KILEY ANN BERRY (OD) – Optometrist, NPI 1669638011

KILEY ANN BERRY (OD) is a healthcare provider. based in Durango, Colorado. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2653 (CO). The NPI Number for KILEY ANN BERRY (OD) is 1669638011

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KILEY ANN BERRY (OD)
NPI
1669638011
Phone
(970) 247-8762
Address
1165 S. CAMINO DEL RIO
Enumeration Date
5 August 2008
Last Update Date
11 August 2021

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9708282200
Graduation Year
2008 (18 years ago)
PAC ID
9638247190
Group Practice PAC ID
5991118606
Professional Enrollment ID
I20210830002291
Address ID
NM874018990FA2300XSTXX415
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

851 OPTOMETRY in CO

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Provider Addresses for KILEY ANN BERRY (OD)

  • 1165, South Camino del Rio, Durango, La Plata County, Colorado, 81303, United States

    SUITE 100

    DURANGO, CO 81301

    Phone: (970) 247-8762

    Fax: (970) 385-4496

    Type: Mailing

  • 1266 ESCALANTE DR

    STE 301

    DURANGO, CO 813038902

    Phone: (970) 828-2200

    Fax: (907) 828-2201

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $195.

Total Amount is formed as General ($195) + Research ($0) + Ownership ($0) = $195.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Astellas Pharma US Inc ($72).

Total Amount

$195

General + Research + Ownership

Payments

9

Total payment records

General Amount

$195

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2021-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20111202000174IOptometryCOTBD
I20210830002291IOptometryNMTBD

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
92134Imaging of retina376310$0
92012Established patient problem focused exam of visual system296249$0
99213Established patient office or other outpatient visit, 20-29 minutes231167$0
92014Established patient complete exam of visual system181163$0
92004New patient complete exam of visual system9696$0
View full utilization report →

Insurance plans in this area (ZIP 81301)

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Provider's Procedures

KILEY ANN BERRY (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYCO92083Measurement of field of vision during daylight conditions2421

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: 5991118606View full group profile
NameSpecialtyState
O P H T H A L M O L O G YNM
O P H T H A L M O L O G YNM
O P H T H A L M O L O G YCO
O P T O M E T R YNM
O P H T H A L M O L O G YNM
O P H T H A L M O L O G YCO
O P H T H A L M O L O G YCO

Reviews

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Frequently asked questions

Is there an official ID for KILEY ANN BERRY (OD) in U.S. healthcare records?
The official identifier for KILEY ANN BERRY (OD) is NPI 1669638011.
Active or inactive — what applies to KILEY ANN BERRY (OD)?
You should see KILEY ANN BERRY (OD) as active in CMS-hosted NPPES data.
What expertise is attributed to KILEY ANN BERRY (OD)?
KILEY ANN BERRY (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Where in Colorado is KILEY ANN BERRY (OD) registered?
Use Durango, Colorado as the headline location for KILEY ANN BERRY (OD) here.
Can I trust this NPI listing for KILEY ANN BERRY (OD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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