KIMBERLY MAYO (OD) – Optometrist, NPI 1265815856
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,126 OPTOMETRY in IN
Provider Addresses for KIMBERLY MAYO (OD)
800 E ATWATER AVE
RM 264
BLOOMINGTON, IN 474053635
Phone: (812) 855-3670
Fax: (812) 855-6116
Type: Mailing
744 E 3RD ST
BLOOMINGTON, IN 474053603
Phone: (812) 855-8436
Fax: (812) 855-1683
Type: Location
403 WALNUT ST
LAWRENCEBURG, IN 470252411
Phone: (812) 537-2020
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $513.
Total Amount is formed as General ($513) + Research ($0) + Ownership ($0) = $513.
Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($350).
Total Amount
$513
General + Research + Ownership
Payments
20
Total payment records
General Amount
$513
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-01-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150717000792 | I | Optometry | IN | TBD |
| I20220112000722 | I | Optometry | KY | 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 | 31 | 31 | $0 |
| 92004 | New patient complete exam of visual system | 23 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 12 | $0 |
Insurance plans in this area (ZIP 47405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | KY | |
| O P T O M E T R Y | KY |
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