DR. KYLE MEDLEY (DO) – Physical Medicine & Rehabilitation Physician, NPI 1144859984

DR. KYLE MEDLEY (DO) is a healthcare provider. based in Ypsilanti, Michigan. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials DO. They hold a License No. 5101027812 (MI). The NPI Number for DR. KYLE MEDLEY (DO) is 1144859984

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. KYLE MEDLEY (DO)
NPI
1144859984
Phone
Not provided
Address
5333 MCAULEY DRIVE GME OFFICE
Enumeration Date
3 April 2020
Last Update Date
11 March 2024

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7347120077
Graduation Year
2020 (6 years ago)
PAC ID
4385068352
Group Practice PAC ID
2163481854
Professional Enrollment ID
I20240620003823
Address ID
MI481971095YP5333XDRXX302
Telehealth
Yes
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

565 PHYSICAL MEDICINE AND REHABILITATION in MI

Provider Addresses for DR. KYLE MEDLEY (DO)

  • 5333 MCAULEY DRIVE GME OFFICE

    SUITE 2111

    YPSILANTI, MI 48197

    Phone:

    Type: Mailing

  • 5333 MCAULEY DR RM 4001

    YPSILANTI, MI 481971099

    Phone: (734) 712-3980

    Type: Location

  • 5333 MCAULEY DR RM 2009

    YPSILANTI, MI 481971095

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $133.

Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($96).

Total Amount

$133

General + Research + Ownership

Payments

6

Total payment records

General Amount

$133

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2024-06-20

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
I20240620003823IPhysical Medicine And RehabilitationMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48197)

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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: 2163481854View full group profile
NameSpecialtyState
-MI
-MI
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationMI
Physician AssistantMI
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationOH
Physical Medicine And RehabilitationMI
-MI

Reviews

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Frequently asked questions

Is DR. KYLE MEDLEY (DO) listed with a National Provider Identifier?
Yes — DR. KYLE MEDLEY (DO) has NPI 1144859984 on file in the registry.
Is there an active status for DR. KYLE MEDLEY (DO)?
For scheduling context, DR. KYLE MEDLEY (DO) is shown as active in the registry.
How would a patient describe DR. KYLE MEDLEY (DO)'s focus?
For DR. KYLE MEDLEY (DO), the primary taxonomy reads as Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. KYLE MEDLEY (DO)?
Directory geography for DR. KYLE MEDLEY (DO) centers on Ypsilanti, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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