DR. KYLE JAMES DETTBARN MD
NPI 1558301465
Internal Medicine - Pulmonary Disease in Eau Claire, WI

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
79.21/100
CMS Quality Rating
3802 OAKWOOD MALL DR, EAU CLAIRE, WI 54701(715) 839-9280 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2026, Apr 1, 2025, Dec 22, 2021 and 2 more (5 updates tracked since 2019).

About Dr. Kyle James Dettbarn Md NPPES

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

DR. KYLE JAMES DETTBARN MD (NPI 1558301465) is an individual pulmonary disease provider in Eau Claire, Wisconsin, licensed in Wisconsin (45848) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1997).

NPPES Registry Identity

NPI1558301465
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. KYLE JAMES DETTBARNCredential: MD
Location Address3802 OAKWOOD MALL DREau Claire, WI 54701-3016
Mailing Address2403 Folsom StEau Claire, WI 54703-2435 · (715) 552-9784 · Fax (715) 835-6370
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1997
Enumeration DateJune 8, 2006
Last NPPES UpdateApril 10, 20265 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
NPI 1558301465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in WI · 45848
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 45848 (WI)
3802 OAKWOOD MALL DR, Eau Claire, WI 54701

Other Identifiers 1

Medicaid34400700WI

Accepted 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 James Dettbarn 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 ID7618035791
PECOS Enrollment IDI20081017000403
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 51

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
459 services273 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
374 services263 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
241 services51 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
240 services198 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.
232 services193 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
231 services31 patients

Hospital Affiliations CMS Care Compare 5

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

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Oakleaf Surgical Hospital

Acute Care Hospitals · Altoona, WI
OwnershipPhysician
CMS Certification Number520196
Location1000 Oakleaf WayAltoona, WI 54720 · Eau Claire County

Marshfield Medical Center - Eau Claire

Acute Care Hospitals · Eau Claire, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520210
Location2310 Craig RdEau Claire, WI 54701 · Eau Claire County
Emergency services Birthing friendly

Aspirus Stanley Hospital

Critical Access Hospitals · Stanley, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521311
Location1120 Pine StStanley, WI 54768 · Chippewa County
Emergency services

Western Wisconsin Health

Critical Access Hospitals · Baldwin, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521347
Location1100 Bergslien StBaldwin, WI 54002 · St. Croix County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54701 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

79.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.43
Promoting Interoperability84
Improvement Activities40
Cost60.98

Referred Medical Equipment & Supplies CMS DME claims 36

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers26 claims53 services$5.48 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers24 claims24 services$35.85 avg. paid by Medicare
Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier63 claims2,931 services$6.36 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier120 claims3,720 services$4.46 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
5 suppliers13 claims13 services$15.92 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers41 claims41 services$98.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
3802 OAKWOOD MALL DR
EAU CLAIRE, WI 54701
Family Medicine
3802 OAKWOOD MALL DR
EAU CLAIRE, WI 54701
Internal Medicine
3802 OAKWOOD MALL DR
EAU CLAIRE, WI 54701
Clinic/Center (Sleep Disorder Diagnostic)
3802 OAKWOOD MALL DR
EAU CLAIRE, WI 54701
Nurse Practitioner (Family)
3802 OAKWOOD MALL DR
EAU CLAIRE, WI 54701
Nurse Practitioner
3802 OAKWOOD MALL DR
EAU CLAIRE, WI 54701
Nurse Practitioner (Family)
3802 OAKWOOD MALL DR
EAU CLAIRE, WI 54701
Internal Medicine
3802 OAKWOOD MALL DR
EAU CLAIRE, WI 54701

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 Dettbarn's NPI number?

The NPI number for Kyle Dettbarn is 1558301465. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Kyle Dettbarn located?

Kyle Dettbarn practices at 3802 Oakwood Mall Dr, Eau Claire, WI 54701. The listed phone number is (715) 839-9280.

What is Kyle Dettbarn's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Kyle Dettbarn enrolled in Medicare?

Yes. Kyle Dettbarn 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 Dettbarn accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Quartz and Security Health Plan list Kyle Dettbarn 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 Dettbarn affiliated with any hospitals?

According to CMS data, Kyle Dettbarn is affiliated with Marshfield Medical Center, Oakleaf Surgical Hospital, Marshfield Medical Center - Eau Claire, Aspirus Stanley Hospital and Western Wisconsin Health.

When was this NPI record last updated?

The NPPES record for Kyle Dettbarn was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.