MRS. KIMBERLY R BRISTOW (OD) – Optometrist, NPI 1669430211

MRS. KIMBERLY R BRISTOW (OD) is a healthcare provider. based in Newark, Delaware. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 13-0001241 (DE). The NPI Number for MRS. KIMBERLY R BRISTOW (OD) is 1669430211

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KIMBERLY R BRISTOW (OD)
NPI
1669430211
Phone
(302) 993-0722
Address
1 CENTURIAN DR
Enumeration Date
3 May 2006
Last Update Date
22 September 2011

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
4103926133
Graduation Year
1997 (29 years ago)
PAC ID
1355533738
Group Practice PAC ID
3476549098
Professional Enrollment ID
I20120125000265
Address ID
MD219216391EL103XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

140 OPTOMETRY in DE

Provider Addresses for MRS. KIMBERLY R BRISTOW (OD)

  • 1 CENTURIAN DR

    SUITE 114

    NEWARK, DE 197132137

    Phone: (302) 993-0722

    Fax: (302) 993-0754

    Type: Location

  • 103, Chesapeake Boulevard, Delancy Village, Elkton, Cecil County, Maryland, 21921, United States

    STE C

    ELKTON, MD 21921

    Phone: (410) 392-4976

    Fax: (410) 392-4958

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $929.

Total Amount is formed as General ($929) + Research ($0) + Ownership ($0) = $929.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($289).

Total Amount

$929

General + Research + Ownership

Payments

41

Total payment records

General Amount

$929

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2012-01-25

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
I20101004000627IOptometryMDTBD
I20120125000265IOptometryDETBD

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 system797786$0
99213Established patient office or other outpatient visit, 20-29 minutes515396$0
99214Established patient office or other outpatient visit, 30-39 minutes386308$0
92083Exam of visual field with extended testing351337$0
92133Imaging of optic nerve327314$0
View full utilization report →

Insurance plans in this area (ZIP 19713)

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Provider's Procedures

MRS. KIMBERLY R BRISTOW (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYDE92083Measurement of field of vision during daylight conditions179172
OPTOMETRYDE92134Diagnostic imaging of retina1414

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: 3476549098View full group profile
NameSpecialtyState
O P H T H A L M O L O G YNJ
O P H T H A L M O L O G YMD
O P T O M E T R YDE
O P H T H A L M O L O G YDE
O P T O M E T R YMD

Reviews

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Frequently asked questions

Is there an official ID for MRS. KIMBERLY R BRISTOW (OD) in U.S. healthcare records?
The official identifier for MRS. KIMBERLY R BRISTOW (OD) is NPI 1669430211.
Active or inactive — what applies to MRS. KIMBERLY R BRISTOW (OD)?
You should see MRS. KIMBERLY R BRISTOW (OD) as active in CMS-hosted NPPES data.
What clinical focus is listed for MRS. KIMBERLY R BRISTOW (OD)?
At a glance, MRS. KIMBERLY R BRISTOW (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is MRS. KIMBERLY R BRISTOW (OD) located near Newark?
MRS. KIMBERLY R BRISTOW (OD) currently maps to Newark, Delaware in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.