DR. KYLE ANTHONY NEDIC (M.D.) – General Practice Physician, NPI 1538519988
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,158 EMERGENCY MEDICINE in MI
Provider Addresses for DR. KYLE ANTHONY NEDIC (M.D.)
3050 COMMERCE DR
FORT GRATIOT, MI 480593819
Phone: (810) 385-4441
Fax: (810) 385-1951
Type: Mailing
3350 GRATIOT BLVD
MARYSVILLE, MI 480402121
Phone: (810) 364-4000
Fax: (810) 364-5995
Type: Location
Beaumont Hospital - Trenton, 5450, Fort Street, Trenton, Wayne County, Michigan, 49224, United States
TRENTON, MI 481834601
Phone: (734) 671-3800
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $94.
Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Otsuka Pharmaceutical Development & Commercialization, Inc. ($25).
Total Amount
$94
General + Research + Ownership
Payments
5
Total payment records
General Amount
$94
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-06-18
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 |
|---|---|---|---|---|
| I20190618003303 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 438 | 416 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 287 | 273 | $0 |
| 99291 | Critical care, first 30-74 minutes | 185 | 175 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 88 | 87 | $0 |
Insurance plans in this area (ZIP 48059)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Family Practice | MI | |
| Family Practice | MI |
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