KYLE STEVEN DEUTER (PA-C) – Medical Physician Assistant, NPI 1467475657

KYLE STEVEN DEUTER (PA-C) is a healthcare provider. based in Jesup, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 25MP00080100 (NJ). The NPI Number for KYLE STEVEN DEUTER (PA-C) is 1467475657

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
KYLE STEVEN DEUTER (PA-C)
NPI
1467475657
Phone
(912) 427-0800
Address
110 PROFESSIONAL CT
Enumeration Date
26 July 2006
Last Update Date
3 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9124270800
Graduation Year
2001 (25 years ago)
PAC ID
4284631896
Group Practice PAC ID
7719053651
Professional Enrollment ID
I20141224001144
Address ID
GA315010989WA1912XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for KYLE STEVEN DEUTER (PA-C)

  • 110 PROFESSIONAL CT

    JESUP, GA 315450044

    Phone: (912) 427-0800

    Type: Location

  • Jesup Post Office, Southeast Broad Lane, Jesup, Wayne County, Georgia, 31598, United States

    JESUP, GA 315981334

    Phone: (912) 427-0800

    Fax: (912) 427-6029

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($18).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

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: 2014-12-24

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
I20141224001144IPhysician AssistantGATBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg2,484206$0
J1100Injection, dexamethasone sodium phosphate, 1 mg1,100129$0
J1885Injection, ketorolac tromethamine, per 15 mg500115$0
96372Injection of drug or substance under skin or into muscle282133$0
99213Established patient office or other outpatient visit, 20-29 minutes253170$0
View full utilization report →

Insurance plans in this area (ZIP 31545)

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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: 7719053651View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Orthopedic SurgeryWV
Physician AssistantGA
Orthopedic SurgeryGA
Orthopedic SurgeryNM
Orthopedic Surgery, NeurosurgeryGA
-GA
-IL

Reviews

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Frequently asked questions

Can I use this page to confirm KYLE STEVEN DEUTER (PA-C)'s NPI?
Yes. KYLE STEVEN DEUTER (PA-C) is listed with NPI 1467475657 in the public NPI dataset.
Can I rely on KYLE STEVEN DEUTER (PA-C) being an active provider?
As of the registry snapshot, KYLE STEVEN DEUTER (PA-C) is marked active.
What is KYLE STEVEN DEUTER (PA-C)'s specialty?
The listing groups KYLE STEVEN DEUTER (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect KYLE STEVEN DEUTER (PA-C) on a map?
Expect Jesup, Georgia as a primary anchor for KYLE STEVEN DEUTER (PA-C) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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