KATELYN KEEFER (OD) – Optometrist, NPI 1972125904

KATELYN KEEFER (OD) is a healthcare provider. based in Alton, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 030.0133923-EMGY (VT). The NPI Number for KATELYN KEEFER (OD) is 1972125904

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KATELYN KEEFER (OD)
NPI
1972125904
Phone
(618) 462-9818
Address
111 E 4TH ST STE 440
Enumeration Date
13 May 2020
Last Update Date
21 January 2022

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
4022050754
Graduation Year
2020 (6 years ago)
PAC ID
4284055997
Group Practice PAC ID
7719212307
Professional Enrollment ID
I20220314000103
Address ID
NE681162163OM3606XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:6State licenses:4Digital endpointsOther names

338 OPTOMETRY in NE

Provider Addresses for KATELYN KEEFER (OD)

  • 111 E 4TH ST STE 440

    ALTON, IL 620026241

    Phone: (618) 462-9818

    Type: Mailing

  • 16016 EVANS ST STE 101

    OMAHA, NE 681166457

    Phone: (402) 493-3224

    Type: Location

  • 468 HOSPITAL DR

    SAINT JOHNSBURY, VT 058199225

    Phone: (802) 727-0236

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $1,021.

Total Amount is formed as General ($1,021) + Research ($0) + Ownership ($0) = $1,021.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($480).

Total Amount

$1,021

General + Research + Ownership

Payments

24

Total payment records

General Amount

$1,021

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2024-06-01

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
I20220314000103IOptometryNETBD
I20240601000504IOptometryIATBD

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 system4847$0
99213Established patient office or other outpatient visit, 20-29 minutes1614$0
92250Photography of the retina1513$0
View full utilization report →

Insurance plans in this area (ZIP 62002)

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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: 7719212307View full group profile
NameSpecialtyState
O P T O M E T R YIA
O P T O M E T R YNE
O P T O M E T R YMN

Reviews

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Frequently asked questions

What NPI should I save for KATELYN KEEFER (OD)?
Save NPI 1972125904 if you need a stable reference for KATELYN KEEFER (OD).
Is KATELYN KEEFER (OD) currently active in the NPI registry?
CMS-published data lists KATELYN KEEFER (OD) as an active registrant.
Does KATELYN KEEFER (OD) list a primary specialty?
If you are matching referrals, note Optometrist for KATELYN KEEFER (OD). Clinical services aligned with this taxonomy classification.
What location metadata exists for KATELYN KEEFER (OD)?
The page summarizes Alton, Illinois for KATELYN KEEFER (OD); expand the address list for detail.
Is KATELYN KEEFER (OD) a real provider?
This page reflects official NPPES data for NPI 1972125904. Always confirm identity and privileges with the practice and licensing boards.

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