KYLE R. SPEAKMAN (MD) – Family Medicine Physician, NPI 1104269240

KYLE R. SPEAKMAN (MD) is a healthcare provider. based in Marion, Indiana. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 11017446A (IN). The NPI Number for KYLE R. SPEAKMAN (MD) is 1104269240

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
KYLE R. SPEAKMAN (MD)
NPI
1104269240
Phone
(765) 660-7616
Address
330 N WABASH
Enumeration Date
8 April 2013
Last Update Date
19 October 2020

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7656607900
Graduation Year
2013 (13 years ago)
PAC ID
5294979233
Group Practice PAC ID
9133023625
Professional Enrollment ID
I20160906000216
Address ID
IN469521913MA1391XAVEX400

Contacts

Secure Messaging
kyle.speakman@mgh.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

2,862 FAMILY PRACTICE in IN

Provider Addresses for KYLE R. SPEAKMAN (MD)

  • 330 N WABASH

    STE G20

    MARION, IN 469522600

    Phone: (765) 660-7616

    Fax: (765) 651-7313

    Type: Mailing

  • 1391 N BALDWIN AVENUE

    MARION, IN 469521913

    Phone: (765) 660-7900

    Fax: (765) 671-7751

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $451.

Total Amount is formed as General ($451) + Research ($0) + Ownership ($0) = $451.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($149).

Total Amount

$451

General + Research + Ownership

Payments

23

Total payment records

General Amount

$451

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

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: 2016-09-06

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
I20160906000216IFamily PracticeINTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes321225$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit177177$0
G0008Administration of influenza virus vaccine7574$0
90662Influenza vaccine split virus, preservative free4646$0
90682Influenza vaccine, quadrivalent derived from recombinant dna2121$0
View full utilization report →

Insurance plans in this area (ZIP 46952)

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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: 9133023625View full group profile
NameSpecialtyState
-IN
Emergency MedicineIN
Family PracticeIN
Critical Care (Intensivists), NephrologyIN
Internal MedicineIL
Emergency Medicine, PathologyIN
Emergency MedicineIN
Pulmonary Disease, Internal MedicineIN
Nurse PractitionerIN
Orthopedic SurgeryIN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is KYLE R. SPEAKMAN (MD) identified in CMS data?
CMS-hosted NPPES data lists KYLE R. SPEAKMAN (MD) with NPI 1104269240.
Does the file indicate KYLE R. SPEAKMAN (MD) is practicing under active NPI?
Directory data currently reports KYLE R. SPEAKMAN (MD) as active.
What taxonomy line describes KYLE R. SPEAKMAN (MD)?
For research purposes, treat KYLE R. SPEAKMAN (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for KYLE R. SPEAKMAN (MD)?
KYLE R. SPEAKMAN (MD)'s geographic hint is Marion, Indiana in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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