DR. KAYLYNN DECARLI (D.O) – Family Medicine Physician, NPI 1356338958
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
Provider Addresses for DR. KAYLYNN DECARLI (D.O)
1717 SHAFFER ST STE 2
KALAMAZOO, MI 490481623
Phone: (269) 226-5456
Type: Mailing
1717 SHAFFER ST STE 124
KALAMAZOO, MI 49048
Phone: (269) 226-5456
Type: Location
8881 M 119
Harbor Springs, MI 497409586
Phone: (231) 347-5400
Fax: (231) 348-2515
Type: Location
601 JOHN STREET
BOX 39
KALAMAZOO, MI 49007
Phone:
Type: Mailing
1717 Shaffer St Ste 124
Kalamazoo, MI 49048
Phone: (269) 226-5456
Type: Location
601 S US HIGHWAY 131
THREE RIVERS, MI 490938831
Phone: (269) 286-7070
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $627.
Total Amount is formed as General ($627) + Research ($0) + Ownership ($0) = $627.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Novo Nordisk Inc ($199).
Total Amount
$627
General + Research + Ownership
Payments
17
Total payment records
General Amount
$627
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $199 |
| Abbott Laboratories | $196 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $121 |
| ABBVIE INC. | $45 |
| PFIZER INC. | $19 |
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: 2009-11-17
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 |
|---|---|---|---|---|
| I20091117000490 | I | Family Practice | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 254 | 142 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 79 | 68 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 32 | 32 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 49048)
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Provider's Procedures
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Hand Surgery, Orthopedic Surgery | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MI | |
| Family Practice | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Endocrinology, Internal Medicine | MI | |
| Clinical Social Worker | MI | |
| Internal Medicine | MI |
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