KYLE JAMES PETERS – Emergency Medicine Physician, NPI 1639706815

KYLE JAMES PETERS is a healthcare provider. based in Dubuque, Iowa. specializing in EMERGENCY MEDICINE. They hold a License No. MD-51961 (IA). The NPI Number for KYLE JAMES PETERS is 1639706815

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
KYLE JAMES PETERS
NPI
1639706815
Phone
(563) 564-3038
Address
3018 HUNTINGTON DR
Enumeration Date
26 March 2020
Last Update Date
19 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5634211000
Graduation Year
2020 (6 years ago)
PAC ID
4284039108
Group Practice PAC ID
3476909409
Professional Enrollment ID
I20231115000209
Address ID
IA528032459DA1227XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

886 EMERGENCY MEDICINE in KY

Provider Addresses for KYLE JAMES PETERS

  • 3018 HUNTINGTON DR

    DUBUQUE, IA 520011591

    Phone: (563) 564-3038

    Type: Mailing

  • 800 ROSE ST RM M-53

    LEXINGTON, KY 405367001

    Phone: (859) 323-5083

    Fax: (859) 323-5682

    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 $298.

Total Amount is formed as General ($298) + Research ($0) + Ownership ($0) = $298.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ATRICURE, INC. ($298).

Total Amount

$298

General + Research + Ownership

Payments

4

Total payment records

General Amount

$298

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ATRICURE, INC.$298
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: 2023-11-15

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
I20231115000209IEmergency MedicineIATBD

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
99285Emergency department visit with high level of medical decision making2626$0
View full utilization report →

Insurance plans in this area (ZIP 52001)

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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: 3476909409View full group profile
NameSpecialtyState
Emergency MedicineIA
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineMI
Emergency MedicineNJ
Emergency Medicine, Family PracticeIA
Emergency MedicineMI
Emergency MedicineOH
Emergency MedicineIL
Emergency MedicineCA

Reviews

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Frequently asked questions

Does KYLE JAMES PETERS share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KYLE JAMES PETERS uses 1639706815.
Is KYLE JAMES PETERS still practicing?
KYLE JAMES PETERS is currently listed as active in the public NPI registry.
What is KYLE JAMES PETERS's primary classification?
Emergency Medicine Physician is the headline specialty for KYLE JAMES PETERS here. Clinical services aligned with this taxonomy classification.
Does KYLE JAMES PETERS list a practice location?
Patients near Dubuque, Iowa may find KYLE JAMES PETERS in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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