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

KYLE MATHEW PARKER
NPI 1225724511
Podiatrist in Saint Peters, MO

Active since April 11, 2023PECOS Enrolled
2046 QUEENSBROOKE BLVD STE 100, SAINT PETERS, MO 63376(505) 265-1711 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 29, 2026, Jul 6, 2026, Apr 11, 2023 (3 updates tracked since 2023).

About Kyle Mathew Parker NPPES

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

KYLE MATHEW PARKER (NPI 1225724511) is an individual podiatrist in Saint Peters, Missouri, licensed in Missouri (IA-0008413129) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225724511
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameKYLE MATHEW PARKER
Location Address2046 QUEENSBROOKE BLVD STE 100Saint Peters, MO 63376-7881
Mailing Address2046 Queensbrooke Blvd Ste 100Saint Peters, MO 63376-7881 · (618) 225-0996
Sole ProprietorYes
Enumeration DateApril 11, 2023
Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
NPI 1225724511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in MO · IA-0008413129
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
2046 QUEENSBROOKE BLVD STE 100, Saint Peters, MO 63376

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kyle Mathew Parker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63376 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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 2

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

Podiatrist (Foot & Ankle Surgery)
2046 QUEENSBROOKE BLVD STE 100
SAINT PETERS, MO 63376
Podiatrist (Foot & Ankle Surgery)
2046 QUEENSBROOKE BLVD STE 100
SAINT PETERS, MO 63376

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 Parker's NPI number?

The NPI number for Kyle Parker is 1225724511. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Kyle Parker located?

Kyle Parker practices at 2046 Queensbrooke Blvd Ste 100, Saint Peters, MO 63376. The listed phone number is (505) 265-1711.

What is Kyle Parker's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Kyle Parker enrolled in Medicare?

Yes. Kyle Parker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyle Parker was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 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.