DR. KYLE C MOYLAN (MD) – Hospice and Palliative Medicine (Internal Medicine) Physician, NPI 1124052808

DR. KYLE C MOYLAN (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in HOSPICE/PALLIATIVE CARE, INTERNAL MEDICINE, GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 2001027314 (MO). The NPI Number for DR. KYLE C MOYLAN (MD) is 1124052808

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. KYLE C MOYLAN (MD)
NPI
1124052808
Phone
(314) 467-1500
Address
PO BOX 23340
Enumeration Date
10 July 2006
Last Update Date
15 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
3143625060
Graduation Year
1999 (27 years ago)
PAC ID
2365455763
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20060802000297
Address ID
MO631081453SA4901XAVEX402
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness95
Years active:19State licenses:1Other names

86 HOSPICE/PALLIATIVE CARE in MO

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Provider Addresses for DR. KYLE C MOYLAN (MD)

  • PO BOX 23340

    SAINT LOUIS, MO 631563340

    Phone: (314) 467-1500

    Fax: (314) 467-1515

    Type: Mailing

  • 1011, Bowles Avenue, Fenton, Saint Louis County, Missouri, 63026, United States

    SUITE 450

    FENTON, MO 630262395

    Phone: (314) 467-1500

    Fax: (314) 467-1515

    Type: Location

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 747-5361

    Fax: (314) 747-5357

    Type: Mailing

  • 4901 FOREST PARK AVE

    DIV IM PALLIATIVE MED, STE 241

    SAINT LOUIS, MO 631081495

    Phone: (314) 747-5361

    Fax: (314) 747-5357

    Type: Location

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 $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-02-04 • Largest payer in this snapshot: ABBVIE INC. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$15
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: 2006-08-02

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060802000297IHospice/Palliative CareMOTBD

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 minutes263162$0
36415Insertion of needle into vein for collection of blood sample166119$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count12499$0
80053Blood test, comprehensive group of blood chemicals11796$0
G0008Administration of influenza virus vaccine6868$0
View full utilization report →

Insurance plans in this area (ZIP 63156)

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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: 9830008770View full group profile

Reviews

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Frequently asked questions

Does DR. KYLE C MOYLAN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. KYLE C MOYLAN (MD) uses 1124052808.
Does CMS list DR. KYLE C MOYLAN (MD) as active?
Yes — DR. KYLE C MOYLAN (MD) is active in the NPI listing used on this page.
What taxonomy line describes DR. KYLE C MOYLAN (MD)?
For research purposes, treat DR. KYLE C MOYLAN (MD) as Hospice and Palliative Medicine (Internal Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. KYLE C MOYLAN (MD) serve?
DR. KYLE C MOYLAN (MD)'s listing highlights Saint Louis, Missouri; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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