DR. KEVIN L GIETZEN (D.O.) – Otolaryngology/Facial Plastic Surgery Physician, NPI 1538189154
Otolaryngology/Facial Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
428 OTOLARYNGOLOGY in MI
Provider Addresses for DR. KEVIN L GIETZEN (D.O.)
101 Oxbow Dr
Alpena, MI 497071448
Phone: (231) 489-8151
Fax: (231) 668-7794
Type: Location
1114 CHARLEVOIX AVE
PETOSKEY, MI 497709701
Phone: (231) 489-8151
Fax: (231) 668-7794
Type: Location
Internal Medicine of Northern Michigan, 560, West Mitchell Street, Petoskey, Emmet County, Michigan, 49770, United States
SUITE 250
PETOSKEY, MI 497702275
Phone: (231) 487-3277
Fax: (231) 487-6167
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $557.
Total Amount is formed as General ($557) + Research ($0) + Ownership ($0) = $557.
Last reported payment date: 2024-07-11 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($154).
Total Amount
$557
General + Research + Ownership
Payments
14
Total payment records
General Amount
$557
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $154 |
| Advanced Bionics, LLC | $128 |
| Stryker Corporation | $122 |
| GENZYME CORPORATION | $47 |
| AERIN MEDICAL INC. | $30 |
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: 2006-10-24
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 |
|---|---|---|---|---|
| I20061024000518 | I | Otolaryngology | 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 | 221 | 153 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 110 | 99 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 81 | 64 | $0 |
| 69210 | Removal of impacted ear wax | 76 | 61 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 65 | 50 | $0 |
Insurance plans in this area (ZIP 49707)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| - | MI | |
| Qualified Audiologist | MI | |
| Qualified Audiologist | MI | |
| Qualified Audiologist | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI |
Reviews
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