DR. KYLE MATTHEW WAISANEN (MD) – Urology Physician, NPI 1033616909

DR. KYLE MATTHEW WAISANEN (MD) is a healthcare provider. based in Saint ignace, Michigan. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 4301513351 (MI). The NPI Number for DR. KYLE MATTHEW WAISANEN (MD) is 1033616909

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. KYLE MATTHEW WAISANEN (MD)
NPI
1033616909
Phone
(906) 643-8585
Address
1140 N State St
Enumeration Date
9 April 2018
Last Update Date
11 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2394680226
Graduation Year
2017 (9 years ago)
PAC ID
8820335888
Group Practice PAC ID
9335672146
Professional Enrollment ID
I20230712002562
Address ID
FL341358135ES3501XBLVD401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:8State licenses:1Digital endpointsOther names

469 UROLOGY in MI

Provider Addresses for DR. KYLE MATTHEW WAISANEN (MD)

  • 1140 N State St

    Saint Ignace, MI 497811048

    Phone: (906) 643-8585

    Fax: (906) 643-6188

    Type: Location

  • Buffalo General Hospital, 100, High Street, Buffalo Niagara Medical Campus, Buffalo, Erie County, New York, 14203, United States

    BUFFALO, NY 142031126

    Phone:

    Type: Mailing

  • 932 SPRING ST STE 101

    PETOSKEY, MI 497702286

    Phone: (231) 489-8298

    Fax: (231) 489-8299

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $643.

Total Amount is formed as General ($643) + Research ($0) + Ownership ($0) = $643.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Axonics, Inc. ($508).

Total Amount

$643

General + Research + Ownership

Payments

38

Total payment records

General Amount

$643

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2025-10-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230712002562IUrologyFLTBD
I20251002002143IUrologyMITBD

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
81003Automated urinalysis test8581$0
99204New patient office or other outpatient visit, 45-59 minutes7272$0
51798Ultrasound measurement of bladder capacity after voiding4944$0
99214Established patient office or other outpatient visit, 30-39 minutes4641$0
99213Established patient office or other outpatient visit, 20-29 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 49781)

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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: 9335672146View full group profile
NameSpecialtyState
R H E U M A T O L O G YFL
Nurse PractitionerFL
Critical Care (Intensivists), Pediatric MedicineFL
General SurgeryMI
N E U R O L O G YMO
Medical Genetics And GenomicsMI
Nurse PractitionerFL
Family PracticeFL
General SurgeryFL
Family PracticeFL

Reviews

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Frequently asked questions

Is there an official ID for DR. KYLE MATTHEW WAISANEN (MD) in U.S. healthcare records?
The official identifier for DR. KYLE MATTHEW WAISANEN (MD) is NPI 1033616909.
Is DR. KYLE MATTHEW WAISANEN (MD) shown as active in public data?
Registry records indicate DR. KYLE MATTHEW WAISANEN (MD) maintains an active NPI.
What clinical focus is listed for DR. KYLE MATTHEW WAISANEN (MD)?
At a glance, DR. KYLE MATTHEW WAISANEN (MD) is tied to Urology Physician. Clinical services aligned with this taxonomy classification.
Is DR. KYLE MATTHEW WAISANEN (MD) associated with Saint Ignace?
Public fields place DR. KYLE MATTHEW WAISANEN (MD) around Saint Ignace, Michigan. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. KYLE MATTHEW WAISANEN (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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