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MR. KYLE LANDIS PA
NPI 1144773151
Physician Assistant - Surgical in Plains, PA

Active since July 26, 2016PECOS EnrolledAccepts Medicare Assignment
90.34/100
CMS Quality Rating
200 S RIVER ST, PLAINS, PA 18705(570) 821-1100(570) 821-1108 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Kyle Landis Pa NPPES

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

MR. KYLE LANDIS PA (NPI 1144773151) is an individual surgical provider in Plains, Pennsylvania, licensed in Pennsylvania (MA058329) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1144773151
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. KYLE LANDISCredential: PA
Location Address200 S RIVER STPlains, PA 18705-1143
Mailing Address200 S River StPlains, PA 18705-1143 · (570) 821-1100 · Fax (570) 821-1108
Phone(570) 821-1100
Fax(570) 821-1108
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 26, 2016
Last NPPES UpdateJuly 30, 2021
NPPES CertifiedJuly 30, 2021
✔ NPI 1144773151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in PA · MA058329
200 S RIVER ST, Plains, PA 18705
Open in Google Maps ↗

Other Identifiers 1

OtherPENDINGPA · Medicare Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kyle Landis Pa 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 ID2769778646
PECOS Enrollment IDI20160831002376
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.

Areas of Expertise CMS Part B claims

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 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.
38 services26 patients

Hospital Affiliations CMS Care Compare

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

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

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.

90.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.69
Promoting Interoperability100
Improvement Activities40

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.

JUAN J DEROJAS M.D.
Surgery (Vascular Surgery)
200 S RIVER ST
PLAINS, PA 18705
Luzerne County (570) 821-1100
DR. GARY PAUL NEALE MB CHB
Specialist
200 S RIVER ST
PLAINS, PA 18705
Luzerne County (570) 821-1100
CHESTER C YAVORSKI M.D.
Surgery (Vascular Surgery)
200 S RIVER ST
PLAINS, PA 18705
Luzerne County (570) 821-1100
CLARK D GERHART M.D.
Surgery
200 S RIVER ST
PLAINS, PA 18705
Luzerne County (570) 821-1100
DAVID B LUCCHINO M.D.
Surgery
200 S RIVER ST
PLAINS, PA 18705
Luzerne County (570) 821-1100
MR. CHARLES JOBST III CSA
Physician Assistant (Surgical)
200 S RIVER ST
PLAINS, PA 18705
Luzerne County (570) 417-8831
SURGICAL SPECIALISTS OF WYOMING VALLEY, PC
Surgery
200 S RIVER ST
PLAINS, PA 18705
Luzerne County (570) 821-1100
BARRY J PERNIKOFF M.D.
Colon & Rectal Surgery
200 S RIVER ST
PLAINS, PA 18705
Luzerne County (570) 821-1100

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 Landis's NPI number?

The NPI number for Kyle Landis is 1144773151. It was assigned to this individual provider in the NPPES registry on July 26, 2016.

Where is Kyle Landis located?

Kyle Landis practices at 200 S River St, Plains, PA 18705. The listed phone number is (570) 821-1100.

What is Kyle Landis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kyle Landis enrolled in Medicare?

Yes. Kyle Landis 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.

What insurance does Kyle Landis accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kyle Landis 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 Landis affiliated with any hospitals?

According to CMS data, Kyle Landis is affiliated with Wilkes-Barre General Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Landis was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.