MRS. KRISTINE FARRELL LINVILLE (OD) – Optometrist, NPI 1790205581

MRS. KRISTINE FARRELL LINVILLE (OD) is a healthcare provider. based in West des moines, Iowa. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 107333 (IA). The NPI Number for MRS. KRISTINE FARRELL LINVILLE (OD) is 1790205581

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KRISTINE FARRELL LINVILLE (OD)
NPI
1790205581
Phone
(608) 317-1938
Address
6200 WESTOWN PKWY
Enumeration Date
22 June 2017
Last Update Date
28 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
5152870820
Graduation Year
2017 (9 years ago)
PAC ID
4981974870
Group Practice PAC ID
8022458496
Professional Enrollment ID
I20210901003144
Address ID
IA503155011DE6004XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

863 OPTOMETRY in MO

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Provider Addresses for MRS. KRISTINE FARRELL LINVILLE (OD)

  • 6200 WESTOWN PKWY

    WEST DES MOINES, IA 502667755

    Phone: (608) 317-1938

    Type: Mailing

  • 2108, Stadium View Court, Jefferson City, Cole County, Missouri, 65109, United States

    JEFFERSON CITY, MO 651091993

    Phone:

    Type: Mailing

  • Southampton Drive, Columbia, Boone County, Missouri, United States

    COLUMBIA, MO 652036136

    Phone: (573) 874-3937

    Fax: (573) 874-3937

    Type: Location

  • 1404 SUGAR CREEK CIR

    WEST DES MOINES, IA 502669016

    Phone: (608) 317-1938

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $136.

Total Amount is formed as General ($136) + Research ($0) + Ownership ($0) = $136.

Last reported payment date: 2024-05-24 • Largest payer in this snapshot: BIOTISSUE HOLDINGS, INC. ($93).

Total Amount

$136

General + Research + Ownership

Payments

3

Total payment records

General Amount

$136

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-24

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: 2021-09-01

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
I20210901003144IOptometryIATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes156144$0
92014Established patient complete exam of visual system139139$0
92134Imaging of retina123115$0
92004New patient complete exam of visual system105105$0
92133Imaging of optic nerve8481$0
View full utilization report →

Insurance plans in this area (ZIP 50266)

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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: 8022458496View full group profile
NameSpecialtyState
O P T O M E T R YWI
O P T O M E T R YIA

Reviews

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Frequently asked questions

How do I look up MRS. KRISTINE FARRELL LINVILLE (OD) by NPI?
Use NPI 1790205581 when you need to reference MRS. KRISTINE FARRELL LINVILLE (OD) in forms, claims, or directories.
Is MRS. KRISTINE FARRELL LINVILLE (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MRS. KRISTINE FARRELL LINVILLE (OD) list a primary specialty?
If you are matching referrals, note Optometrist for MRS. KRISTINE FARRELL LINVILLE (OD). Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. KRISTINE FARRELL LINVILLE (OD)?
The page summarizes West Des Moines, Iowa for MRS. KRISTINE FARRELL LINVILLE (OD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.