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KYLE KETTLER
NPI 1457093577
Family Medicine in Middleburg Heights, OH

Active since April 09, 2022PECOS EnrolledAccepts Medicare Assignment
17840 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130(440) 531-6000 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2025, May 24, 2022, Apr 9, 2022 (3 updates tracked since 2022).

About Kyle Kettler NPPES

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

KYLE KETTLER (NPI 1457093577) is an individual family medicine provider in Middleburg Heights, Ohio, licensed in Ohio (35.149217) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Drake University College Of Medicine (2022).

NPPES Registry Identity

NPI1457093577
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKYLE KETTLER
Location Address17840 BAGLEY RDMiddleburg Heights, OH 44130-3401
Mailing Address17207 Sedalia AveCleveland, OH 44135-4467 · (763) 218-6448
Phone(440) 531-6000
Sole ProprietorYes
Medical School CMSDrake University College Of MedicineGraduated 2022
Enumeration DateApril 9, 2022
Last NPPES UpdateSeptember 4, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1457093577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35.149217
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
17840 BAGLEY RD, Middleburg Heights, OH 44130
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Kyle Kettler 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 ID6709265838
PECOS Enrollment IDI20250724000444
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.

Hospital Affiliations CMS Care Compare 2

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

Mercy Medical Center

Acute Care Hospitals · Canton, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360070
Location1320 Mercy Drive NWCanton, OH 44708 · Stark County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44130 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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 20

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

AMANDA GEORGE PT, DPT, OCS
Physical Therapist
17840 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 655-0070
DANIEL KLINGLER RPH.
Pharmacist
17840 BAGLEY RD
CLEVELAND, OH 44130
Cuyahoga County (440) 234-8500
MRS. NARGES SOHRABI PHARMD
Pharmacist
17840 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 202-2800
JENNIFER KAREN TUCK-CHAPPILL MD, LMSW
Family Medicine
17840 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 531-6000
ROBIN RUSSELL
Physical Therapist
17840 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (216) 444-6262
THE CLEVELAND CLINIC FOUNDATION
Pharmacy (Community/Retail Pharmacy)
17840 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 202-2800
CHRISTOPHER JON ANZEVENO MD
Internal Medicine (Obesity Medicine)
17840 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 531-6000
MEGAN ELIZABETH FLEMING
Physical Therapist (Neurology)
17840 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 531-6000

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 Kettler's NPI number?

The NPI number for Kyle Kettler is 1457093577. It was assigned to this individual provider in the NPPES registry on April 9, 2022.

Where is Kyle Kettler located?

Kyle Kettler practices at 17840 Bagley Rd, Middleburg Heights, OH 44130. The listed phone number is (440) 531-6000.

What is Kyle Kettler's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kyle Kettler enrolled in Medicare?

Yes. Kyle Kettler 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 Kettler accept?

Health plans from CareSource list Kyle Kettler 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 Kettler affiliated with any hospitals?

According to CMS data, Kyle Kettler is affiliated with Mercy Medical Center and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Kyle Kettler was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.