KYLE S ETTINGER DDS
NPI 1881989234
Oral & Maxillofacial Surgery in Rochester, MN

Q: What is Kyle Ettinger's NPI number?

The NPI number for Kyle Ettinger is 1881989234. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Q: What is Kyle Ettinger's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Ettinger was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 14, 2011PECOS EnrolledAccepts Medicare Assignment

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2020, Apr 30, 2019, Feb 21, 2019 and 1 more (4 updates tracked since 2017).

On this page

About Kyle S Ettinger Dds NPPES

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

KYLE S ETTINGER DDS (NPI 1881989234) is an individual oral & maxillofacial surgery provider in Rochester, Minnesota, licensed in Minnesota (59378) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and is a graduate of Mayo Medical School (2014).

NPPES Registry Identity

NPI1881989234

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameKYLE S ETTINGERCredential: DDS

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511

Phone(507) 284-2511

Sole ProprietorNo

Medical School CMSMayo Medical SchoolGraduated 2014

Enumeration DateJune 14, 2011

Last NPPES UpdateAugust 13, 20204 updates tracked since enumeration

NPPES CertifiedAugust 13, 2020

✔ NPI 1881989234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

Licenses✔ Licensed in MN · 59378✔ Licensed in MN · D13023

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentistTaxonomy 122300000X · License D13023 (MN)

200 1ST ST SW, Rochester, MN 55905

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Combined Life, Medica.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

Kyle S Ettinger Dds 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 ID5698941243

PECOS Enrollment IDI20120103000103

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.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

75 services75 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.

55 services46 patients

X-ray of lower jaws, upper jaws and teeth 70355

An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.

50 services50 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.

36 services35 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.

28 services25 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.

27 services27 patients

Hospital Affiliations CMS Care Compare

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

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number240010

Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County

Emergency services Birthing friendly

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.

EMILY LEASURE MD

Internal Medicine