KYLE BEDENBAUGH MD
NPI 1073045209
Emergency Medicine in Rincon, GA
About Kyle Bedenbaugh Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE BEDENBAUGH MD (NPI 1073045209) is an individual emergency medicine provider in Rincon, Georgia, licensed in Georgia (85081) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jackson.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kyle Bedenbaugh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kyle Bedenbaugh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rincon, GA 31326
- Reassigned Medicare billing, Georgia enrollment
- 53 clinicians in this Medicare group
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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31326 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Bedenbaugh's NPI number?
The NPI number for Kyle Bedenbaugh is 1073045209. It was assigned to this individual provider in the NPPES registry on March 28, 2017.
Where is Kyle Bedenbaugh located?
Kyle Bedenbaugh practices at 5629 Hwy 21 S, Rincon, GA 31326. The listed phone number is (912) 295-2133.
What is Kyle Bedenbaugh's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kyle Bedenbaugh enrolled in Medicare?
Yes. Kyle Bedenbaugh is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kyle Bedenbaugh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Bedenbaugh reassigns Medicare benefits to Georgia Emergency Associates (Rincon, GA). The 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 Bedenbaugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kyle Bedenbaugh was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Kyle Bedenbaugh, MD · NPI 1073045209
Emergency Medicine physician in Rincon, Georgia. Individual provider, active in the CMS NPPES registry since March 28, 2017.
## Identity
- **NPI:** 1073045209 (Entity type: Individual)
- **Enumerated:** March 28, 2017
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 85081 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 5629 HWY 21 S, Rincon, GA 31326-9416
- **Phone:** (912) 295-2133 · **Fax:** (912) 295-5924
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Georgia Emergency Associates (NPI 1528098290, Rincon, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1073045209) · Data from the CMS NPPES public registry.