DR. ANDREA M. BEATTY (O.D.) – Corneal and Contact Management Optometrist, NPI 1093908329

DR. ANDREA M. BEATTY (O.D.) is a healthcare provider. based in Shawnee, Kansas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1601 (KS). The NPI Number for DR. ANDREA M. BEATTY (O.D.) is 1093908329

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREA M. BEATTY (O.D.)
NPI
1093908329
Phone
(913) 962-2010
Address
16202 MIDLAND DR
Enumeration Date
21 August 2007
Last Update Date
13 December 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9139622010
Graduation Year
2000 (26 years ago)
PAC ID
2961687231
Group Practice PAC ID
3072549989
Professional Enrollment ID
I20110517000383
Address ID
KS662179535SH16202DRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

532 OPTOMETRY in KS

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Provider Addresses for DR. ANDREA M. BEATTY (O.D.)

  • 16202, Midland Drive, Shawnee, Johnson County, Kansas, 66217, United States

    SHAWNEE, KS 662179535

    Phone: (913) 962-2010

    Fax: (913) 962-2013

    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 8 Open Payments records for all available years, with a total value of $152.

Total Amount is formed as General ($152) + Research ($0) + Ownership ($0) = $152.

Last reported payment date: 2024-06-19 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($69).

Total Amount

$152

General + Research + Ownership

Payments

8

Total payment records

General Amount

$152

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-19

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: 2011-05-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (894 days ago).

Enrollment records

1

Earliest due date

2023-12-31

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
I20110517000383IOptometryKS2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 system8585$0
99213Established patient office or other outpatient visit, 20-29 minutes2116$0
92004New patient complete exam of visual system1313$0
View full utilization report →

Insurance plans in this area (ZIP 66217)

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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: 3072549989View full group profile
NameSpecialtyState
O P T O M E T R YKS

Reviews

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Frequently asked questions

What number should I use to identify DR. ANDREA M. BEATTY (O.D.) for billing?
Administrative and clinical systems typically use NPI 1093908329 for DR. ANDREA M. BEATTY (O.D.).
Is DR. ANDREA M. BEATTY (O.D.)'s NPI status active today?
Active status means DR. ANDREA M. BEATTY (O.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. ANDREA M. BEATTY (O.D.)?
NPPES ties DR. ANDREA M. BEATTY (O.D.) to Corneal and Contact Management Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. ANDREA M. BEATTY (O.D.)?
The directory associates DR. ANDREA M. BEATTY (O.D.) with Shawnee, Kansas. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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