DR. SCOTT MICHAEL CARPENTER (O.D.) – Optometrist, NPI 1114920949

DR. SCOTT MICHAEL CARPENTER (O.D.) is a healthcare provider. based in Ft riley, Kansas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1256-2 (KS). The NPI Number for DR. SCOTT MICHAEL CARPENTER (O.D.) is 1114920949

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. SCOTT MICHAEL CARPENTER (O.D.)
NPI
1114920949
Phone
(785) 239-7897
Address
600 CAISSON HILL RD
Enumeration Date
24 May 2005
Last Update Date
22 December 2021

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
7854562235
Graduation Year
1987 (39 years ago)
PAC ID
8325014681
Group Practice PAC ID
7810922390
Professional Enrollment ID
I20051027000992
Address ID
KS665471635WA631XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:21State licenses:1Digital endpointsOther names

532 OPTOMETRY in KS

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Provider Addresses for DR. SCOTT MICHAEL CARPENTER (O.D.)

  • Irwin Army Community Hospital, 600, Caisson Hill Road, Geary County, Kansas, 66442, United States of America

    FT RILEY, KS 664427037

    Phone: (785) 239-7897

    Type: Location

  • 650 HUEBNER RD

    FT RILEY, KS 664424030

    Phone: (785) 239-7951

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-10-27

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
I20051027000992IOptometryKSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66442)

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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: 7810922390View full group profile
NameSpecialtyState
O P T O M E T R YKS
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

What identifier follows DR. SCOTT MICHAEL CARPENTER (O.D.) across health systems?
The NPI 1114920949 uniquely identifies DR. SCOTT MICHAEL CARPENTER (O.D.) in U.S. healthcare data.
Quick check: is DR. SCOTT MICHAEL CARPENTER (O.D.) active?
Public NPPES data shows DR. SCOTT MICHAEL CARPENTER (O.D.) with an active NPI status right now.
What type of care does DR. SCOTT MICHAEL CARPENTER (O.D.) provide?
DR. SCOTT MICHAEL CARPENTER (O.D.)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. SCOTT MICHAEL CARPENTER (O.D.) tied to Ft Riley, Kansas?
If you are local to Ft Riley, Kansas, DR. SCOTT MICHAEL CARPENTER (O.D.) may be relevant to your search.
Who maintains DR. SCOTT MICHAEL CARPENTER (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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