DR. ANNE KIERYN (MD) – Surgery Physician, NPI 1770652232
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ANNE KIERYN (MD)
3592 West 9000 South
Suite 210
West Jordan, UT 84088
Phone: (801) 208-1050
Fax: (801) 208-6376
Type: Location
Spokane CyberKnife & Radiation Oncology Center, 13424, East Mission Avenue, Spokane Valley, Spokane County, Washington, 99216, United States
SPOKANE VALLEY, WA 992162759
Phone: (509) 822-4200
Fax: (590) 462-2275
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: 2020-06-22
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 |
|---|---|---|---|---|
| I20130926000189 | I | General Surgery | UT | TBD |
| I20200622001428 | I | Hematology/Oncology | ID | 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 84088)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| Physician Assistant | WA | |
| Interventional Radiology, Diagnostic Radiology | WA | |
| - | GA | |
| Interventional Radiology, Diagnostic Radiology | WA | |
| - | WA | |
| - | MT | |
| H E M A T O L O G Y/ O N C O L O G Y | WA | |
| Hematology/Oncology, Internal Medicine | ID | |
| - | ID |
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