KENT KUNKEL (O.D.) – Optometrist, NPI 1134272842

KENT KUNKEL (O.D.) is a healthcare provider. based in Spring valley, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046008411 (IL). The NPI Number for KENT KUNKEL (O.D.) is 1134272842

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
KENT KUNKEL (O.D.)
NPI
1134272842
Phone
(815) 664-5331
Address
215 RICHARD A MAUTINO DR
Enumeration Date
18 January 2007
Last Update Date
8 December 2010

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
8156645331
Graduation Year
1991 (35 years ago)
PAC ID
9830255892
Group Practice PAC ID
4284790247
Professional Enrollment ID
I20090227000281
Address ID
IL613621144SP215XXDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for KENT KUNKEL (O.D.)

  • Richard A Mautino Drive, Hicks Corners, 3rd Ward, Spring Valley, Bureau County, Illinois, 61362, United States

    SPRING VALLEY, IL 613621144

    Phone: (815) 664-5331

    Fax: (815) 663-5057

    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 4 Open Payments records for all available years, with a total value of $112.

Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.

Last reported payment date: 2023-12-04 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($84).

Total Amount

$112

General + Research + Ownership

Payments

4

Total payment records

General Amount

$112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-04

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: 2009-02-27

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
I20090227000281IOptometryILTBD

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 system113112$0
92250Photography of the retina3232$0
92134Imaging of retina2221$0
99213Established patient office or other outpatient visit, 20-29 minutes1915$0
92004New patient complete exam of visual system1818$0
View full utilization report →

Insurance plans in this area (ZIP 61362)

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Provider's Procedures

KENT KUNKEL (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIL92083Measurement of field of vision during daylight conditions1413

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: 4284790247View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIA
O P T O M E T R YIL

Reviews

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Frequently asked questions

How do I look up KENT KUNKEL (O.D.) by NPI?
Use NPI 1134272842 when you need to reference KENT KUNKEL (O.D.) in forms, claims, or directories.
Is KENT KUNKEL (O.D.) active in the national directory?
KENT KUNKEL (O.D.)'s public NPI profile is in an active state.
What field does KENT KUNKEL (O.D.) work in?
You can think of KENT KUNKEL (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for KENT KUNKEL (O.D.)?
We surface Spring Valley, Illinois for KENT KUNKEL (O.D.) based on available NPPES addresses.
How can I contact KENT KUNKEL (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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