KYLE EDWARDS (M.D.) – Surgery of the Hand (Plastic Surgery) Physician, NPI 1417215351

KYLE EDWARDS (M.D.) is a healthcare provider. based in Liberty lake, Washington. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. MD61343126 (WA). The NPI Number for KYLE EDWARDS (M.D.) is 1417215351

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
KYLE EDWARDS (M.D.)
NPI
1417215351
Phone
(866) 747-2455
Address
PO BOX 421
Enumeration Date
29 April 2012
Last Update Date
10 February 2023

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
5098387100
Graduation Year
2012 (14 years ago)
PAC ID
1254562127
Group Practice PAC ID
0345139929
Professional Enrollment ID
I20221024001813
Address ID
WA992042446SP820XXSTXX473
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:14State licenses:1Digital endpointsOther names

826 GENERAL SURGERY in WA

Provider Addresses for KYLE EDWARDS (M.D.)

  • PO BOX 421

    LIBERTY LAKE, WA 990190421

    Phone: (866) 747-2455

    Type: Mailing

  • 820 S MCCLELLAN ST STE 118

    SPOKANE, WA 992042446

    Phone: (509) 838-7100

    Type: Location

  • 309 NOTTINGHILL GATE CT

    LAS VEGAS, NV 891458670

    Phone: (702) 812-5073

    Type: Mailing

  • UNIVERSITY HOSPITAL 50 MEDICAL DR

    SALT LAKE CITY, UT 841320001

    Phone: (702) 812-5073

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $2,019.

Total Amount is formed as General ($2,019) + Research ($0) + Ownership ($0) = $2,019.

Last reported payment date: 2024-06-26 • Largest payer in this snapshot: Arthrex, Inc. ($961).

Total Amount

$2,019

General + Research + Ownership

Payments

15

Total payment records

General Amount

$2,019

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-10-24

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
I20221024001813IGeneral SurgeryWATBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg8112$0
99203New patient office or other outpatient visit, 30-44 minutes5252$0
99213Established patient office or other outpatient visit, 20-29 minutes4827$0
73140X-ray of finger, minimum of 2 views1211$0
View full utilization report →

Insurance plans in this area (ZIP 99019)

Loading plans...

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: 0345139929View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is KYLE EDWARDS (M.D.)'s NPI number?
KYLE EDWARDS (M.D.)'s NPI is 1417215351 — the number used across U.S. healthcare to identify this provider.
Would KYLE EDWARDS (M.D.) appear as active to a payer?
You can treat KYLE EDWARDS (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with KYLE EDWARDS (M.D.)?
KYLE EDWARDS (M.D.)'s record emphasizes Surgery of the Hand (Plastic Surgery) Physician. Clinical services aligned with this taxonomy classification.
Is KYLE EDWARDS (M.D.) associated with Liberty Lake?
Public fields place KYLE EDWARDS (M.D.) around Liberty Lake, Washington. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for KYLE EDWARDS (M.D.) is noted as April 29, 2012 where the registry provides it.

Similar Providers

MRS. LYNN DEE DERBY (M.D.)

Plastic Surgery Physician
235, East Rowan Avenue, Hillyard, Spokane, Spokane County, Washington, 99207, United States
NPI: 1750385209

DR. LOUIS EDMOND WALKER (M.D.)

Surgery of the Hand (Plastic Surgery) Physician
Madigan Army Medical Center, 9040, Jackson Avenue, Tacoma, Pierce County, Washington, 98431, United States
NPI: 1922077411

DR. MICHAEL EUGENE BLATNER (MD)

Surgery of the Hand (Plastic Surgery) Physician
Bellevue, Sourdeval, Avranches, Manche, Normandy, Metropolitan France, 50150, France
NPI: 1104877109

WALLA WALLA GENERAL HOSPITAL

Surgery of the Hand (Plastic Surgery) Physician
1017, South 2nd Avenue, Walla Walla, Walla Walla County, Washington, 99362, United States
NPI: 1013943778

Unknown Individual

Surgery of the Hand (Plastic Surgery) Physician
South Main Street, Coupeville, Washington, Island County, Washington, 98239-0745, United States
NPI: 1629009857

DR. KHASHAYAR DEHGHAN (M.D., PHD)

Plastic and Reconstructive Surgery Physician
3515, South 15th Street, Tacoma, Pierce County, Washington, 98405, United States
NPI: 1801801659

DR. JEFFREY B FRIEDRICH (M.D.)

Surgery of the Hand (Plastic Surgery) Physician
PO BOX 50095
NPI: 1114936473

DR. JAMES A EDWARDS (MD)

Surgery of the Hand (Plastic Surgery) Physician
12800, Bothell-Everett Highway, Everett, Snohomish County, Washington, 98208, United States
NPI: 1679680441