KRISTEN SUZANNE GRACIA (OD) – Optometrist, NPI 1104543347

KRISTEN SUZANNE GRACIA (OD) is a healthcare provider. based in Richmond, Indiana. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 18004374A (IN). The NPI Number for KRISTEN SUZANNE GRACIA (OD) is 1104543347

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN SUZANNE GRACIA (OD)
NPI
1104543347
Phone
(765) 962-2020
Address
1900 CHESTER BLVD
Enumeration Date
27 October 2022
Last Update Date
27 October 2022

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
7659622020
Graduation Year
2022 (4 years ago)
PAC ID
7719355155
Group Practice PAC ID
6608914072
Professional Enrollment ID
I20221116001690
Address ID
IN473741213RI1900XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,126 OPTOMETRY in IN

Provider Addresses for KRISTEN SUZANNE GRACIA (OD)

  • 1900 CHESTER BLVD

    RICHMOND, IN 473741213

    Phone: (765) 962-2020

    Fax: (765) 966-2975

    Type: Mailing

  • 955 N MICHIGAN AVE STE 2

    GREENSBURG, IN 472401487

    Phone: (812) 222-2020

    Fax: (855) 515-0832

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $177.

Total Amount is formed as General ($177) + Research ($0) + Ownership ($0) = $177.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: ABBVIE INC. ($92).

Total Amount

$177

General + Research + Ownership

Payments

5

Total payment records

General Amount

$177

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2022-11-16

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
I20221116001690IOptometryINTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes185108$0
92134Imaging of retina8974$0
99213Established patient office or other outpatient visit, 20-29 minutes7158$0
92133Imaging of optic nerve3130$0
92083Exam of visual field with extended testing3029$0
View full utilization report →

Insurance plans in this area (ZIP 47374)

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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: 6608914072View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIN
O P H T H A L M O L O G YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YIN
O P H T H A L M O L O G YIN
O P T O M E T R YIN

Reviews

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Frequently asked questions

What federal number belongs to KRISTEN SUZANNE GRACIA (OD)?
The federal identifier for KRISTEN SUZANNE GRACIA (OD) is NPI 1104543347.
Does this profile mean KRISTEN SUZANNE GRACIA (OD) is currently active?
Yes — KRISTEN SUZANNE GRACIA (OD) appears active in the national provider directory.
What field does KRISTEN SUZANNE GRACIA (OD) work in?
You can think of KRISTEN SUZANNE GRACIA (OD) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for KRISTEN SUZANNE GRACIA (OD)?
The page summarizes Richmond, Indiana for KRISTEN SUZANNE GRACIA (OD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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