THOMAS KEMMERER (O.D.) – Optometrist, NPI 1245587724

THOMAS 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. 002614 (IA). The NPI Number for THOMAS KEMMERER (O.D.) is 1245587724

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS KEMMERER (O.D.)
NPI
1245587724
Phone
(515) 505-0228
Address
16477 DELLWOOD DR
Enumeration Date
14 August 2012
Last Update Date
13 September 2020

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
5152249681
Graduation Year
2012 (14 years ago)
PAC ID
8123271723
Group Practice PAC ID
1759874522
Professional Enrollment ID
I20200930000586
Address ID
IA503256449CL10001AVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

504 OPTOMETRY in IA

Provider Addresses for THOMAS KEMMERER (O.D.)

  • 16477 DELLWOOD DR

    CLIVE, IA 503252576

    Phone: (515) 505-0228

    Type: Mailing

  • 3800 MERLE HAY RD STE 407

    DES MOINES, IA 503101323

    Phone: (515) 278-1653

    Fax: (515) 278-0043

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $1,079.

Total Amount is formed as General ($1,079) + Research ($0) + Ownership ($0) = $1,079.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Alcon Vision LLC ($484).

Total Amount

$1,079

General + Research + Ownership

Payments

40

Total payment records

General Amount

$1,079

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2020-09-30

PECOS data refreshed: 2026-06-15

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
I20200930000586IOptometryIATBD

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 retina176174$0
92014Established patient complete exam of visual system155153$0
92012Established patient problem focused exam of visual system3319$0
92004New patient complete exam of visual system2424$0
66984Removal of cataract with insertion of prosthetic lens2015$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 10-digit NPI for THOMAS KEMMERER (O.D.)?
THOMAS KEMMERER (O.D.) — NPI 1245587724 — is the standard way to identify this listing.
Does the file indicate THOMAS KEMMERER (O.D.) is practicing under active NPI?
Directory data currently reports THOMAS KEMMERER (O.D.) as active.
What is THOMAS KEMMERER (O.D.) best known for clinically?
Directory data describes THOMAS KEMMERER (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is THOMAS KEMMERER (O.D.) based?
THOMAS KEMMERER (O.D.) is tied to Clive, Iowa in the data we show; additional addresses may exist on the full record.
Why does THOMAS KEMMERER (O.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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