Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KYLE HAVERSTROM DPM
NPI 1649791369
Podiatrist in Largo, FL

Q: What is Kyle Haverstrom's NPI number?

The NPI number for Kyle Haverstrom is 1649791369. It was assigned to this individual provider in the NPPES registry on July 3, 2017.

Q: What is Kyle Haverstrom's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Haverstrom was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.

Active since July 03, 2017PECOS EnrolledAccepts Medicare Assignment

11200 SEMINOLE BLVD STE 305, LARGO, FL 33778(727) 431-9552(727) 290-4376 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2026, Mar 10, 2025, Feb 3, 2025 and 4 more (7 updates tracked since 2017).

On this page

About Dr. Kyle Haverstrom Dpm NPPES

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

DR. KYLE HAVERSTROM DPM (NPI 1649791369) is an individual podiatrist in Largo, Florida, licensed in Florida (PO4312) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Morton Plant Hospital, and is a graduate of Barry University School Of Podiatric Medicine (2017).

NPPES Registry Identity

NPI1649791369

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameDR. KYLE HAVERSTROMCredential: DPM

Location Address11200 SEMINOLE BLVD STE 305Largo, FL 33778-3239

Mailing Address15815 Shaddock Dr Ste 130Winter Garden, FL 34787-5773 · (813) 400-1140 · Fax (813) 701-9132

Phone(727) 431-9552

Fax(727) 290-4376

Sole ProprietorNo

Medical School CMSBarry University School Of Podiatric MedicineGraduated 2017

Enumeration DateJuly 3, 2017

Last NPPES UpdateSeptember 11, 20267 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2026

✔ NPI 1649791369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in FL · PO4312

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X · License PO4312 (FL)

Also ListedPodiatrist · Sports MedicineTaxonomy 213ES0000X · License PO4312 (FL)

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License PO4312 (FL)

Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License PO4312 (FL)

11200 SEMINOLE BLVD STE 305, Largo, FL 33778

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Other Identifiers 3

Medicaid132649000FL

Other14929205Caqh Id

Other5G5CIFL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Dr. Kyle Haverstrom Dpm 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 ID8729322136

PECOS Enrollment IDI20210726002208

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.

Medicare Billing Reassignment

Medicare enrollment records show Kyle Haverstrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

All Podiatry Group Inc

81 mi

Podiatrist

15815 SHADDOCK DR STE 130
Winter Garden, FL 34787

Reassigned Medicare billing, Florida enrollment
50 clinicians in this Medicare group

NPI 1437207933 (407) 605-2321

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

235 services93 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

200 services80 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.

115 services69 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

104 services18 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

104 services18 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

98 services65 patients

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.

76 services76 patients

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.

72 services42 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.

63 services63 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

29 services12 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

28 services23 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

16 services12 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

15 services11 patients

Hospital Affiliations CMS Care Compare

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

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100127

Location300 Pinellas StClearwater, FL 33756 · Pinellas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33778 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Haverstrom's NPI number?

The NPI number for Kyle Haverstrom is 1649791369. It was assigned to this individual provider in the NPPES registry on July 3, 2017.

Where is Kyle Haverstrom located?

Kyle Haverstrom practices at 11200 Seminole Blvd Ste 305, Largo, FL 33778. The listed phone number is (727) 431-9552.

What is Kyle Haverstrom's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Kyle Haverstrom enrolled in Medicare?

Yes. Kyle Haverstrom 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 organization bills Medicare for Kyle Haverstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Haverstrom reassigns Medicare benefits to All Podiatry Group Inc (Winter Garden, FL). The 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 Haverstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Haverstrom accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Cigna HealthCare of Florida, Inc. and 5 other insurers list Kyle Haverstrom 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 Haverstrom affiliated with any hospitals?

According to CMS data, Kyle Haverstrom is affiliated with Morton Plant Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Haverstrom was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.