KYLE KETTLER
NPI 1457093577
Family Medicine in Middleburg Heights, OH
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
Specialties & Licenses
Group Practice 1
Accepted 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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Kyle Kettler reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Avon, OH 44011
- Reassigned Medicare billing, Ohio enrollment
- 7,608 clinicians in this Medicare group
Canton, OH 44708
- Reassigned Medicare billing, Ohio enrollment
- 235 clinicians in this Medicare group
Dover, OH 44622
- Reassigned Medicare billing, Ohio enrollment
- 126 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.
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, OHCleveland Clinic
Acute Care Hospitals · Cleveland, OHPhysician 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.
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.
MIDDLEBURG HEIGHTS, OH 44130
MIDDLEBURG HEIGHTS, OH 44130
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.
Which organizations bill Medicare for Kyle Kettler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Kettler reassigns Medicare benefits to 3 organizations: The Cleveland Clinic Foundation (Avon, OH), Cleveland Clinic Mercy Hospital (Canton, OH) and Union Physician Services, LLC (Dover, OH). 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 Kettler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 13 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.
# Kyle Kettler · NPI 1457093577
Family Medicine physician in Middleburg Heights, Ohio. Individual provider, active in the CMS NPPES registry since April 9, 2022.
## Identity
- **NPI:** 1457093577 (Entity type: Individual)
- **Enumerated:** April 9, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 35.149217 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 17840 BAGLEY RD, Middleburg Heights, OH 44130-3401
- **Phone:** (440) 531-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Cleveland Clinic Foundation (NPI 1184428336, Avon, OH); Cleveland Clinic Mercy Hospital (NPI 1366433195, Canton, OH); Union Physician Services, LLC (NPI 1215169826, Dover, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Drake University College Of Medicine, class of 2022
## Record status
- **NPPES last updated:** September 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1457093577) · Data from the CMS NPPES public registry.