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Active NPI 1649791369 Individual Practitioner Male Practitioner

Dr. Kyle Haverstrom , DPM

Podiatrist • Largo, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Haverstrom, DPM is a certified Podiatrist practicing in Largo, FL. With approximately 9 years of clinical experience since graduating from Barry University School Of Podiatric Medicine in 2017, Dr. Haverstrom delivers high-quality medical care to the local community at 11200 SEMINOLE BLVD STE 305.

Dr. Haverstrom is affiliated with All Podiatry Group Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of fingernails or toenails, removal of noncancer thickened skin growth, 2-4 growths, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11200 Seminole Blvd Ste 305

Largo, FL 337783239

Telephone 7274319552
Fax 7272904376
Associated Practice Facility / Clinic
🏢 All Podiatry Group Inc Facility NPI 1437207933

Medicare Profile & Education

Medical School

Barry University School Of Podiatric Medicine

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Largo, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -18.7 yrs vs City Avg
City Avg: 27.7 Yrs
State Avg: 25.3 Yrs
Regional Practice Density
8 Specialists

Practicing in Largo, FL (818 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Haverstrom (9 Years) 9 Yrs
Largo Specialty Average (27.7 Years) 27.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails
235 93 $90.00 $42.05
11056 Removal of noncancer thickened skin growth, 2-4 growths
200 80 $115.29 $75.13
99213 Established patient office or other outpatient visit, typically 15 minutes
115 69 $145.00 $87.58
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
104 18 $5.00 $0.96
J1100 Injection, dexamethasone sodium phosphate, 1 mg
104 18 $5.00 $0.11
73630 X-ray of foot, minimum of 3 views
98 65 $56.83 $32.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
76 76 $216.29 $109.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
72 42 $214.00 $124.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
63 63 $332.00 $159.68
11042 Removal of skin and tissue, 20.0 sq cm or less
29 12 $233.00 $116.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
28 23 $411.07 $168.93
73610 X-ray of ankle, minimum of 3 views
16 12 $62.00 $34.55
20605 Aspiration and/or injection of medium joint or joint capsule
15 11 $102.00 $50.40

Medical Specialties & State Licenses

CMS Verified: 2025-03-10
Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License FL PO4312

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Podiatrist - Primary Podiatric Medicine

NUCC Taxonomy Code: 213EP1101X

State License FL PO4312

Definition to come...

Podiatrist - Sports Medicine

NUCC Taxonomy Code: 213ES0000X

State License FL PO4312

Definition to come...

Podiatrist - Foot & Ankle Surgery

NUCC Taxonomy Code: 213ES0103X

State License FL PO4312

Definition to come...

Podiatrist - Foot Surgery

NUCC Taxonomy Code: 213ES0131X

State License FL PO4312

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
111187000 (FL)
Commercial Insurance / Payer ID Caqh Id
14929205
Commercial Insurance / Payer ID Bcbs
5G5CI (FL)

Hospital & Practice Group Affiliations

All Podiatry Group Inc.

11200 Seminole Blvd, Largo, FL 337783239

Phone: 7274319552

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2025

Podiatrist (License #PO4312 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2025

Podiatrist (License #PO4312 in FL)

📍
Updated Business Mailing Address February 19, 2024

Registered at 15815 SHADDOCK DR STE 130, WINTER GARDEN, FL 347875773 (Tel: 8134001140)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2024

Podiatrist (License #PO4312 in FL)

📍
Updated Practice Location January 31, 2023

Registered at 11200 SEMINOLE BLVD STE 305, LARGO, FL 337783239 (Tel: 7274319552)

📍
Updated Business Mailing Address January 31, 2023

Registered at 2511 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 336076301 (Tel: 8138797850)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2023

Podiatrist (License #PO4312 in FL)

📍
Updated Practice Location September 10, 2020

Registered at 200 S 20TH ST STE B, ROGERS, AR 727581100 (Tel: 4796369393)

📍
Updated Business Mailing Address September 10, 2020

Registered at 200 S 20TH ST STE B, ROGERS, AR 727581100 (Tel: 4796369393)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2020

Podiatrist (License #292 in AR)

NPI Profile Active July 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2017

Registered at 10800 KNIGHTS RD, PHILADELPHIA, PA 19114 (Tel: 2156125161)

📍
Updated Business Mailing Address July 03, 2017

Registered at 10800 KNIGHTS RD, PHILADELPHIA, PA 191144200

👤
Provider Name / Credentials Updated July 03, 2017

Recorded as KYLE HAVERSTROM, DPM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2017

Student in an Organized Health Care Education/Training Program (License #SC006846 in PA)

🟢
Initial NPI Registration & Enumeration July 03, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649791369
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2017
Last Update: March 10, 2025
Sole Proprietor: No

Mailing Address

15815 Shaddock Dr Ste 130

Winter Garden, FL 347875773

Phone: 8134001140

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.