Doctor profile · Federal record
Dr. Kyle Fetterolf, PA
Physician Assistant · Kingston, PA
- NPI 1477529501
- Accepts Medicare
- 27 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 4 locations .
- Primary practice
-
423 3Rd Ave Ste B
Kingston, PA 187045809
(570) 288-3601
fax (570) 288-1726 - Additional location
-
334 Main St
Dickson City, PA 185191668
(888) 952-6772 - Additional location
-
575 N River St
Wilkes Barre, PA 187640999
(570) 270-9192 - Additional location
-
677 Kidder St Ste D
Wilkes Barre Township, PA 187026914
(570) 825-2046
Show 1 more location
Credentials & registration
- NPI registered
- February 2006 — 20 yrs on file
- Profile last updated
- February 13, 2025
- Year of graduation
- 1999 — 27 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Pennsylvania #MA001889L
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1477529501. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
496
Distinct HCPCS
8
Medicare allowed
$51,487
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99285 |
Emergency department visit with high level of medical decision making | 227 | 222 | $144 | |
99284 |
Emergency department visit with moderate level of medical decision making | 107 | 105 | $100 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 75 | 71 | $7 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 28 | 27 | $104 | |
87811 |
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 17 | 17 | $41 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $136 | |
99283 |
Emergency department visit with low level of medical decision making | 14 | 14 | $59 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 11 | 11 | $73 |
In context: peer comparison
Among 8 peers in Kingston Physician Assistant, average services per provider: 141. This provider delivers 3.5× the peer median.Open Payments
Industry payments received
All-time total
$433
Transactions
6
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals Lp | 3 | $277.82 | |
| Phathom Pharmaceuticals, INC. | 1 | $124.74 | |
| Janssen Pharmaceuticals, INC | 2 | $30.93 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
118
Patients
117
Total drug cost
$941
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prednisone | Generic | 40 | 40 | $118 |
| Cephalexin | Generic | 28 | 27 | $416 |
| Azithromycin | Generic | 20 | 20 | $92 |
| Ondansetron Hcl | Generic | 18 | 18 | $60 |
| Clindamycin Hcl | Generic | 12 | 12 | $255 |
Hospital affiliations
Frequently asked questions
What is Dr. Kyle Fetterolf's medical specialty?
Dr. Kyle Fetterolf practices Physician Assistant in Kingston, PA.
Where does Dr. Kyle Fetterolf practice?
Dr. Kyle Fetterolf practices at 423 3Rd Ave Ste B, Kingston, PA 187045809. Office phone: 5702883601.
What is Dr. Kyle Fetterolf's NPI?
Dr. Kyle Fetterolf's National Provider Identifier (NPI) is 1477529501, issued by NPPES.
Does Dr. Kyle Fetterolf accept Medicare assignment?
Yes. Dr. Kyle Fetterolf accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kyle Fetterolf commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285); Emergency department visit with moderate level of medical decision making (HCPCS 99284); Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010). Source: CMS Medicare Physician & Other Practitioners file.