What is Kyle Fetterolf's NPI number?

Kyle Fetterolf's National Provider Identifier (NPI) is 1477529501, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kyle Fetterolf's specialty?

Kyle Fetterolf is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).

Where is Kyle Fetterolf located?

Kyle Fetterolf's practice location on file with NPPES is 423 3rd Ave Ste B, Kingston, PA 18704-5809.

What is Kyle Fetterolf's phone number?

The practice phone number listed in the NPPES registry for Kyle Fetterolf is (570) 288-3601.

Does Kyle Fetterolf accept Medicare?

Kyle Fetterolf is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Kyle Fetterolf's NPI active?

Yes — Kyle Fetterolf's NPI (1477529501) is active in the NPPES registry as of the last update on 2025-02-13.

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Kyle Fetterolf, PA

NPI 1477529501 · Physician Assistant · Kingston, PA

Kyle Fetterolf, PA is a Physician Assistant provider in Kingston, PA (NPI 1477529501).

Provider details

NPI number: 1477529501
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA
Sex: Male
Sole proprietor: No
License: MA001889L (PA)

Practice location

423 3rd Ave Ste B

Kingston, PA 18704-5809

Phone: (570) 288-3601

Fax: (570) 288-1726

Approximate (ZIP-level) locationGet directions

More PA providers

Mailing address

423 3rd Ave Ste B

Kingston, PA 18704-5809

Specialties & taxonomies

Physician AssistantPrimary363A00000XLicense MA001889L (PA)
Physician Assistants & Advanced Practice Nursing Providers

Additional practice locations (3)

334 Main St
Dickson City, PA 18519-1668
Phone: (888) 952-6772
575 N River St
Wilkes Barre, PA 18764-0999
Phone: (570) 270-9192
677 Kidder St Ste D
Wilkes Barre Township, PA 18702-6914
Phone: (570) 825-2046

Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(88/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure25% of score
20 yrs in NPPES registry
Profile completeness25% of score
100% of core fields populated
Practice footprint15% of score
4 documented practice locations
Medicare service volume (vs. specialty peers)25% of score
540 Medicare services, 2024 (ranked within specialty)
Open Payments transparency10% of score
Has Open Payments disclosures (2024)

Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213	151	$72
New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203	82	$90
Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804	78	$16
Detection Test By Immunoassay With Direct Visual Observation for Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19)87811	54	$40
Emergency Department Visit With High Level of Medical Decision Making99285	33	$142
Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More

What this provider prescribes (Medicare Part D)

Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.

Drug	Part D claims (2024)	Beneficiaries
Prednisone	75	75
Azithromycin	69	66
Cephalexin	36	34
Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass	31	30
Albuterol Sulfatebrand: Albuterol Sulfate Hfa	24	24
Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro	21	20
Amoxicillin	17

Transparency — industry payments

Based on CMS Open Payments, 2024; not all care is captured.

$433 across 6 records (Open Payments 2024)

Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.

Enumerated: 2006-02-28
Last updated: 2025-02-13
Certified: 2025-02-13

Frequently asked questions

What is Kyle Fetterolf's NPI number?: Kyle Fetterolf's National Provider Identifier (NPI) is 1477529501, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Kyle Fetterolf's specialty?: Kyle Fetterolf is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
Where is Kyle Fetterolf located?: Kyle Fetterolf's practice location on file with NPPES is 423 3rd Ave Ste B, Kingston, PA 18704-5809.
What is Kyle Fetterolf's phone number?: The practice phone number listed in the NPPES registry for Kyle Fetterolf is (570) 288-3601.
Does Kyle Fetterolf accept Medicare?: Kyle Fetterolf is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Kyle Fetterolf's NPI active?: Yes — Kyle Fetterolf's NPI (1477529501) is active in the NPPES registry as of the last update on 2025-02-13.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213	151	$72
New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203	82	$90
Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804	78	$16
Detection Test By Immunoassay With Direct Visual Observation for Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19)87811	54	$40
Emergency Department Visit With High Level of Medical Decision Making99285	33	$142
Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More

What this provider prescribes (Medicare Part D)

Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.

Drug	Part D claims (2024)	Beneficiaries
Prednisone	75	75
Azithromycin	69	66
Cephalexin	36	34
Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass	31	30
Albuterol Sulfatebrand: Albuterol Sulfate Hfa	24	24
Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro	21	20
Amoxicillin	17

Transparency — industry payments

Based on CMS Open Payments, 2024; not all care is captured.

$433 across 6 records (Open Payments 2024)

Provider details

Practice location

Mailing address

Specialties & taxonomies

Additional practice locations (3)

Profile Score

What this provider does (Medicare)

What this provider prescribes (Medicare Part D)

Transparency — industry payments

Registry dates

Frequently asked questions

Specialties & taxonomies

Additional practice locations (3)

Frequently asked questions

Profile Score

What this provider does (Medicare)

What this provider prescribes (Medicare Part D)

Transparency — industry payments