KRIS M BLY (DO) – General Practice Physician, NPI 1497700223
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,466 GENERAL PRACTICE in FL
Provider Addresses for KRIS M BLY (DO)
4260 Park Blvd N
Pinellas Park, FL 337813645
Phone: (727) 371-8483
Fax: (727) 344-8690
Type: Location
222 S Peninsula Dr
Daytona Beach, FL 321184422
Phone: (386) 310-2160
Type: Location
2777 ENTERPRISE RD
ORANGE CITY, FL 327638310
Phone: (386) 774-2550
Fax: (386) 774-5667
Type: Mailing
2777, Enterprise Road, Orange City, Volusia County, Florida, 32763, United States
ORANGE CITY, FL 327638310
Phone: (386) 774-2550
Fax: (386) 774-5667
Type: Location
Daytona Beach Post Office, North Atlantic Avenue, Daytona Beach, Volusia County, Florida, 32118, United States
DAYTONA BEACH, FL 321209671
Phone: (386) 676-7130
Fax: (386) 676-7125
Type: Mailing
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: 2009-12-15
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 |
|---|---|---|---|---|
| I20091215000168 | I | General Practice | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33781)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | FL | 73110 | X-ray of wrist, minimum of 3 views | 13 | 13 |
| EMERGENCY MEDICINE | FL | 74177 | CT scan of abdomen and pelvis with contrast | 37 | 37 |
| EMERGENCY MEDICINE | FL | 85610 | Blood test, clotting time | 59 | 48 |
| EMERGENCY MEDICINE | FL | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 32 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Sports Medicine | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| - | WV | |
| - | FL | |
| - | FL | |
| Internal Medicine | FL | |
| Family Practice | FL | |
| Family Practice | FL |
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