DR. KEVIN C COTTRELL (O.D.) – Optometrist, NPI 1417017302

DR. KEVIN C COTTRELL (O.D.) is a healthcare provider. based in Longmont, Colorado. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2365 (CO). The NPI Number for DR. KEVIN C COTTRELL (O.D.) is 1417017302

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN C COTTRELL (O.D.)
NPI
1417017302
Phone
(303) 776-1620
Address
1325 DRY CREEK DR STE 104
Enumeration Date
11 December 2006
Last Update Date
6 June 2018

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
3037761620
Graduation Year
2003 (23 years ago)
PAC ID
1557260718
Group Practice PAC ID
7113819517
Professional Enrollment ID
I20040107000232
Address ID
CO805037732LO1325XDRXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

851 OPTOMETRY in CO

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Provider Addresses for DR. KEVIN C COTTRELL (O.D.)

  • Dry Creek Drive, Longmont, Boulder County, Colorado, 80503, United States

    LONGMONT, CO 805037732

    Phone: (303) 776-1620

    Fax: (720) 204-2028

    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 13 Open Payments records for all available years, with a total value of $342.

Total Amount is formed as General ($342) + Research ($0) + Ownership ($0) = $342.

Last reported payment date: 2024-09-09 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($166).

Total Amount

$342

General + Research + Ownership

Payments

13

Total payment records

General Amount

$342

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-09

Latest reported date

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: 2004-01-07

PECOS data refreshed: 2026-05-27

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
I20040107000232IOptometryCOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4539$0
92083Exam of visual field with extended testing1414$0
92133Imaging of optic nerve1111$0
View full utilization report →

Insurance plans in this area (ZIP 80503)

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Provider's Procedures

DR. KEVIN C COTTRELL (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYCO92134Diagnostic imaging of retina1212

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: 7113819517View full group profile
NameSpecialtyState
O P T O M E T R YUT

Reviews

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Frequently asked questions

What federal number belongs to DR. KEVIN C COTTRELL (O.D.)?
The federal identifier for DR. KEVIN C COTTRELL (O.D.) is NPI 1417017302.
Is DR. KEVIN C COTTRELL (O.D.) active in the national directory?
DR. KEVIN C COTTRELL (O.D.)'s public NPI profile is in an active state.
Can you summarize DR. KEVIN C COTTRELL (O.D.)'s specialty in plain language?
Clinically, the directory lists DR. KEVIN C COTTRELL (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. KEVIN C COTTRELL (O.D.)'s primary listing?
We display Longmont, Colorado because that is what the record indicates for DR. KEVIN C COTTRELL (O.D.).
Is DR. KEVIN C COTTRELL (O.D.) a real provider?
This page reflects official NPPES data for NPI 1417017302. Always confirm identity and privileges with the practice and licensing boards.

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