BRET KEENAN STYSLY (M.D.) – Internal Medicine Physician, NPI 1104188416

BRET KEENAN STYSLY (M.D.) is a healthcare provider. based in Augusta, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 73402 (GA). The NPI Number for BRET KEENAN STYSLY (M.D.) is 1104188416

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
BRET KEENAN STYSLY (M.D.)
NPI
1104188416
Phone
Not provided
Address
1120 15TH ST
Enumeration Date
12 June 2012
Last Update Date
27 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6085923241
Graduation Year
2012 (14 years ago)
PAC ID
8224344544
Group Practice PAC ID
0042595175
Professional Enrollment ID
I20180702002370
Address ID
WI535551010LO700XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:13State licenses:1Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

Provider Addresses for BRET KEENAN STYSLY (M.D.)

  • 1120 15TH ST

    AUGUSTA, GA 309120004

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $469.

Total Amount is formed as General ($469) + Research ($0) + Ownership ($0) = $469.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($247).

Total Amount

$469

General + Research + Ownership

Payments

14

Total payment records

General Amount

$469

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

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: 2018-07-02

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
I20150901003257IInternal MedicineGATBD
I20180702002370IInternal MedicineWITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes33181$0
94729Test to examine how well the lungs exchange gases169168$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes15860$0
94726Test to determine lung volumes using sensors156155$0
99291Critical care, first 30-74 minutes15575$0
View full utilization report →

Insurance plans in this area (ZIP 30912)

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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: 0042595175View full group profile
NameSpecialtyState
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI
Nephrology, Internal MedicineWI
Nurse PractitionerWI
Internal MedicineWI
Internal MedicineWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

What federal number belongs to BRET KEENAN STYSLY (M.D.)?
The federal identifier for BRET KEENAN STYSLY (M.D.) is NPI 1104188416.
Is BRET KEENAN STYSLY (M.D.) currently active in the NPI registry?
CMS-published data lists BRET KEENAN STYSLY (M.D.) as an active registrant.
What field does BRET KEENAN STYSLY (M.D.) work in?
You can think of BRET KEENAN STYSLY (M.D.) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for BRET KEENAN STYSLY (M.D.)?
The page summarizes Augusta, Georgia for BRET KEENAN STYSLY (M.D.); expand the address list for detail.
Is BRET KEENAN STYSLY (M.D.) a real provider?
This page reflects official NPPES data for NPI 1104188416. Always confirm identity and privileges with the practice and licensing boards.

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