MARTIN A. KOYLE (MD) – Pediatric Urology Physician, NPI 1467546796
Pediatric Urology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MARTIN A. KOYLE (MD)
4800 Sand Point Way NE
Division of Urology W7729
Seattle, WA 981053901
Phone: (206) 987-5893
Fax: (206) 987-3925
Type: Location
Seattle Children's Hospital, 4800, Sand Point Way Northeast, Laurelhurst, Seattle, King County, Washington, 98105, United States
DIVISION OF UROLOGY W7729
SEATTLE, WA 981053901
Phone: (206) 987-5893
Fax: (206) 987-3925
Type: Location
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 554541450
Phone: (612) 672-6000
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 $309.
Total Amount is formed as General ($309) + Research ($0) + Ownership ($0) = $309.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Teleflex LLC ($251).
Total Amount
$309
General + Research + Ownership
Payments
5
Total payment records
General Amount
$309
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teleflex LLC | $251 |
| PALETTE LIFE SCIENCES, INC. | $57 |
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: 2021-09-30
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 |
|---|---|---|---|---|
| I20210930000703 | I | Urology | MN | 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 98105)
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