DR. LARRY ROBERT KINNICK (O.D.) – Optometrist, NPI 1801874334

DR. LARRY ROBERT KINNICK (O.D.) is a healthcare provider. based in Montrose, Colorado. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1477 (CO). The NPI Number for DR. LARRY ROBERT KINNICK (O.D.) is 1801874334

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. LARRY ROBERT KINNICK (O.D.)
NPI
1801874334
Phone
1 (970) 249-1210
Address
1800 E PAVILION PL UNIT B
Enumeration Date
5 January 2006
Last Update Date
28 September 2017

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
9702491210
Graduation Year
1990 (36 years ago)
PAC ID
0143253880
Group Practice PAC ID
2961304217
Professional Enrollment ID
I20050914000262
Address ID
CO814015499MO1800XPLAC401
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

851 OPTOMETRY in CO

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Provider Addresses for DR. LARRY ROBERT KINNICK (O.D.)

  • East Pavilion Place, Montrose, Montrose County, Colorado, 81401, United States

    MONTROSE, CO 814015499

    Phone: 1 (970) 249-1210

    Fax: (970) 249-3057

    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 3 Open Payments records for all available years, with a total value of $157.

Total Amount is formed as General ($157) + Research ($0) + Ownership ($0) = $157.

Last reported payment date: 2023-09-20 • Largest payer in this snapshot: Alcon Vision LLC ($85).

Total Amount

$157

General + Research + Ownership

Payments

3

Total payment records

General Amount

$157

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-20

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: 2005-09-14

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
I20050914000262IOptometryCOTBD

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
92014Established patient complete exam of visual system462459$0
92004New patient complete exam of visual system171171$0
99213Established patient office or other outpatient visit, 20-29 minutes153131$0
92134Imaging of retina8376$0
99214Established patient office or other outpatient visit, 30-39 minutes3635$0
View full utilization report →

Insurance plans in this area (ZIP 81401)

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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: 2961304217View full group profile
NameSpecialtyState
O P H T H A L M O L O G YAZ
O P H T H A L M O L O G YDC
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

What number should I use to identify DR. LARRY ROBERT KINNICK (O.D.) for billing?
Administrative and clinical systems typically use NPI 1801874334 for DR. LARRY ROBERT KINNICK (O.D.).
Is DR. LARRY ROBERT KINNICK (O.D.)'s NPI status active today?
Active status means DR. LARRY ROBERT KINNICK (O.D.)'s NPI record is not deactivated in the public file.
What services align with DR. LARRY ROBERT KINNICK (O.D.)'s listing?
DR. LARRY ROBERT KINNICK (O.D.)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. LARRY ROBERT KINNICK (O.D.)?
DR. LARRY ROBERT KINNICK (O.D.) shows a connection to Montrose, Colorado in registry-derived data.
Why is information missing for DR. LARRY ROBERT KINNICK (O.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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