DR. KYLE WAINWRIGHT (O.D.) – Optometrist, NPI 1063769438

DR. KYLE WAINWRIGHT (O.D.) is a healthcare provider. based in Manhattan, Kansas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1931 (KS). The NPI Number for DR. KYLE WAINWRIGHT (O.D.) is 1063769438

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. KYLE WAINWRIGHT (O.D.)
NPI
1063769438
Phone
(785) 539-8019
Address
101 BLUEMONT AVE
Enumeration Date
4 August 2012
Last Update Date
23 February 2013

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
7855398019
Graduation Year
2012 (14 years ago)
PAC ID
7113179672
Group Practice PAC ID
3678725132
Professional Enrollment ID
I20121207000079
Address ID
KS665034101MA2012XPLXX301
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

532 OPTOMETRY in KS

Provider Addresses for DR. KYLE WAINWRIGHT (O.D.)

  • 101 BLUEMONT AVE

    MANHATTAN, KS 665025093

    Phone: (785) 539-8019

    Fax: (785) 587-0676

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $74.

Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($55).

Total Amount

$74

General + Research + Ownership

Payments

4

Total payment records

General Amount

$74

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2012-12-07

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
I20121207000079IOptometryKSTBD

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
92014Established patient complete exam of visual system7769$0
92012Established patient problem focused exam of visual system4229$0
92083Exam of visual field with extended testing2619$0
92004New patient complete exam of visual system2525$0
92250Photography of the retina2422$0
View full utilization report →

Insurance plans in this area (ZIP 66502)

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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: 3678725132View full group profile
NameSpecialtyState
O P T O M E T R YKS
O P T O M E T R YKS

Reviews

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Frequently asked questions

How do I look up DR. KYLE WAINWRIGHT (O.D.) by NPI?
Use NPI 1063769438 when you need to reference DR. KYLE WAINWRIGHT (O.D.) in forms, claims, or directories.
Is DR. KYLE WAINWRIGHT (O.D.) currently active in the NPI registry?
CMS-published data lists DR. KYLE WAINWRIGHT (O.D.) as an active registrant.
What kind of provider is DR. KYLE WAINWRIGHT (O.D.)?
The page reflects Optometrist for DR. KYLE WAINWRIGHT (O.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KYLE WAINWRIGHT (O.D.)?
The page summarizes Manhattan, Kansas for DR. KYLE WAINWRIGHT (O.D.); expand the address list for detail.
How can I contact DR. KYLE WAINWRIGHT (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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