KEN KREIDL (M.D.) – Ophthalmology Physician, NPI 1942284500

KEN KREIDL (M.D.) is a healthcare provider. based in Boulder, Colorado. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 42396 (CO). The NPI Number for KEN KREIDL (M.D.) is 1942284500

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
KEN KREIDL (M.D.)
NPI
1942284500
Phone
(303) 440-3000
Address
2750 BROADWAY ST
Enumeration Date
6 December 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
STANFORD UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3034403000
Graduation Year
2000 (26 years ago)
PAC ID
9335130764
Group Practice PAC ID
4183536204
Professional Enrollment ID
I20040524000245
Address ID
CO803043573BO2750XSTXX300
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

396 OPHTHALMOLOGY in CO

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Provider Addresses for KEN KREIDL (M.D.)

  • Broadway, The Hill, Boulder, Boulder County, Colorado, 80802, United States

    BOULDER, CO 803043573

    Phone: (303) 440-3000

    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 2 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2024-04-09 • Largest payer in this snapshot: Alcon Vision LLC ($25).

Total Amount

$47

General + Research + Ownership

Payments

2

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-09

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: 2004-05-24

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
I20040524000245IOphthalmologyCOTBD

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 system499492$0
92250Photography of the retina476411$0
92012Established patient problem focused exam of visual system458313$0
68761Closure of tear duct opening using plug367138$0
92134Imaging of retina302275$0
View full utilization report →

Insurance plans in this area (ZIP 80304)

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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: 4183536204View full group profile
NameSpecialtyState
General SurgeryCO
Family PracticeWA
-CO
Family PracticeCO
Pediatric Medicine, GastroenterologyCO
Internal MedicineCO
G A S T R O E N T E R O L O G YCO
-AZ
Family PracticeCO
Physician AssistantCO

Reviews

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Frequently asked questions

What is the standard ID for KEN KREIDL (M.D.) in the U.S.?
In the U.S., KEN KREIDL (M.D.) is identified by NPI 1942284500.
Is KEN KREIDL (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists KEN KREIDL (M.D.) as active.
How should patients interpret KEN KREIDL (M.D.)'s specialty?
The extract shows Ophthalmology Physician for KEN KREIDL (M.D.). Clinical services aligned with this taxonomy classification.
Which community is linked to KEN KREIDL (M.D.)?
KEN KREIDL (M.D.) shows a connection to Boulder, Colorado in registry-derived data.
Who maintains KEN KREIDL (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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