DR. HOLLY KRISTIN YETTAW LUTS (MD) – Obstetrics & Gynecology Physician, NPI 1326216904
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,735 OBSTETRICS/GYNECOLOGY in MI
Provider Addresses for DR. HOLLY KRISTIN YETTAW LUTS (MD)
200 N Park St
Kalamazoo, MI 490073731
Phone: (269) 382-2500
Type: Location
3332, Rochambeau Avenue, The Bronx, Bronx County, New York, 10467, United States
DEPT OF OB/GYN
BRONX, NY 104672836
Phone: (718) 920-5157
Fax: (718) 920-6313
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 $1,564.
Total Amount is formed as General ($1,564) + Research ($0) + Ownership ($0) = $1,564.
Last reported payment date: 2024-02-13 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,541).
Total Amount
$1,564
General + Research + Ownership
Payments
4
Total payment records
General Amount
$1,564
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $1,541 |
| Merck Sharp & Dohme LLC | $23 |
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: 2023-09-12
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 |
|---|---|---|---|---|
| I20230912002832 | I | Obstetrics/Gynecology | MI | 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 49007)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Surgical Oncology | MI | |
| General Surgery | MI | |
| - | MI | |
| Radiation Oncology | MI | |
| Nurse Practitioner | MI | |
| General Surgery | MI | |
| Gynecological Oncology | MI | |
| Radiation Oncology | IN | |
| Physician Assistant | MI |
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