KYLE S FALLGATTER (MD) – Ophthalmology Physician, NPI 1588160188

KYLE S FALLGATTER (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 101374 (GA). The NPI Number for KYLE S FALLGATTER (MD) is 1588160188

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
KYLE S FALLGATTER (MD)
NPI
1588160188
Phone
(904) 387-5600
Address
2639 OAK ST
Enumeration Date
3 April 2018
Last Update Date
21 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
9122629092
Graduation Year
2018 (8 years ago)
PAC ID
2668718131
Group Practice PAC ID
4082610019
Professional Enrollment ID
I20241009003121
Address ID
GA315204848BR3120XAVEX300

Contacts

Secure Messaging
kfallgatter@floridaretinainstitute.intellechartdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:8State licenses:2Other namesUpdated within 12 months

1,552 OPHTHALMOLOGY in FL

Provider Addresses for KYLE S FALLGATTER (MD)

  • 2639 OAK ST

    JACKSONVILLE, FL 322044505

    Phone: (904) 387-5600

    Fax: (904) 388-0114

    Type: Location

  • 8786 Perimeter Park Blvd

    Jacksonville, FL 322166347

    Phone: (904) 997-9202

    Fax: (904) 997-9205

    Type: Location

  • 2416 Lynndale Rd Ste 201

    Fernandina Beach, FL 320345230

    Phone: (904) 997-9202

    Fax: (904) 997-9205

    Type: Location

  • 50 Leanni Way Unit E5

    Palm Coast, FL 321374757

    Phone: (386) 447-1847

    Fax: (386) 447-1848

    Type: Location

  • 3120 Glynn Ave

    Brunswick, GA 315204848

    Phone: (912) 262-9092

    Fax: (912) 466-0639

    Type: Location

  • Archer Road, Robinswood, Gainesville, Alachua County, Florida, 32608, United States

    GAINESVILLE, FL 326103003

    Phone: (352) 265-0239

    Fax: (352) 265-1107

    Type: Location

  • 304 Riverside Dr

    Waycross, GA 315014549

    Phone: (912) 283-1400

    Fax: (912) 283-0019

    Type: Location

  • PO BOX 100265

    GAINESVILLE, FL 326100265

    Phone: (352) 265-0239

    Fax: (352) 265-1107

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $299.

Total Amount is formed as General ($299) + Research ($0) + Ownership ($0) = $299.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($151).

Total Amount

$299

General + Research + Ownership

Payments

5

Total payment records

General Amount

$299

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

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: 2024-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240621002148IOphthalmologyFLTBD
I20241009003121IOphthalmologyGATBD

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
J0178Injection, aflibercept, 1 mg2611$0
99213Established patient office or other outpatient visit, 20-29 minutes2019$0
67028Injection of drug into eye1212$0
View full utilization report →

Insurance plans in this area (ZIP 32204)

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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: 4082610019View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
-FL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

What is the standard ID for KYLE S FALLGATTER (MD) in the U.S.?
In the U.S., KYLE S FALLGATTER (MD) is identified by NPI 1588160188.
Does the public listing show KYLE S FALLGATTER (MD) as active?
KYLE S FALLGATTER (MD)'s NPI record reflects an active status in NPPES.
What does the directory say KYLE S FALLGATTER (MD) does?
Insurance directories may phrase it differently, but here KYLE S FALLGATTER (MD) maps to Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KYLE S FALLGATTER (MD)?
KYLE S FALLGATTER (MD) is associated with Jacksonville, Florida in the same public data insurers reference.
Can I export KYLE S FALLGATTER (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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