DR. DAVID T KAGEYAMA (OD) – Optometrist, NPI 1871550574

DR. DAVID T KAGEYAMA (OD) is a healthcare provider. based in Elk grove, California. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 8255 (CA). The NPI Number for DR. DAVID T KAGEYAMA (OD) is 1871550574

Main info

Male
41 Years Of Experience
Name
DR. DAVID T KAGEYAMA (OD)
NPI
1871550574
Phone
(916) 686-4937
Address
9401 E STOCKTON BLVD
Enumeration Date
27 April 2006
Last Update Date
29 October 2013

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
9166864937
Graduation Year
1985 (41 years ago)
PAC ID
6406895531
Group Practice PAC ID
4587842026
Professional Enrollment ID
I20050428000432
Address ID
CA956245050EL9401XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,935 OPTOMETRY in CA

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Provider Addresses for DR. DAVID T KAGEYAMA (OD)

  • Physicians Weight Clinic Inc., 9401, East Stockton Boulevard, Elk Grove, Sacramento County, California, 95624, United States

    STE 105

    ELK GROVE, CA 95624

    Phone: (916) 686-4937

    Fax: (916) 686-4469

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $281.

Total Amount is formed as General ($281) + Research ($0) + Ownership ($0) = $281.

Last reported payment date: 2024-05-15 • Largest payer in this snapshot: CooperVision Inc. ($136).

Total Amount

$281

General + Research + Ownership

Payments

6

Total payment records

General Amount

$281

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-04-28

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050428000432IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95624)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587842026View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P T O M E T R YPA

Reviews

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Frequently asked questions

What identifier follows DR. DAVID T KAGEYAMA (OD) across health systems?
The NPI 1871550574 uniquely identifies DR. DAVID T KAGEYAMA (OD) in U.S. healthcare data.
Is DR. DAVID T KAGEYAMA (OD) currently accepting referrals based on NPI status?
Registry metadata lists DR. DAVID T KAGEYAMA (OD) as active.
What does the directory say DR. DAVID T KAGEYAMA (OD) does?
Insurance directories may phrase it differently, but here DR. DAVID T KAGEYAMA (OD) maps to Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit DR. DAVID T KAGEYAMA (OD) in Elk Grove, California?
For routing, start with Elk Grove, California for DR. DAVID T KAGEYAMA (OD), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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