KYLE ALEXANDER (MD) – Sports Medicine (Family Medicine) Physician, NPI 1902335912
Sports Medicine (Family Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
244 SPORTS MEDICINE in MI
Provider Addresses for KYLE ALEXANDER (MD)
2770 E BELTLINE AVE NE
GRAND RAPIDS, MI 495258614
Phone: (616) 267-8860
Type: Location
707 E CEDAR ST STE 200
SOUTH BEND, IN 466172057
Phone: (574) 335-8700
Fax: (574) 335-0741
Type: Mailing
Douglas Road, Mishawaka, Saint Joseph County, Indiana, 46545, United States
MISHAWAKA, IN 465451468
Phone: (574) 335-6500
Fax: (574) 335-0771
Type: Location
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 495032560
Phone:
Type: Mailing
1210 NEW GARDEN RD
GREENSBORO, NC 274102721
Phone: (336) 294-6190
Fax: (336) 294-6278
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $135.
Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: ABBVIE INC. ($22).
Total Amount
$135
General + Research + Ownership
Payments
8
Total payment records
General Amount
$135
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
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: 2024-05-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210722003400 | I | Sports Medicine | NC | TBD |
| I20240506000702 | I | Sports 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 369 | 72 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 97 | 71 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 91 | 67 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 75 | 75 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 69 | 50 | $0 |
Insurance plans in this area (ZIP 49525)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Sports Medicine | MI | |
| Sports Medicine, Family Practice | MI | |
| Physician Assistant | MI | |
| Physician Assistant | IL | |
| Nurse Practitioner | MI | |
| N E U R O S U R G E R Y | IL | |
| Physician Assistant | MI | |
| Internal Medicine | MI | |
| Physician Assistant | MI |
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