KYLE CUSTIS (M.D.) – Family Medicine Physician, NPI 1376574178
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
822 FAMILY PRACTICE in CT
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Provider Addresses for KYLE CUSTIS (M.D.)
19, Treadwell Lane, Lyons Plain, Weston, Western Connecticut Planning Region, Connecticut, 06883, United States
WESTON, CT 068831949
Phone: (203) 223-9167
Type: Mailing
Kings Highway North, Old Hill, Westport, Fairfield County, Connecticut, 06880, United States
WESTPORT, CT 068802438
Phone: (203) 221-3030
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2006-08-14
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 |
|---|---|---|---|---|
| I20060814000394 | I | Family Practice | CT | 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 |
|---|---|---|---|---|
| 99282 | Emergency department visit with straightforward medical decision making | 271 | 241 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 114 | 99 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 35 | 33 | $0 |
| 81003 | Automated urinalysis test | 12 | 11 | $0 |
Insurance plans in this area (ZIP 06883)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| - | CT | |
| - | WA | |
| A N E S T H E S I O L O G Y | GA | |
| Certified Registered Nurse Anesthetist (Crna) | CT | |
| - | NY | |
| General Surgery | CT | |
| - | CT | |
| - | CT | |
| - | GA |
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