KYLE D. KUTSCHE (MD) – Sports Medicine (Family Medicine) Physician, NPI 1790047918

KYLE D. KUTSCHE (MD) is a healthcare provider. based in Nellis afb, Nevada. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. 27602 (NE). The NPI Number for KYLE D. KUTSCHE (MD) is 1790047918

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
KYLE D. KUTSCHE (MD)
NPI
1790047918
Phone
(702) 653-3808
Address
4700 LAS VEGAS BLVD N
Enumeration Date
13 June 2012
Last Update Date
7 February 2024

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
2316722900
Graduation Year
2012 (14 years ago)
PAC ID
9133349376
Group Practice PAC ID
8921996307
Professional Enrollment ID
I20220606000388
Address ID
MI494158779FR3443XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:13State licenses:3Digital endpointsOther names

992 FAMILY PRACTICE in NV

Provider Addresses for KYLE D. KUTSCHE (MD)

  • 4700 LAS VEGAS BLVD N

    NELLIS AFB, NV 891916600

    Phone: (702) 653-3808

    Type: Mailing

  • 3443 FARR RD

    FRUITPORT, MI 494158779

    Phone: (231) 672-2900

    Fax: (231) 672-2901

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $64.

Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.

Last reported payment date: 2023-08-30 • Largest payer in this snapshot: Novo Nordisk Inc ($45).

Total Amount

$64

General + Research + Ownership

Payments

3

Total payment records

General Amount

$64

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$45
Halozyme Inc$18
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: 2022-06-06

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
I20220606000388IFamily PracticeMITBD

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 minutes10172$0
99213Established patient office or other outpatient visit, 20-29 minutes3527$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2211$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 89191)

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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: 8921996307View full group profile

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is KYLE D. KUTSCHE (MD)'s NPI number?
KYLE D. KUTSCHE (MD)'s NPI is 1790047918 — the number used across U.S. healthcare to identify this provider.
Is KYLE D. KUTSCHE (MD) shown as active in public data?
Registry records indicate KYLE D. KUTSCHE (MD) maintains an active NPI.
What kind of doctor is KYLE D. KUTSCHE (MD)?
KYLE D. KUTSCHE (MD) is associated with Sports Medicine (Family Medicine) Physician in the directory — Clinical services aligned with this taxonomy classification.
Is KYLE D. KUTSCHE (MD) located near Nellis Afb?
KYLE D. KUTSCHE (MD) currently maps to Nellis Afb, Nevada in this extract.
When was this NPI issued?
Enumeration for KYLE D. KUTSCHE (MD) is noted as June 13, 2012 where the registry provides it.

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