KEVIN H EGAN (OD) – Optometrist, NPI 1902837339

KEVIN H EGAN (OD) is a healthcare provider. based in Elkhart, Indiana. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 18002412 (IN). The NPI Number for KEVIN H EGAN (OD) is 1902837339

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN H EGAN (OD)
NPI
1902837339
Phone
(574) 293-3545
Address
2746 OLD US 20 W
Enumeration Date
5 July 2006
Last Update Date
6 March 2008

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
5742938366
Graduation Year
1989 (37 years ago)
PAC ID
6709981152
Group Practice PAC ID
6103921556
Professional Enrollment ID
I20070413000490
Address ID
IN465141365EL2746XCXXX600
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

1,126 OPTOMETRY in IN

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Provider Addresses for KEVIN H EGAN (OD)

  • Old US-20, Elkhart, Elkhart County, Indiana, 46561, United States

    ELKHART, IN 465141364

    Phone: (574) 293-3545

    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 9 Open Payments records for all available years, with a total value of $583.

Total Amount is formed as General ($583) + Research ($0) + Ownership ($0) = $583.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Alcon Vision LLC ($194).

Total Amount

$583

General + Research + Ownership

Payments

9

Total payment records

General Amount

$583

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

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: 2007-04-13

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
I20070413000490IOptometryINTBD

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 system339329$0
92012Established patient problem focused exam of visual system205146$0
92133Imaging of optic nerve190175$0
99214Established patient office or other outpatient visit, 30-39 minutes131131$0
92083Exam of visual field with extended testing115105$0
View full utilization report →

Insurance plans in this area (ZIP 46514)

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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: 6103921556View full group profile
NameSpecialtyState
O P T O M E T R 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 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 H T H A L M O L O G YIN
O P H T H A L M O L O G YFL
Certified Registered Nurse Anesthetist (Crna)IN

Reviews

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Frequently asked questions

Can I cross-check KEVIN H EGAN (OD) using NPI 1902837339?
NPI 1902837339 belongs to KEVIN H EGAN (OD); compare other details if you need extra assurance.
Would KEVIN H EGAN (OD) appear as active to a payer?
You can treat KEVIN H EGAN (OD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to KEVIN H EGAN (OD)?
KEVIN H EGAN (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KEVIN H EGAN (OD)?
Travel planning: use Elkhart, Indiana as the reference point for KEVIN H EGAN (OD), then confirm.
When was this NPI issued?
Enumeration for KEVIN H EGAN (OD) is noted as July 5, 2006 where the registry provides it.

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