DR. KYLE GILLETT MD
NPI 1942720065
Family Medicine in Springfield, MO

Active since June 20, 2017PECOS Enrolled
1423 N JEFFERSON AVE # B100, SPRINGFIELD, MO 65802(417) 269-8817(417) 269-8744 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 20, 2017 (2 updates tracked since 2017).

About Dr. Kyle Gillett Md NPPES

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

DR. KYLE GILLETT MD (NPI 1942720065) is an individual family medicine provider in Springfield, Missouri, licensed in Missouri (2017019816) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942720065
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KYLE GILLETTCredential: MD
Location Address1423 N JEFFERSON AVE # B100Springfield, MO 65802-1917
Mailing Address1423 N Jefferson Ave # B100Springfield, MO 65802-1917 · (417) 269-8817 · Fax (417) 269-8744
Fax(417) 269-8744
Sole ProprietorNo
Enumeration DateJune 20, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1942720065 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 · 2017019816
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.
1423 N JEFFERSON AVE # B100, Springfield, MO 65802

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kyle Gillett Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Gillett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Geriatric Medicine
1423 N JEFFERSON AVE, #K-100
Springfield, MO 65802
  • Reassigned Medicare billing, Missouri enrollment
  • 457 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65802 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Other Providers at the Same Location NPPES 6

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

Family Medicine
1423 N JEFFERSON AVE # B100
SPRINGFIELD, MO 65802
Family Medicine
1423 N JEFFERSON AVE # B100
SPRINGFIELD, MO 65802
Nurse Practitioner (Family)
1423 N JEFFERSON AVE # B100
SPRINGFIELD, MO 65802
Family Medicine
1423 N JEFFERSON AVE # B100
SPRINGFIELD, MO 65802
Family Medicine
1423 N JEFFERSON AVE # B100
SPRINGFIELD, MO 65802
Nurse Practitioner (Family)
1423 N JEFFERSON AVE # B100
SPRINGFIELD, MO 65802

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 Gillett's NPI number?

The NPI number for Kyle Gillett is 1942720065. It was assigned to this individual provider in the NPPES registry on June 20, 2017.

Where is Kyle Gillett located?

Kyle Gillett practices at 1423 N Jefferson Ave # B100, Springfield, MO 65802. The listed phone number is (417) 269-8817.

What is Kyle Gillett's specialty?

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

Is Kyle Gillett enrolled in Medicare?

Yes. Kyle Gillett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kyle Gillett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Gillett reassigns Medicare benefits to Lester E Cox Medical Centers (Springfield, MO). 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 Gillett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kyle Gillett was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.