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KYLE ETTINGER D.O.
NPI 1477088672
Emergency Medicine in Rockport, ME

Active since April 25, 2017PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
6 GLEN COVE DR, ROCKPORT, ME 04856(207) 301-8000 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2020, Apr 25, 2017 (2 updates tracked since 2017).

About Kyle Ettinger D.o. NPPES

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

KYLE ETTINGER D.O. (NPI 1477088672) is an individual emergency medicine provider in Rockport, Maine, licensed in Maine (DO3070) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Penobscot Bay Medical Center, and maintains a secondary practice location in Buffalo.

NPPES Registry Identity

NPI1477088672
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKYLE ETTINGERCredential: D.O.
Location Address6 GLEN COVE DRRockport, ME 04856-4272
Mailing Address100 High St, Bgh Department Of Emergency Medicine (d-6)Buffalo, NY 14203-1126 · (716) 859-1499
Phone(207) 301-8000
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 25, 2017
Last NPPES UpdateMay 19, 20202 updates tracked since enumeration
NPPES CertifiedMay 19, 2020
✔ NPI 1477088672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in ME · DO3070
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6 GLEN COVE DR, Rockport, ME 04856
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 High St, BGH Department of Emergency Medicine (D-6)Buffalo, NY 14203-1126 · Phone (716) 859-1499

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 Ettinger D.o. 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 ID42557688
PECOS Enrollment IDI20200804001201
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.

Penobscot Bay Medical Center

Acute Care Hospitals · Rockport, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200063
Location6 Glen Cove DriveRockport, ME 04856 · Knox County
Emergency services Birthing friendly

Waldo County General Hospital

Critical Access Hospitals · Belfast, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201312
Location118 Northport AveBelfast, ME 04915 · Waldo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04856 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

PETER H BAGLEY M.D.
Internal Medicine (Pulmonary Disease)
6 GLEN COVE DR
ROCKPORT, ME 04856
Knox County (207) 301-8542
BRUCE B LOWRY MD
Emergency Medicine
6 GLEN COVE DR
ROCKPORT, ME 04856
Knox County (073) 018-3332
KAREN BRENNAN CRNA
Registered Nurse
6 GLEN COVE DR
ROCKPORT, ME 04856
Knox County (207) 921-8215
KARA DEVANNA NORCIA CRNA
Nurse Anesthetist, Certified Registered
6 GLEN COVE DR
ROCKPORT, ME 04856
Knox County (207) 921-8400
PETER E GIUSTRA M.D.
Radiology (Diagnostic Radiology)
6 GLEN COVE DR
ROCKPORT, ME 04856
Knox County (207) 596-8000
MS. EILEEN MARIE MOLLOY M.S., R.D.N. C.D.E.
Dietitian, Registered
6 GLEN COVE DR, PEN BAY MEDICAL CENTER
ROCKPORT, ME 04856
Knox County (207) 596-8537
DR. KAITLYN ELIZABETH HALSEMA DO
Psychiatry & Neurology (Psychiatry)
6 GLEN COVE DR
ROCKPORT, ME 04856
Knox County (207) 921-8632
DR. ROBERT J RUXIN MD
Psychiatry & Neurology (Psychiatry)
6 GLEN COVE DR
ROCKPORT, ME 04856
Knox County (207) 921-8000

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 Ettinger's NPI number?

The NPI number for Kyle Ettinger is 1477088672. It was assigned to this individual provider in the NPPES registry on April 25, 2017.

Where is Kyle Ettinger located?

Kyle Ettinger practices at 6 Glen Cove Dr, Rockport, ME 04856. The listed phone number is (207) 301-8000.

What is Kyle Ettinger's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kyle Ettinger enrolled in Medicare?

Yes. Kyle Ettinger 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.

Is Kyle Ettinger affiliated with any hospitals?

According to CMS data, Kyle Ettinger is affiliated with Penobscot Bay Medical Center and Waldo County General Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Ettinger was last updated on May 19, 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.