KYLE STEVEN JOHN (M.D.) – Psychiatry Physician, NPI 1518031699
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
819 PSYCHIATRY in MO
Provider Addresses for KYLE STEVEN JOHN (M.D.)
PO BOX 505164
SAINT LOUIS, MO 631505164
Phone: (417) 829-4620
Fax: (417) 829-4316
Type: Mailing
1965 S Fremont Ave
Suite 310
Springfield, MO 658042201
Phone: (417) 820-3128
Fax: (417) 820-8616
Type: Location
2864 S NETTLETON AVE
SPRINGFIELD, MO 658075970
Phone: (417) 874-1906
Fax: (417) 771-3723
Type: Mailing
3023 S FORT AVE
SPRINGFIELD, MO 658075196
Phone: (417) 605-7100
Fax: (417) 771-3723
Type: Location
1965, South Fremont Avenue, Meador Park, Springfield, Greene County, Missouri, 65804, United States
SUITE 310
SPRINGFIELD, MO 658042201
Phone: (417) 820-3128
Fax: (417) 820-8616
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 151 Open Payments records for all available years, with a total value of $3,671.
Total Amount is formed as General ($3,671) + Research ($0) + Ownership ($0) = $3,671.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($784).
Total Amount
$3,671
General + Research + Ownership
Payments
151
Total payment records
General Amount
$3,671
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
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: 2007-11-02
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 |
|---|---|---|---|---|
| I20071102000310 | I | Psychiatry | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63150)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | MO | |
| - | MO | |
| Marriage And Family Therapist | CA | |
| Nurse Practitioner | TX | |
| - | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| Qualified Speech Language Pathologist | MO | |
| Clinical Social Worker | MO | |
| Nurse Practitioner | MO |
Reviews
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