KIMBERLY B FEDER (O.D.) – Optometrist, NPI 1073551735

KIMBERLY B FEDER (O.D.) is a healthcare provider. based in Fort myers, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC4043 (FL). The NPI Number for KIMBERLY B FEDER (O.D.) is 1073551735

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY B FEDER (O.D.)
NPI
1073551735
Phone
(239) 418-0999
Address
PO BOX 61199
Enumeration Date
3 June 2006
Last Update Date
13 December 2024

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
2394180999
Graduation Year
2005 (21 years ago)
PAC ID
0244239580
Group Practice PAC ID
9234039140
Professional Enrollment ID
I20061213000516
Address ID
FL339073632FO12731BLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for KIMBERLY B FEDER (O.D.)

  • PO BOX 61199

    FORT MYERS, FL 339061199

    Phone: (239) 418-0999

    Fax: (239) 418-0091

    Type: Mailing

  • 12731 NEW BRITTANY BLVD

    FORT MYERS, FL 339073632

    Phone: (239) 418-0999

    Fax: (239) 418-0091

    Type: Location

  • 2500 Goodlette-Frank Rd N Unit 200

    Naples, FL 341034607

    Phone: (239) 734-3877

    Type: Location

  • 9617 GULF RESEARCH LN

    FORT MYERS, FL 339124560

    Phone: (239) 418-0999

    Fax: (239) 418-0091

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 88 Open Payments records for all available years, with a total value of $4,095.

Total Amount is formed as General ($4,095) + Research ($0) + Ownership ($0) = $4,095.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Alcon Vision LLC ($862).

Total Amount

$4,095

General + Research + Ownership

Payments

88

Total payment records

General Amount

$4,095

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2006-12-13

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
I20061213000516IOptometryFLTBD

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 system373366$0
92134Imaging of retina322306$0
99213Established patient office or other outpatient visit, 20-29 minutes231187$0
92083Exam of visual field with extended testing10197$0
92250Photography of the retina9793$0
View full utilization report →

Insurance plans in this area (ZIP 33906)

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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: 9234039140View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
Physician AssistantFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
Physician AssistantFL
Plastic And Reconstructive SurgeryFL
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

What unique ID ties claims to KIMBERLY B FEDER (O.D.)?
NPI 1073551735 is assigned to KIMBERLY B FEDER (O.D.) under the national enumeration system.
Is KIMBERLY B FEDER (O.D.)'s NPI currently valid?
The extract we use shows KIMBERLY B FEDER (O.D.) as active.
Does KIMBERLY B FEDER (O.D.) list a primary specialty?
If you are matching referrals, note Optometrist for KIMBERLY B FEDER (O.D.). Clinical services aligned with this taxonomy classification.
Does KIMBERLY B FEDER (O.D.) practice in Florida?
You will see Fort Myers, Florida on file for KIMBERLY B FEDER (O.D.) alongside any extra practice locations.
What if Fort Myers, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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