DR. KAYLYNN DECARLI (D.O) – Family Medicine Physician, NPI 1356338958

DR. KAYLYNN DECARLI (D.O) is a healthcare provider. based in Kalamazoo, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials D.O. They hold a License No. 5101015461 (MI). The NPI Number for DR. KAYLYNN DECARLI (D.O) is 1356338958

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. KAYLYNN DECARLI (D.O)
NPI
1356338958
Phone
(269) 226-5456
Address
1717 SHAFFER ST STE 2
Enumeration Date
29 September 2005
Last Update Date
31 August 2021

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2692867070
Graduation Year
2002 (24 years ago)
PAC ID
1052459799
Group Practice PAC ID
0244148633
Professional Enrollment ID
I20091117000490
Address ID
MI490932146TH601XXSTXX301
Telehealth
Yes

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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

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: 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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091117000490IFamily PracticeMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes254142$0
99213Established patient office or other outpatient visit, 20-29 minutes7968$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3232$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 49048)

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Provider's Procedures

DR. KAYLYNN DECARLI (D.O) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMI83036Hemoglobin A1C level6333
FAMILY MEDICINEMI90670Pneumococcal vaccine for injection into muscle3232

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: 0244148633View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Hand Surgery, Orthopedic SurgeryMI
Physician AssistantMI
Physician AssistantMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Family PracticeMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Endocrinology, Internal MedicineMI
Clinical Social WorkerMI
Internal MedicineMI

Reviews

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Frequently asked questions

What unique ID ties claims to DR. KAYLYNN DECARLI (D.O)?
NPI 1356338958 is assigned to DR. KAYLYNN DECARLI (D.O) under the national enumeration system.
Is DR. KAYLYNN DECARLI (D.O) active in the national directory?
DR. KAYLYNN DECARLI (D.O)'s public NPI profile is in an active state.
What does DR. KAYLYNN DECARLI (D.O) treat or focus on?
Patients typically see DR. KAYLYNN DECARLI (D.O) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. KAYLYNN DECARLI (D.O)?
We surface Kalamazoo, Michigan for DR. KAYLYNN DECARLI (D.O) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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