DR. KYLE JEFFERY – Surgery Physician, NPI 1912134685

DR. KYLE JEFFERY is a healthcare provider. based in Price, Utah. specializing in GENERAL SURGERY. They hold a License No. 368163-1205 (UT). The NPI Number for DR. KYLE JEFFERY is 1912134685

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. KYLE JEFFERY
NPI
1912134685
Phone
(435) 613-7874
Address
945 W HOSPITAL DR STE 4
Enumeration Date
19 June 2009
Last Update Date
4 June 2019

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
4356372970
Graduation Year
2009 (17 years ago)
PAC ID
5193032225
Group Practice PAC ID
6305995598
Professional Enrollment ID
I20150922000816
Address ID
UT845014230PR945XXDRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

238 GENERAL SURGERY in UT

Provider Addresses for DR. KYLE JEFFERY

  • 945 W HOSPITAL DR STE 4

    PRICE, UT 845014230

    Phone: (435) 613-7874

    Fax: (435) 637-1808

    Type: Location

  • East McDowell Road, Palms Trailer Park, Phoenix, Maricopa County, Arizona, 85008-4905, United States

    2ND FLOOR

    PHOENIX, AZ 850062502

    Phone: (602) 239-2282

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2024-08-19 • Largest payer in this snapshot: TELA Bio, Inc. ($48).

Total Amount

$48

General + Research + Ownership

Payments

1

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
TELA Bio, Inc.$48
View all Open Payments →|Open Payments Risk Radar →

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: 2015-09-22

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
I20150922000816IGeneral SurgeryUTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes131108$0
99214Established patient office or other outpatient visit, 30-39 minutes7971$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope6059$0
99204New patient office or other outpatient visit, 45-59 minutes5454$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5447$0
View full utilization report →

Insurance plans in this area (ZIP 84501)

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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: 6305995598View full group profile
NameSpecialtyState
Nurse PractitionerUT
Family PracticeTX
Pediatric Medicine, Internal MedicineUT
Internal MedicineUT
P O D I A T R YUT
Orthopedic SurgeryUT
Nurse PractitionerUT
O T O L A R Y N G O L O G YUT
Internal Medicine, Pediatric MedicineUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

Can I use this page to confirm DR. KYLE JEFFERY's NPI?
Yes. DR. KYLE JEFFERY is listed with NPI 1912134685 in the public NPI dataset.
Is DR. KYLE JEFFERY listed as active for patients and plans?
The listing shows DR. KYLE JEFFERY as active in the NPI system.
What healthcare role does DR. KYLE JEFFERY hold?
Scheduling teams often label DR. KYLE JEFFERY under Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KYLE JEFFERY on a map?
Expect Price, Utah as a primary anchor for DR. KYLE JEFFERY unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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