Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KYLE MATTHEW WAISANEN MD
NPI 1033616909
Urology in Port Charlotte, FL

Q: What is Kyle Waisanen's NPI number?

The NPI number for Kyle Waisanen is 1033616909. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Q: What is Kyle Waisanen's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Waisanen was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 09, 2018PECOS EnrolledAccepts Medicare Assignment

2400 HARBOR BLVD STE 8, PORT CHARLOTTE, FL 33952(941) 766-5070(941) 766-5071 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 13, 2026, Sep 14, 2026, Aug 24, 2026 and 6 more (9 updates tracked since 2018).

On this page

About Dr. Kyle Matthew Waisanen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KYLE MATTHEW WAISANEN MD (NPI 1033616909) is an individual urology provider in Port Charlotte, Florida, licensed in Florida (ME162353) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033616909

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. KYLE MATTHEW WAISANENCredential: MD

Location Address2400 HARBOR BLVD STE 8Port Charlotte, FL 33952-5038

Mailing Address2400 Harbor Blvd Ste 8Port Charlotte, FL 33952-5038 · (941) 766-5070 · Fax (941) 766-5071

Phone(941) 766-5070

Fax(941) 766-5071

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 9, 2018

Last NPPES UpdateOctober 13, 20269 updates tracked since enumeration

NPPES CertifiedOctober 13, 2026

✔ NPI 1033616909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in FL · ME162353✔ Licensed in MI · 4301513351

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

2400 HARBOR BLVD STE 8, Port Charlotte, FL 33952

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1932 Spring St Ste 101Petoskey, MI 49770-2286 · Phone (231) 489-8298 · Fax (231) 489-8299

Location 218669 Tamiami Trl Ste BNorth Port, FL 34287-7388 · Phone (941) 423-5040 · Fax (941) 423-5042

Other Identifiers 2

Other4301513351MI · Mi License

Medicaid118384100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kyle Matthew Waisanen Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820335888

PECOS Enrollment IDI20230712002562, I20251002002143

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kyle Waisanen reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lee Memorial Health System

29 mi

Federally Qualified Health Center (FQHC)

3210 DR MARTIN LUTHER KING BLVD
Fort Myers, FL 33916

Reassigned Medicare billing, Florida enrollment
1,345 clinicians in this Medicare group

NPI 1447099973 (239) 343-6050

Lee Health System Inc

35 mi

Internal Medicine

9981 S HEALTHPARK DR
Fort Myers, FL 33908

Reassigned Medicare billing, Florida enrollment
1,899 clinicians in this Medicare group

NPI 1942058557 (239) 424-1500

Florida Hospital Physician Group Inc

77 mi

Family Medicine

3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613

Reassigned Medicare billing, Florida enrollment
1,719 clinicians in this Medicare group

NPI 1174955256 (813) 336-5766

Oasis Health Urology, PLLC

1,277 mi

Urology

932 SPRING ST STE 101
Petoskey, MI 49770

Reassigned Medicare billing, Michigan enrollment

NPI 1215724745 (231) 489-8298

Mackinac Straits Health System Inc

1,293 mi

Rural Health

920 S HURON ST
Cheboygan, MI 49721

Reassigned Medicare billing, Michigan enrollment
Also billed through NPI 1659536035 (Michigan)
60 clinicians in this Medicare group

NPI 1659868206 (231) 597-8192

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

261 services174 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

173 services146 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

168 services145 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

153 services153 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

137 services112 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

55 services54 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

49 services48 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

40 services40 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

39 services39 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

32 services25 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

29 services26 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

21 services19 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

21 services18 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

20 services18 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

17 services17 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

15 services14 patients

Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope 52351

This is a procedure where a small tube with a camera, called an endoscope, is used to examine the bladder and the tubes that carry urine from the kidneys to the bladder. It helps in detecting any abnormalities or issues.

12 services11 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

11 services11 patients

Insertion of sacral nerve neurostimulator electrode array 64561

The insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.

11 services11 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100012

Location2776 Cleveland AveFort Myers, FL 33901 · Lee County

Emergency services Birthing friendly

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100244

Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County

Emergency services Birthing friendly

Mymichigan Medical Center Alpena

Acute Care Hospitals · Alpena, MI

5/5 CMS rating

OwnershipProprietary

CMS Certification Number230036

Location1501 W Chisholm StAlpena, MI 49707 · Alpena County

Emergency services Birthing friendly

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230105

Location416 Connable AvePetoskey, MI 49770 · Emmet County

Emergency services Birthing friendly

Mackinac Straits Hospital And Health Center

Critical Access Hospitals · Saint Ignace, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231306

Location1140 N State StreetSaint Ignace, MI 49781 · Mackinac County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33952 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUNDRIA NIKOLE SMITH PA-C

Physician Assistant

2400 HARBOR BLVD STE 8
PORT CHARLOTTE, FL 33952

Charlotte County (941) 766-5070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Waisanen's NPI number?

The NPI number for Kyle Waisanen is 1033616909. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Where is Kyle Waisanen located?

Kyle Waisanen practices at 2400 Harbor Blvd Ste 8, Port Charlotte, FL 33952. The listed phone number is (941) 766-5070.

What is Kyle Waisanen's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Kyle Waisanen enrolled in Medicare?

Yes. Kyle Waisanen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kyle Waisanen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Waisanen reassigns Medicare benefits to 5 organizations: Lee Memorial Health System (Fort Myers, FL), Lee Health System Inc (Fort Myers, FL), Florida Hospital Physician Group Inc (Tampa, FL), Oasis Health Urology, PLLC (Petoskey, MI) and Mackinac Straits Health System Inc (Cheboygan, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Waisanen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Waisanen accept?

Health plans from AvMed, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Kyle Waisanen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kyle Waisanen affiliated with any hospitals?

According to CMS data, Kyle Waisanen is affiliated with Lee Memorial Hospital, Cape Coral Hospital, Mymichigan Medical Center Alpena, Mclaren Northern Michigan and Mackinac Straits Hospital And Health Center.

When was this NPI record last updated?

The NPPES record for Kyle Waisanen was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.