BLAINE S. KRISTO (MD) – Urology Physician, NPI 1124128822
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
50 UROLOGY in HI
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Provider Addresses for BLAINE S. KRISTO (MD)
PO BOX 746643
ATLANTA, GA 303746643
Phone: (904) 202-2092
Fax: (904) 376-4075
Type: Mailing
Kaiser Permanente Moanalua Medical Center, 3288, Moanalua Road, Moanalua Valley, Honolulu, Honolulu County, Hawaii, 96819, United States
HONOLULU, HI 968191469
Phone: (808) 432-0000
Type: Mailing
1348 S 18TH ST STE 230
FERNANDINA BEACH, FL 320344785
Phone: (904) 277-2003
Fax: (904) 376-3271
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $1,420.
Total Amount is formed as General ($1,420) + Research ($0) + Ownership ($0) = $1,420.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Dornier MedTech America, Inc ($454).
Total Amount
$1,420
General + Research + Ownership
Payments
32
Total payment records
General Amount
$1,420
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dornier MedTech America, Inc | $454 |
| Astellas Pharma US Inc | $435 |
| Sumitomo Pharma America, Inc. | $81 |
| Ethicon US, LLC | $42 |
| Teleflex LLC | $38 |
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: 2023-07-19
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 |
|---|---|---|---|---|
| I20230719003762 | I | Urology | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 312 | 304 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 251 | 227 | $0 |
| 81003 | Automated urinalysis test | 237 | 175 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 134 | 134 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 112 | 105 | $0 |
Insurance plans in this area (ZIP 30374)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| U R O L O G Y | MI |
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