KYLE MATTHEW RICKSTAD (PA) – Surgical Physician Assistant, NPI 1538564174
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KYLE MATTHEW RICKSTAD (PA)
130 NORTH ST
CAPE COD ORTHOPAEDICS AND SPORTS MEDICINE, P.C.
HYANNIS, MA 026013825
Phone: (508) 568-3761
Fax: (508) 775-2352
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 87 Open Payments records for all available years, with a total value of $1,818.
Total Amount is formed as General ($1,818) + Research ($0) + Ownership ($0) = $1,818.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($680).
Total Amount
$1,818
General + Research + Ownership
Payments
87
Total payment records
General Amount
$1,818
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-10-10
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 |
|---|---|---|---|---|
| I20231010002925 | I | Physician Assistant | FL | 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 02601)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MA | 20610 | Aspiration and/or injection of large joint or joint capsule | 28 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NY | |
| Physician Assistant | NY | |
| Physician Assistant | NY | |
| Nurse Practitioner | FL | |
| - | TX | |
| Physician Assistant | NY | |
| - | NY | |
| Physician Assistant | NY | |
| - | MD | |
| Nurse Practitioner | NY |
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