DR. KYLE R. DIAMOND (M.D.) – Vascular Surgery Physician, NPI 1669834636

DR. KYLE R. DIAMOND (M.D.) is a healthcare provider. based in Port st lucie, Florida. specializing in VASCULAR SURGERY. They hold the professional credentials M.D.. They hold a License No. ME147460 (FL). The NPI Number for DR. KYLE R. DIAMOND (M.D.) is 1669834636

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. KYLE R. DIAMOND (M.D.)
NPI
1669834636
Phone
(772) 286-5501
Address
1871 SE Tiffany Ave Ste 120
Enumeration Date
28 March 2016
Last Update Date
21 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7722865501
Graduation Year
2016 (10 years ago)
PAC ID
8426349861
Group Practice PAC ID
5092756452
Professional Enrollment ID
I20210723002906
Address ID
FL349963305ST2169XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Digital endpointsOther names

490 VASCULAR SURGERY in FL

Provider Addresses for DR. KYLE R. DIAMOND (M.D.)

  • 1871 SE Tiffany Ave Ste 120

    Port St Lucie, FL 349527585

    Phone: (772) 286-5501

    Type: Location

  • UMASS Memorial Medical Center University Campus Hospital, 55, Lake Avenue North, Worcester, Worcester County, Massachusetts, 01653, United States

    WORCESTER, MA 016550002

    Phone: (508) 334-1000

    Type: Mailing

  • 2169 SE OCEAN BLVD

    STUART, FL 349963305

    Phone: (772) 286-5501

    Fax: (772) 781-7767

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 93 Open Payments records for all available years, with a total value of $7,509.

Total Amount is formed as General ($7,509) + Research ($0) + Ownership ($0) = $7,509.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Penumbra, Inc. ($1,787).

Total Amount

$7,509

General + Research + Ownership

Payments

93

Total payment records

General Amount

$7,509

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-07-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210723002906IVascular SurgeryFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes345229$0
37253Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel30863$0
99153Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes19239$0
99204New patient office or other outpatient visit, 45-59 minutes178178$0
76937Ultrasonic guidance for blood vessel access12689$0
View full utilization report →

Insurance plans in this area (ZIP 34952)

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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: 5092756452View full group profile
NameSpecialtyState
Vascular Surgery, General SurgeryFL
Vascular SurgeryMD
Vascular SurgeryFL

Reviews

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Frequently asked questions

What is the standard ID for DR. KYLE R. DIAMOND (M.D.) in the U.S.?
In the U.S., DR. KYLE R. DIAMOND (M.D.) is identified by NPI 1669834636.
Quick check: is DR. KYLE R. DIAMOND (M.D.) active?
Public NPPES data shows DR. KYLE R. DIAMOND (M.D.) with an active NPI status right now.
What does the directory say DR. KYLE R. DIAMOND (M.D.) does?
Insurance directories may phrase it differently, but here DR. KYLE R. DIAMOND (M.D.) maps to Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. KYLE R. DIAMOND (M.D.)?
DR. KYLE R. DIAMOND (M.D.) is associated with Port St Lucie, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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