Doctor profile · Federal record
Dr. KYLE HUMMERSTON, DO
Physical Medicine & Rehabilitation Physician (CMS: PHYSICAL MEDICINE AND REHABILITATION) · Physical Medicine & Rehabilitation Physician · Student in an Organized Health Care Education/Training Program · TARRYTOWN, NY
- NPI 1528422474
- Accepts Medicare
- MIPS 80.3 / 100 · 2023
- 10 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
658 WHITE PLAINS RD
TARRYTOWN, NY 105915104
(800) 321-9999
fax (267) 479-1321 - Mailing address
-
833 CHESTNUT ST STE 520
PHILADELPHIA, PA 191074430
Credentials & registration
- NPI registered
- April 2016 — 10 yrs on file
- Profile last updated
- November 18, 2021
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 208100000X — NUCC code
- State licenses (2)
- New York #311469 · Pennsylvania #OS020485
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1528422474. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
664
Distinct HCPCS
9
Medicare allowed
$47,480
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J1100 |
Injection, dexamethasone sodium phosphate, 1 mg | 355 | 25 | $0 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 76 | 47 | $145 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 74 | 74 | $193 | |
72110 |
X-ray of lower and sacral spine, minimum of 4 views | 59 | 58 | $62 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 33 | 21 | $106 | |
64483 |
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 24 | 21 | $345 | |
64484 |
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 15 | 15 | $134 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 15 | 15 | $257 | |
72050 |
X-ray of upper spine, 4-5 views | 13 | 13 | $64 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 175. This provider delivers 3.8× the peer median.Open Payments
Industry payments received
All-time total
$23
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Zimmer Biomet Holdings, Inc. | 1 | $23.14 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
27
Patients
21
Total drug cost
$143
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Meloxicam | Generic | 27 | 21 | $143 |