KYLENE ANN POLHAMUS (O.D.) – Optometrist, NPI 1427464890
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,126 OPTOMETRY in IN
Provider Addresses for KYLENE ANN POLHAMUS (O.D.)
14700 COUNTY MURRAY DR
GRANGER, IN 465308988
Phone: (574) 220-8703
Type: Mailing
2746 OLD US 20 W
ELKHART, IN 465141364
Phone: (574) 293-3545
Type: Location
1320 CITY CENTER DR STE 150
CARMEL, IN 460323104
Phone: (317) 846-4223
Fax: (317) 846-6063
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 127 Open Payments records for all available years, with a total value of $3,382.
Total Amount is formed as General ($3,382) + Research ($0) + Ownership ($0) = $3,382.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($1,084).
Total Amount
$3,382
General + Research + Ownership
Payments
127
Total payment records
General Amount
$3,382
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $1,084 |
| Mallinckrodt Hospital Products Inc. | $547 |
| Oyster Point Pharma, Inc. | $349 |
| Alcon Vision LLC | $283 |
| Sun Pharmaceutical Industries Inc. | $221 |
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: 2014-09-26
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 |
|---|---|---|---|---|
| I20140926002007 | I | Optometry | IN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 305 | 162 | $0 |
| 92014 | Established patient complete exam of visual system | 137 | 136 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 54 | 47 | $0 |
| 92004 | New patient complete exam of visual system | 49 | 49 | $0 |
| 92012 | Established patient problem focused exam of visual system | 29 | 22 | $0 |
Insurance plans in this area (ZIP 46530)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | IN | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 112 | 91 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IN | |
| O P H T H A L M O L O G Y | IN | |
| O P T O M E T R Y | IN | |
| O P H T H A L M O L O G Y | IN | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | IN | |
| O P H T H A L M O L O G Y | IN | |
| O P H T H A L M O L O G Y | FL | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| O P T O M E T R Y | IN |
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