241211000215 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 56 | 33 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 48 | 37 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 19 | 14 | $0 |
Insurance plans in this area (ZIP 93721)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Physician Assistant | OH |
Reviews
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