KYLE DUSTIN KAUFMAN (NP-C) – Family Nurse Practitioner, NPI 1366937930
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
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Provider Addresses for KYLE DUSTIN KAUFMAN (NP-C)
3708, Northside Drive, McKibben Lane, Macon, Bibb County, Georgia, 31210, United States
MACON, GA 312102404
Phone: (478) 745-4206
Fax: (478) 832-6507
Type: Mailing
OrthoGeorgia, 301, Margie Drive, Deerfield, Warner Robins, Houston County, Georgia, 31088, United States
WARNER ROBINS, GA 31088
Phone: (478) 971-1153
Fax: (478) 971-1171
Type: Location
113 WILLIE LEE PKWY
WARNER ROBINS, GA 310888970
Phone: (478) 333-6688
Fax: (478) 333-6634
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $77.
Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.
Last reported payment date: 2024-04-25 • Largest payer in this snapshot: Amgen Inc. ($77).
Total Amount
$77
General + Research + Ownership
Payments
1
Total payment records
General Amount
$77
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $77 |
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: 2018-09-13
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 |
|---|---|---|---|---|
| I20180913001137 | I | Nurse Practitioner | GA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31210)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Pain Management | GA | |
| Internal Medicine | GA | |
| P O D I A T R Y | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| General Surgery | GA |
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