DR. KEITH ALLEN MALLATT (O.D.) – Optometrist, NPI 1386746857
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 OPTOMETRY in KS
Provider Addresses for DR. KEITH ALLEN MALLATT (O.D.)
719 E 7TH ST
GALENA, KS 667391703
Phone: (620) 783-2191
Fax: (620) 783-1937
Type: Location
PO BOX 185
GALENA, KS 667390185
Phone: (620) 783-2191
Fax: (620) 783-1937
Type: Mailing
301, North Broadway Street, Pittsburg, Crawford County, Kansas, 66762, United States
PITTSBURG, KS 667624806
Phone: (620) 231-1720
Fax: (620) 231-1727
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.
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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: 2005-03-28
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 |
|---|---|---|---|---|
| I20050328000806 | I | Optometry | KS | 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 | 200 | 178 | $0 |
| 92012 | Established patient problem focused exam of visual system | 105 | 69 | $0 |
| 92004 | New patient complete exam of visual system | 58 | 58 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 20 | 14 | $0 |
| 92250 | Photography of the retina | 16 | 16 | $0 |
Insurance plans in this area (ZIP 66739)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | KS | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 222 | 145 |
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