KATHERINE KEMMERER (O.D.) – Optometrist, NPI 1063769545

KATHERINE KEMMERER (O.D.) is a healthcare provider. based in Clive, Iowa. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 002613 (IA). The NPI Number for KATHERINE KEMMERER (O.D.) is 1063769545

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE KEMMERER (O.D.)
NPI
1063769545
Phone
(515) 278-1653
Address
16477 DELLWOOD DR
Enumeration Date
14 August 2012
Last Update Date
9 March 2017

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
5152781653
Graduation Year
2012 (14 years ago)
PAC ID
5799938981
Group Practice PAC ID
1759874522
Professional Enrollment ID
I20150210000820
Address ID
IA503101323DE3800XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

503 OPTOMETRY in IA

Provider Addresses for KATHERINE KEMMERER (O.D.)

  • 16477 DELLWOOD DR

    CLIVE, IA 503252576

    Phone: (515) 278-1653

    Type: Mailing

  • 3800 MERLE HAY RD

    #407 HUSEMAN EYE CARE

    DES MOINES, IA 503101305

    Phone: (515) 278-1653

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $1,620.

Total Amount is formed as General ($1,620) + Research ($0) + Ownership ($0) = $1,620.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Alcon Vision LLC ($1,221).

Total Amount

$1,620

General + Research + Ownership

Payments

50

Total payment records

General Amount

$1,620

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2015-02-10

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
I20150210000820IOptometryIATBD

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
92250Photography of the retina254246$0
92014Established patient complete exam of visual system230230$0
92012Established patient problem focused exam of visual system5840$0
66984Removal of cataract with insertion of prosthetic lens4027$0
92004New patient complete exam of visual system2727$0
View full utilization report →

Insurance plans in this area (ZIP 50325)

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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: 1759874522View full group profile
NameSpecialtyState
O P T O M E T R YIA
O P T O M E T R YIA

Reviews

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Frequently asked questions

What is the registry number for KATHERINE KEMMERER (O.D.)?
The registry entry for KATHERINE KEMMERER (O.D.) shows NPI 1063769545.
Does the public listing show KATHERINE KEMMERER (O.D.) as active?
KATHERINE KEMMERER (O.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret KATHERINE KEMMERER (O.D.)'s specialty?
The extract shows Optometrist for KATHERINE KEMMERER (O.D.). Clinical services aligned with this taxonomy classification.
Which community is linked to KATHERINE KEMMERER (O.D.)?
KATHERINE KEMMERER (O.D.) shows a connection to Clive, Iowa in registry-derived data.
Who maintains KATHERINE KEMMERER (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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