MR. KENNETH M HAINSWORTH (M.D.) – Ophthalmology Physician, NPI 1942290929
Ophthalmology Physician
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NPPES metrics only — not quality of care.
71 OPHTHALMOLOGY in ID
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Provider Addresses for MR. KENNETH M HAINSWORTH (M.D.)
St. Luke's Boise Medical Center, 190, East Bannock Street, Downtown, Boise, Ada County, Idaho, 83712, United States
BOISE, ID 837126241
Phone: (208) 381-2222
Type: Mailing
1818, South 10th Avenue, Caldwell, Canyon County, Idaho, 83605, United States
CALDWELL, ID 836054803
Phone: (208) 455-2355
Fax: (208) 463-3044
Type: Location
215 E HAWAII AVE STE 260
NAMPA, ID 836866011
Phone: (208) 593-7199
Fax: (208) 593-7195
Type: Mailing
215 E HAWAII AVE
NAMPA, ID 836866011
Phone: (208) 463-3000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2023-05-02 • Largest payer in this snapshot: Alcon Vision LLC ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $13 |
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: 2010-03-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100315000973 | I | Ophthalmology | ID | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 173 | 167 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 162 | 135 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 77 | 46 | $0 |
| 92134 | Imaging of retina | 76 | 49 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 71 | 40 | $0 |
Insurance plans in this area (ZIP 83712)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | ID | 92083 | Measurement of field of vision during daylight conditions | 49 | 39 |
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