DR. KYLE P ETZKORN (MD) – Gastroenterology Physician, NPI 1598761439
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,474 GASTROENTEROLOGY in FL
Provider Addresses for DR. KYLE P ETZKORN (MD)
4800, Belfort Road, Jacksonville, Duval County, Florida, 32256, United States
JACKSONVILLE, FL 322566004
Phone: (904) 398-3262
Fax: (904) 265-4807
Type: Mailing
4800 BELFORT RD
JACKSONVILLE, FL 322566004
Phone: (904) 398-7205
Fax: (904) 396-4047
Type: Location
Belfort Road, Pineland Gardens, Jacksonville, Duval County, Florida, 32216, United States
JACKSONVILLE, FL 322566004
Phone: (904) 398-7205
Fax: (904) 396-4047
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $1,157.
Total Amount is formed as General ($1,157) + Research ($0) + Ownership ($0) = $1,157.
Last reported payment date: 2024-08-08 • Largest payer in this snapshot: Medtronic, Inc. ($181).
Total Amount
$1,157
General + Research + Ownership
Payments
42
Total payment records
General Amount
$1,157
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $181 |
| Regeneron Healthcare Solutions, Inc. | $165 |
| ABBVIE INC. | $162 |
| Olympus America Inc. | $112 |
| Janssen Biotech, Inc. | $68 |
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: 2004-07-07
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 |
|---|---|---|---|---|
| I20040707000174 | I | Gastroenterology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 2,710 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 266 | 165 | $0 |
| J7050 | Infusion, normal saline solution, 250 cc | 128 | 38 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 65 | 65 | $0 |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 62 | 39 | $0 |
Insurance plans in this area (ZIP 32256)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | FL | 45385 | Removal of polyps or growths of large bowel using an endoscope | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | FL | |
| P A T H O L O G Y | FL | |
| Gastroenterology, Internal Medicine | FL | |
| Gastroenterology, Internal Medicine | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Internal Medicine, Gastroenterology | FL | |
| Internal Medicine, Gastroenterology | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.