DR. KYLE JORDAN DUCKETT (D.O.) – Surgery Physician, NPI 1205374113
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,601 GENERAL SURGERY in OH
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Provider Addresses for DR. KYLE JORDAN DUCKETT (D.O.)
999 ILLINOIS AVE
MAUMEE, OH 435371715
Phone: (419) 893-5591
Fax: (419) 251-6849
Type: Mailing
Mercy Saint Vincent Medical Center, 2213, Cherry Street, Birckhead Place, Toledo, Lucas County, Ohio, 43608, United States
TOLEDO, OH 436082603
Phone: (419) 251-6596
Fax: (419) 251-6849
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 $1,150.
Total Amount is formed as General ($1,150) + Research ($0) + Ownership ($0) = $1,150.
Last reported payment date: 2023-06-27 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,029).
Total Amount
$1,150
General + Research + Ownership
Payments
3
Total payment records
General Amount
$1,150
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $1,029 |
| ReShape Lifesciences Inc. | $121 |
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: 2023-08-03
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 |
|---|---|---|---|---|
| I20230803002777 | I | General Surgery | OH | 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 43537)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery, Anesthesiology, Critical Care (Intensivists) | OH | |
| Cardiovascular Disease (Cardiology) | NY | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| Orthopedic Surgery | OH | |
| Nurse Practitioner | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Physician Assistant | OH | |
| Pulmonary Disease | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH |
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