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DR. KYLE L WAHLSTROM MD
NPI 1528033073
Specialist in Saint Paul, MN

Active since February 20, 2006PECOS EnrolledAccepts Medicare Assignment
87.63/100
CMS Quality Rating
310 SMITH AVE N, SAINT PAUL, MN 55102(952) 843-4333(952) 843-4301 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kyle L Wahlstrom Md NPPES

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

DR. KYLE L WAHLSTROM MD (NPI 1528033073) is an individual specialist in Saint Paul, Minnesota, licensed in Minnesota (39709) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1528033073
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. KYLE L WAHLSTROMCredential: MD
Location Address310 SMITH AVE NSaint Paul, MN 55102-2393
Mailing Address310 Smith Ave NSaint Paul, MN 55102-2383 · (952) 843-4333 · Fax (952) 843-4301
Phone(952) 843-4333
Fax(952) 843-4301
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateFebruary 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1528033073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MN · 39709
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
310 SMITH AVE N, Saint Paul, MN 55102
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINH18643MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan.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

Dr. Kyle L Wahlstrom Md 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 ID2961444344
PECOS Enrollment IDI20051107000641
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 5

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
46 services46 patients
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.
43 services39 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240213
Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County
Emergency services Birthing friendly

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.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.78
Promoting Interoperability100
Improvement Activities40
Cost71.59

Other Providers at the Same Location NPPES 15

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

DAVID J ZALESKE MD
Orthopaedic Surgery
310 SMITH AVE N, SUITE 120, CHILDRENS SPECIALTY CLINIC-ORTHOPAEDICS-STPL
SAINT PAUL, MN 55102
Ramsey County (651) 220-5705
DR. WILLIAM M RUPP MD
Specialist
310 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (952) 843-4333
DR. DIANE S OGREN MD
Surgery
310 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (952) 843-4333
BARIATRIC SPECIALISTS OF MINNESOTA
Specialist
310 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 227-6351
DR. LEV LOTMAN M.D.
Psychiatry & Neurology (Vascular Neurology)
310 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 241-6550
MINNESOTA ONCOLOGY HEMATOLOGY, PA
Nurse Practitioner (Adult Health)
310 SMITH AVE N, SUITE 460
SAINT PAUL, MN 55102
Ramsey County (651) 602-5200
MINNESOTA ONCOLOGY HEMATOLOGY, PA
Radiology (Radiation Oncology)
310 SMITH AVE N, SUITE 480
SAINT PAUL, MN 55102
Ramsey County (651) 602-5200
MS. ANITRA L JACKSON NP
Registered Nurse (Medical-Surgical)
310 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (952) 843-4333

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 Wahlstrom's NPI number?

The NPI number for Kyle Wahlstrom is 1528033073. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Kyle Wahlstrom located?

Kyle Wahlstrom practices at 310 Smith Ave N, Saint Paul, MN 55102. The listed phone number is (952) 843-4333.

What is Kyle Wahlstrom's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kyle Wahlstrom enrolled in Medicare?

Yes. Kyle Wahlstrom 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 Wahlstrom accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Kyle Wahlstrom 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 Wahlstrom affiliated with any hospitals?

According to CMS data, Kyle Wahlstrom is affiliated with M Health Fairview St John's Hospital and M Health Fairview Woodwinds Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Wahlstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.