DR. KREED BOWMAN (O.D.) – Optometrist, NPI 1093168767

DR. KREED BOWMAN (O.D.) is a healthcare provider. based in Idaho falls, Idaho. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. ODP-100365 (ID). The NPI Number for DR. KREED BOWMAN (O.D.) is 1093168767

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. KREED BOWMAN (O.D.)
NPI
1093168767
Phone
(208) 552-3355
Address
2300 E 17th St
Enumeration Date
18 July 2016
Last Update Date
15 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083564585
Graduation Year
2016 (10 years ago)
PAC ID
4284912155
Group Practice PAC ID
1759634397
Professional Enrollment ID
I20161027000613
Address ID
ID834402047RE76XXXPLZX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

268 OPTOMETRY in ID

Provider Addresses for DR. KREED BOWMAN (O.D.)

  • 2300 E 17th St

    Suite 1157

    Idaho Falls, ID 834046504

    Phone: (208) 552-3355

    Fax: (208) 552-6120

    Type: Location

  • North Yellowstone Highway, Rigby, Jefferson County, Idaho, 83442, United States

    RIGBY, ID 834425654

    Phone: (208) 346-1274

    Type: Mailing

  • 76, Professional Plaza, Rexburg, Madison County, Idaho, 83440, United States

    REXBURG, ID 834402047

    Phone: (208) 356-4585

    Fax: (208) 356-4587

    Type: Location

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 $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2024-03-04 • Largest payer in this snapshot: Alcon Vision LLC ($46).

Total Amount

$46

General + Research + Ownership

Payments

3

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$46
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: 2016-10-27

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
I20161027000613IOptometryIDTBD

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
92250Photography of the retina118116$0
92014Established patient complete exam of visual system8989$0
99214Established patient office or other outpatient visit, 30-39 minutes6150$0
99213Established patient office or other outpatient visit, 20-29 minutes5436$0
92133Imaging of optic nerve3926$0
View full utilization report →

Insurance plans in this area (ZIP 83404)

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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: 1759634397View full group profile
NameSpecialtyState
O P T O M E T R YID

Reviews

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Frequently asked questions

What NPI should I save for DR. KREED BOWMAN (O.D.)?
Save NPI 1093168767 if you need a stable reference for DR. KREED BOWMAN (O.D.).
Is DR. KREED BOWMAN (O.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. KREED BOWMAN (O.D.)?
The page reflects Optometrist for DR. KREED BOWMAN (O.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KREED BOWMAN (O.D.)?
The page summarizes Idaho Falls, Idaho for DR. KREED BOWMAN (O.D.); expand the address list for detail.
What if Idaho Falls, Idaho seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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