DR. KYLAN D PETERSON (D.O.) – Otolaryngology/Facial Plastic Surgery Physician, NPI 1750542452
Otolaryngology/Facial Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
49 OTOLARYNGOLOGY in ID
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Provider Addresses for DR. KYLAN D PETERSON (D.O.)
PO BOX 587
TWIN FALLS, ID 833030587
Phone: (208) 814-7400
Fax: (208) 814-7491
Type: Mailing
730, North College Road, Twin Falls, Twin Falls County, Idaho, 83301, United States
SUITE B
TWIN FALLS, ID 833013382
Phone: (208) 814-7350
Fax: (208) 732-8508
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $229.
Total Amount is formed as General ($229) + Research ($0) + Ownership ($0) = $229.
Last reported payment date: 2024-04-23 • Largest payer in this snapshot: Acclarent, Inc ($144).
Total Amount
$229
General + Research + Ownership
Payments
4
Total payment records
General Amount
$229
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Acclarent, Inc | $144 |
| Stryker Corporation | $69 |
| AERIN MEDICAL INC. | $17 |
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: 2013-08-02
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 |
|---|---|---|---|---|
| I20130802000550 | I | Otolaryngology | ID | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 123 | 123 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 101 | 90 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 92 | 92 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 82 | 73 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 72 | 66 | $0 |
Insurance plans in this area (ZIP 83303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| O T O L A R Y N G O L O G Y | ID | |
| Nurse Practitioner | ID | |
| Qualified Audiologist | ID | |
| Qualified Audiologist | ID |
Reviews
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