JONATHAN KINGSLEY (OD) – Optometrist, NPI 1033891585
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
503 OPTOMETRY in IA
Provider Addresses for JONATHAN KINGSLEY (OD)
2514 W BROADWAY
COUNCIL BLUFFS, IA 515013509
Phone: (712) 322-3097
Fax: (712) 322-4130
Type: Mailing
3606 N 156th St Ste 105
Omaha, NE 681162163
Phone: (402) 205-0754
Type: Location
120 Olson Dr Ste 107
Papillion, NE 680462961
Phone: (402) 504-4257
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $247.
Total Amount is formed as General ($247) + Research ($0) + Ownership ($0) = $247.
Last reported payment date: 2024-12-15 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($188).
Total Amount
$247
General + Research + Ownership
Payments
14
Total payment records
General Amount
$247
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $188 |
| CooperVision Inc. | $59 |
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: 2025-08-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20230818002668 | I | Optometry | IL | TBD |
| I20250805002720 | I | Optometry | NE | TBD |
| I20250808000385 | I | Optometry | IA | 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 |
|---|---|---|---|---|
| 92250 | Photography of the retina | 44 | 40 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 36 | 33 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 34 | 32 | $0 |
| 92081 | Exam of visual field with limited testing | 32 | 32 | $0 |
Insurance plans in this area (ZIP 51501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | NE | |
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | IL |
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