DR. KYLE TIMOTHY KOLLBAUM (D.C.) – Chiropractor, NPI 1992701056

DR. KYLE TIMOTHY KOLLBAUM (D.C.) is a healthcare provider. based in Ellsworth, Wisconsin. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 4077-012 (WI). The NPI Number for DR. KYLE TIMOTHY KOLLBAUM (D.C.) is 1992701056

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. KYLE TIMOTHY KOLLBAUM (D.C.)
NPI
1992701056
Phone
(715) 273-5901
Address
W4083 490TH AVE
Enumeration Date
23 June 2005
Last Update Date
22 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7152733175
Graduation Year
2001 (25 years ago)
PAC ID
0244282002
Professional Enrollment ID
I20050223000429
Address ID
WI540119029EL430XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,617 CHIROPRACTIC in WI

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Provider Addresses for DR. KYLE TIMOTHY KOLLBAUM (D.C.)

  • W4083 490TH AVE

    ELLSWORTH, WI 540115823

    Phone: (715) 273-5901

    Fax: (715) 273-3427

    Type: Mailing

  • 430, North Maple Street, Ellsworth, Nobles County, Minnesota, 56129, United States

    STE 200

    ELLSWORTH, WI 540119029

    Phone: (715) 273-3175

    Fax: (715) 273-3427

    Type: Location

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: 2005-02-23

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
I20050223000429IChiropracticWITBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions95797$0
98940Chiropractic manipulative treatment, 1-2 spinal regions908132$0
View full utilization report →

Insurance plans in this area (ZIP 54011)

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Provider's Procedures

DR. KYLE TIMOTHY KOLLBAUM (D.C.) performs procedures in CHIROPRACTIC. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CHIROPRACTICWI98940Chiropractic manipulative treatment, 1-2 spinal regions735102

Reviews

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Frequently asked questions

What is the standard ID for DR. KYLE TIMOTHY KOLLBAUM (D.C.) in the U.S.?
In the U.S., DR. KYLE TIMOTHY KOLLBAUM (D.C.) is identified by NPI 1992701056.
Is DR. KYLE TIMOTHY KOLLBAUM (D.C.) currently accepting referrals based on NPI status?
Registry metadata lists DR. KYLE TIMOTHY KOLLBAUM (D.C.) as active.
What does the directory say DR. KYLE TIMOTHY KOLLBAUM (D.C.) does?
Insurance directories may phrase it differently, but here DR. KYLE TIMOTHY KOLLBAUM (D.C.) maps to Chiropractor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. KYLE TIMOTHY KOLLBAUM (D.C.)?
DR. KYLE TIMOTHY KOLLBAUM (D.C.) is associated with Ellsworth, Wisconsin in the same public data insurers reference.
Can I export DR. KYLE TIMOTHY KOLLBAUM (D.C.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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