KYLE RICHARD KELSON (MD) – Emergency Medicine Physician, NPI 1568856474

KYLE RICHARD KELSON (MD) is a healthcare provider. based in Brooklyn, New York. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. A159572 (CA). The NPI Number for KYLE RICHARD KELSON (MD) is 1568856474

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
KYLE RICHARD KELSON (MD)
NPI
1568856474
Phone
(925) 330-6394
Address
450 Clarkson Ave # 1228
Enumeration Date
28 March 2015
Last Update Date
30 August 2019

Doctor Profile

Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Secondary Phone
8009623303
Graduation Year
2015 (11 years ago)
PAC ID
4183963218
Group Practice PAC ID
9234114067
Professional Enrollment ID
I20190306002785
Address ID
CA934659704TE1100XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,915 EMERGENCY MEDICINE in NY

Provider Addresses for KYLE RICHARD KELSON (MD)

  • 450 Clarkson Ave # 1228

    Brooklyn, NY 112032012

    Phone: (925) 330-6394

    Type: Location

  • PO BOX 87

    TEMPLETON, CA 934650087

    Phone:

    Type: Mailing

  • 1010 MURRAY AVE

    SAN LUIS OBISPO, CA 934051806

    Phone: (805) 546-7651

    Type: Location

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: 2019-03-06

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
I20190306002785IEmergency MedicineCATBD

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
99284Emergency department visit with moderate level of medical decision making221218$0
99285Emergency department visit with high level of medical decision making218213$0
71045X-ray of chest, 1 view111108$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only104102$0
99291Critical care, first 30-74 minutes4443$0
View full utilization report →

Insurance plans in this area (ZIP 11203)

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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: 9234114067View full group profile
NameSpecialtyState
Emergency MedicineWI
Emergency MedicineIL
Emergency MedicineIL
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineMI
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA

Reviews

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Frequently asked questions

What unique ID ties claims to KYLE RICHARD KELSON (MD)?
NPI 1568856474 is assigned to KYLE RICHARD KELSON (MD) under the national enumeration system.
Does this profile mean KYLE RICHARD KELSON (MD) is currently active?
Yes — KYLE RICHARD KELSON (MD) appears active in the national provider directory.
Does KYLE RICHARD KELSON (MD) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for KYLE RICHARD KELSON (MD). Clinical services aligned with this taxonomy classification.
Where is KYLE RICHARD KELSON (MD)'s primary listing?
We display Brooklyn, New York because that is what the record indicates for KYLE RICHARD KELSON (MD).
What if Brooklyn, New York seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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