MR. KYLE A HERRON (MD) – Surgery Physician, NPI 1679766943

MR. KYLE A HERRON (MD) is a healthcare provider. based in Tampa, Florida. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. ME142276 (FL). The NPI Number for MR. KYLE A HERRON (MD) is 1679766943

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. KYLE A HERRON (MD)
NPI
1679766943
Phone
(800) 991-6117
Address
3820 NORTHDALE BLVD STE 201
Enumeration Date
21 August 2007
Last Update Date
15 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8009916117
Graduation Year
2002 (24 years ago)
PAC ID
3779766274
Group Practice PAC ID
2860629466
Professional Enrollment ID
I20200609001724
Address ID
FL334616609LA2290XNXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,163 GENERAL SURGERY in FL

Provider Addresses for MR. KYLE A HERRON (MD)

  • 3820 NORTHDALE BLVD STE 201

    TAMPA, FL 336241893

    Phone: (800) 991-6117

    Type: Mailing

  • 4215 BURNS RD STE 260

    PALM BEACH GARDENS, FL 334104627

    Phone: (800) 991-6117

    Type: Location

  • LPGA Boulevard, Daytona Beach, Volusia County, Florida, 32117:32124, United States

    DAYTONA BEACH, FL 321177207

    Phone: (386) 282-3524

    Fax: (386) 265-4197

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $1,076.

Total Amount is formed as General ($1,076) + Research ($0) + Ownership ($0) = $1,076.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Medtronic, Inc. ($366).

Total Amount

$1,076

General + Research + Ownership

Payments

20

Total payment records

General Amount

$1,076

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

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: 2020-06-09

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
I20110321000972IHand SurgeryTXTBD
I20200609001724IGeneral 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
99213Established patient office or other outpatient visit, 20-29 minutes560373$0
93970Ultrasound study of arm or leg veins with compression and maneuvers322289$0
99204New patient office or other outpatient visit, 45-59 minutes241241$0
76942Ultrasonic guidance for needle placement17671$0
36471Injection of chemical agent into multiple incompetent veins of leg14766$0
View full utilization report →

Insurance plans in this area (ZIP 33624)

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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: 2860629466View full group profile
NameSpecialtyState
Interventional RadiologyPA
Internal MedicineSC
-FL
General Surgery, Vascular SurgeryFL
Physician AssistantCT
General SurgeryFL
Internal MedicineNJ
General SurgeryFL
Nurse PractitionerFL
P O D I A T R YFL

Reviews

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Frequently asked questions

Does MR. KYLE A HERRON (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. KYLE A HERRON (MD) uses 1679766943.
Is MR. KYLE A HERRON (MD) still practicing?
MR. KYLE A HERRON (MD) is currently listed as active in the public NPI registry.
What is MR. KYLE A HERRON (MD) best known for clinically?
Directory data describes MR. KYLE A HERRON (MD) with Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does MR. KYLE A HERRON (MD) serve?
MR. KYLE A HERRON (MD)'s listing highlights Tampa, Florida; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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