KYLE ANTHONY MINKEL – Orthopaedic Surgery Physician, NPI 1073142501
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,024 ORTHOPEDIC SURGERY in CA
Provider Addresses for KYLE ANTHONY MINKEL
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393098
Phone: (503) 494-8211
Type: Mailing
85 SIERRA PARK RD
MAMMOTH LAKES, CA 935462073
Phone: (760) 934-3311
Type: Mailing
150 Pioneer Ln
Bishop, CA 935142556
Phone: (760) 873-2623
Fax: (760) 873-2626
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $640.
Total Amount is formed as General ($640) + Research ($0) + Ownership ($0) = $640.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($316).
Total Amount
$640
General + Research + Ownership
Payments
5
Total payment records
General Amount
$640
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $316 |
| Stryker Corporation | $310 |
| DePuy Synthes Sales Inc. | $14 |
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: 2025-07-18
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 |
|---|---|---|---|---|
| I20250718001115 | I | Orthopedic Surgery | CA | 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 97239)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| A N E S T H E S I O L O G Y | CA | |
| D E R M A T O L O G Y | NV | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| A N E S T H E S I O L O G Y | AZ | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| - | CA | |
| Physical Therapist In Private Practice | CA | |
| Physician Assistant | CA |
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