KENNETH D STULTS (OD) – Optometrist, NPI 1982608865
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
503 OPTOMETRY in IA
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Provider Addresses for KENNETH D STULTS (OD)
Southwest Foot and Ankle Center, 1610, West Townline Street, Creston, Union County, Iowa, 50801, United States
STE 115
CRESTON, IA 508011064
Phone: (641) 782-7619
Fax: (641) 782-6549
Type: Location
PO BOX 427
CRESTON, IA 508010427
Phone: (641) 782-7619
Fax: (641) 782-6549
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 $222.
Total Amount is formed as General ($222) + Research ($0) + Ownership ($0) = $222.
Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Alcon Vision LLC ($199).
Total Amount
$222
General + Research + Ownership
Payments
3
Total payment records
General Amount
$222
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $199 |
| Johnson & Johnson Vision Care, Inc. | $23 |
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: 2010-05-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100514000550 | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 506 | 494 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 176 | 115 | $0 |
| 92134 | Imaging of retina | 145 | 127 | $0 |
| 92083 | Exam of visual field with extended testing | 135 | 128 | $0 |
| 92250 | Photography of the retina | 79 | 79 | $0 |
Insurance plans in this area (ZIP 50801)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IA | |
| O P T O M E T R Y | IA | |
| - | CO | |
| O P T O M E T R Y | IA | |
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | IA | |
| O P T O M E T R Y | NC | |
| O P T O M E T R Y | CO | |
| O P T O M E T R Y | IA | |
| O P T O M E T R Y | NC |
Reviews
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