DR. JOHN WILLIS KIESSLING (D.O.) – Neurological Surgery Physician, NPI 1497101729
Neurological Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
531 NEUROSURGERY in NY
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Provider Addresses for DR. JOHN WILLIS KIESSLING (D.O.)
108, West Jefferson Street, Armory Square, Syracuse, Onondaga County, New York, 13202, United States
UNIT 809
SYRACUSE, NY 132022507
Phone: (215) 796-5979
Type: Mailing
State University of New York Upstate Medical University, 750, East Adams Street, University Hill, Syracuse, Onondaga County, New York, 13210, United States
SYRACUSE, NY 132102306
Phone: (315) 464-6361
Type: Location
3831 PIPER ST STE S450
ANCHORAGE, AK 995084635
Phone: (907) 258-6999
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-10-31
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 |
|---|---|---|---|---|
| I20241112004241 | I | Neurosurgery | CA | TBD |
| I20251031002332 | I | Neurosurgery | AK | 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 13202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Neurosurgery, Vascular Surgery | AK | |
| Physical Therapist In Private Practice | AK | |
| N E U R O S U R G E R Y | VA | |
| Physician Assistant | AK | |
| Nurse Practitioner | AK | |
| N E U R O S U R G E R Y | WA | |
| - | AK | |
| Physician Assistant | WA | |
| N E U R O L O G Y | CO | |
| - | AK |
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