Kyle Fetterolf, PA
NPI 1477529501ActiveIndividual· Physician Assistant· Kingston, PA
Physician Assistant (PA) with Commonwealth Physician Network LLC, practicing in Kingston, Pennsylvania. 316 Medicare patients in 2024, $25,741 paid; nearly all of their 477 Part D prescriptions were generic (97%). Bayer Healthcare Pharmaceuticals Inc. was the largest of 9 companies reporting payments in 2025, $1,314 in all, mostly food and beverage. Lists Lehigh Valley Hospital - Hazleton and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1477529501 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Feb 28, 2006 |
| Last updated in NPPES | Feb 13, 2025 |
| Certified by provider | Feb 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | MA001889L | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 316 |
|---|---|
| Services billed | 721 across 47 procedure codes |
| Paid by Medicare | $25,741 |
Part D prescriptions in 2024
| Prescriptions (claims) | 477 · 494 30-day fills |
|---|---|
| Patients | 293 |
| Total drug cost | $4,965 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Commonwealth Physician Network LLCMountain Top, PA · 65 clinicians
Hospital affiliations
- Lehigh Valley Hospital - HazletonHazleton, PA
- Regional Hospital of ScrantonScranton, PA
- Wilkes-Barre General HospitalWilkes-Barre, PA
Industry payments (Open Payments)
- 2025$1,314 · 52 payments from 9 companies
- 2024$433.49 · 8 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $545.81 | 16 |
| Sumitomo Pharma America, Inc. | $395.06 | 19 |
| Astellas Pharma US Inc | $94.26 | 4 |
| Telix Pharmaceuticals | $67.90 | 3 |
| Janssen Biotech, Inc. | $58.47 | 3 |
What the 2025 payments were for
- Food and Beverage$1,309 · 51 payments
- Education$4.85 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Kingston
- 1760819411
- 1437124377
- 1598160855
- 1255753638
- 1104227370
- 1225540917
- 1174449722
- 1821458217
- 1659093466
- 1417540287
- 1215726179
- 1427728930