DR. KYLE R BARKER (MD) – Surgery Physician, NPI 1154583631
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
81 COLORECTAL SURGERY (PROCTOLOGY) in MN
Provider Addresses for DR. KYLE R BARKER (MD)
Hospital Drive, The Grove, Maple Grove, Hennepin County, Minnesota, 55311, United States
MAPLE GROVE, MN 553694768
Phone: (763) 587-7900
Fax: (763) 494-7501
Type: Mailing
5109 36th Ave N
Crystal, MN 554222007
Phone: (763) 587-7900
Fax: (763) 587-7989
Type: Location
15655 37th Ave N Ste 100
Plymouth, MN 554464003
Phone: (763) 587-7900
Fax: (763) 587-7701
Type: Location
9201 W BROADWAY AVE STE 601
BROOKLYN PARK, MN 554451924
Phone: (763) 587-7900
Fax: (763) 587-7066
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $88.
Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.
Last reported payment date: 2023-07-25 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($88).
Total Amount
$88
General + Research + Ownership
Payments
1
Total payment records
General Amount
$88
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $88 |
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: 2014-10-02
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 |
|---|---|---|---|---|
| I20141002000513 | I | Colorectal Surgery (Proctology) | MN | 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 |
|---|---|---|---|---|
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 116 | 116 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 36 | 36 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 35 | 35 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 28 | 27 | $0 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 19 | 19 | $0 |
Insurance plans in this area (ZIP 55369)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| COLORECTAL SURGERY (PROCTOLOGY) | MN | 45385 | Removal of polyps or growths of large bowel using an endoscope | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Colorectal Surgery (Proctology) | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| Family Practice | MN | |
| Internal Medicine, Rheumatology | MN | |
| Nurse Practitioner | MN | |
| Family Practice | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| Internal Medicine, Gastroenterology | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN |
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