KYLER MICHAEL DOUGLAS DO
NPI 1720607880
Family Medicine in Saint Louis, MO

Active since April 09, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3009 N BALLAS RD STE 383C, SAINT LOUIS, MO 63131(314) 996-4545 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kyler Michael Douglas Do NPPES

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

KYLER MICHAEL DOUGLAS DO (NPI 1720607880) is an individual family medicine provider in Saint Louis, Missouri, licensed in Missouri (2023005710) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2020).

NPPES Registry Identity

NPI1720607880
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKYLER MICHAEL DOUGLASCredential: DO
Location Address3009 N BALLAS RD STE 383CSaint Louis, MO 63131-2324
Mailing Address3009 N Ballas Rd Ste 383cSaint Louis, MO 63131-2324 · (314) 996-4545
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2020
Enumeration DateApril 9, 2020
Last NPPES UpdateAugust 1, 2023
NPPES CertifiedAugust 1, 2023
NPI 1720607880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MO · 2023005710
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3009 N BALLAS RD STE 383C, Saint Louis, MO 63131

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

Kyler Michael Douglas Do 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 ID2769895515
PECOS Enrollment IDI20230919001305
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 10

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.
121 services77 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
80 services80 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.
78 services70 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
49 services49 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
49 services49 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
41 services32 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260180
Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63131 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.92
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.

Internal Medicine
3009 N BALLAS RD STE 383C
SAINT LOUIS, MO 63131
Internal Medicine
3009 N BALLAS RD STE 383C
SAINT LOUIS, MO 63131
Nurse Practitioner (Adult Health)
3009 N BALLAS RD STE 383C
SAINT LOUIS, MO 63131
Nurse Practitioner
3009 N BALLAS RD STE 383C
SAINT LOUIS, MO 63131
Nurse Practitioner
3009 N BALLAS RD STE 383C
SAINT LOUIS, MO 63131
Internal Medicine (Hospice and Palliative Medicine)
3009 N BALLAS RD STE 383C
SAINT LOUIS, MO 63131
Family Medicine (Hospice and Palliative Medicine)
3009 N BALLAS RD STE 383C
SAINT LOUIS, MO 63131
Nurse Practitioner (Acute Care)
3009 N BALLAS RD STE 383C
SAINT LOUIS, MO 63131

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 Kyler Douglas's NPI number?

The NPI number for Kyler Douglas is 1720607880. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Where is Kyler Douglas located?

Kyler Douglas practices at 3009 N Ballas Rd Ste 383C, Saint Louis, MO 63131. The listed phone number is (314) 996-4545.

What is Kyler Douglas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kyler Douglas enrolled in Medicare?

Yes. Kyler Douglas 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 Kyler Douglas affiliated with any hospitals?

According to CMS data, Kyler Douglas is affiliated with Mercy Hospital St Louis, Barnes Jewish Hospital, Missouri Baptist Medical Center, Barnes-Jewish West County Hospital and Christian Hospital Northeast.

When was this NPI record last updated?

The NPPES record for Kyler Douglas was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.