TRAVIS KIMPLE (MD) – Ophthalmology Physician, NPI 1114450566

TRAVIS KIMPLE (MD) is a healthcare provider. based in Prairie village, Kansas. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 04-44919 (KS). The NPI Number for TRAVIS KIMPLE (MD) is 1114450566

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
TRAVIS KIMPLE (MD)
NPI
1114450566
Phone
(913) 588-6660
Address
7400 STATE LINE RD STE 100
Enumeration Date
4 April 2017
Last Update Date
23 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
6202757248
Graduation Year
2012 (14 years ago)
PAC ID
1052669322
Group Practice PAC ID
7012960289
Professional Enrollment ID
I20211105000722
Address ID
KS678466183GA502XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

158 OPHTHALMOLOGY in KS

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Provider Addresses for TRAVIS KIMPLE (MD)

  • State Line Road, Big Foot Prairie, Town of Walworth, Walworth County, Wisconsin, 53184, United States

    PRAIRIE VILLAGE, KS 662083447

    Phone: (913) 588-6660

    Fax: (913) 588-0888

    Type: Mailing

  • 502 COLLEGE DR

    GARDEN CITY, KS 678466183

    Phone: (620) 275-7248

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $273.

Total Amount is formed as General ($273) + Research ($0) + Ownership ($0) = $273.

Last reported payment date: 2024-05-30 • Largest payer in this snapshot: Carl Zeiss Meditec USA, Inc. ($79).

Total Amount

$273

General + Research + Ownership

Payments

9

Total payment records

General Amount

$273

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-30

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: 2021-11-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210804002202IOphthalmologyKSTBD
I20211105000722IOphthalmologyCOTBD

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
92136Measurement of corneal curvature and depth of eye678287$0
99213Established patient office or other outpatient visit, 20-29 minutes496360$0
66984Removal of cataract with insertion of prosthetic lens453263$0
99204New patient office or other outpatient visit, 45-59 minutes302302$0
92014Established patient complete exam of visual system138132$0
View full utilization report →

Insurance plans in this area (ZIP 66208)

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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: 7012960289View full group profile
NameSpecialtyState
O P T O M E T R YKS
O P H T H A L M O L O G YKS
-KS
O P H T H A L M O L O G YKS
-KS

Reviews

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Frequently asked questions

Does TRAVIS KIMPLE (MD) have a public NPI I can cite?
Public records show TRAVIS KIMPLE (MD) under NPI 1114450566.
Is TRAVIS KIMPLE (MD)'s NPI status active today?
Active status means TRAVIS KIMPLE (MD)'s NPI record is not deactivated in the public file.
How should patients interpret TRAVIS KIMPLE (MD)'s specialty?
The extract shows Ophthalmology Physician for TRAVIS KIMPLE (MD). Clinical services aligned with this taxonomy classification.
Is TRAVIS KIMPLE (MD) tied to Prairie Village, Kansas?
If you are local to Prairie Village, Kansas, TRAVIS KIMPLE (MD) may be relevant to your search.
Why is information missing for TRAVIS KIMPLE (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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