KYLE A. WEEDEN (OD) – Optometrist, NPI 1669600136

KYLE A. WEEDEN (OD) is a healthcare provider. based in Topeka, Kansas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. KS1830 (KS). The NPI Number for KYLE A. WEEDEN (OD) is 1669600136

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
KYLE A. WEEDEN (OD)
NPI
1669600136
Phone
(785) 354-8383
Address
2008 SW GAGE BLVD
Enumeration Date
23 June 2009
Last Update Date
7 November 2018

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
6607472202
Graduation Year
2008 (18 years ago)
PAC ID
1850445313
Group Practice PAC ID
9739182841
Professional Enrollment ID
I20150921001789
Address ID
MO640933180WA506XXRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

532 OPTOMETRY in KS

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Provider Addresses for KYLE A. WEEDEN (OD)

  • 2008, Southwest Gage Boulevard, Topeka, Shawnee County, Kansas, 66604, United States

    TOPEKA, KS 666043340

    Phone: (785) 354-8383

    Fax: (785) 354-8386

    Type: Location

  • Lees Summit Chamber of Commerce, Southeast Main Street, Lee's Summit, Jackson County, Missouri, 64063, United States

    LEES SUMMIT, MO 640632331

    Phone: (816) 434-5858

    Fax: (816) 434-5845

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2023-11-13 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($29).

Total Amount

$47

General + Research + Ownership

Payments

3

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-13

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: 2015-09-21

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
I20150921001789IOptometryMOTBD

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 system333324$0
92134Imaging of retina105103$0
92004New patient complete exam of visual system7979$0
92012Established patient problem focused exam of visual system5451$0
92133Imaging of optic nerve2422$0
View full utilization report →

Insurance plans in this area (ZIP 66604)

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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: 9739182841View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMO
O P H T H A L M O L O G YMO
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 YMO
O P H T H A L M O L O G YMO
O P T O M E T R YKS
O P H T H A L M O L O G YKS

Reviews

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Frequently asked questions

What is the 10-digit NPI for KYLE A. WEEDEN (OD)?
KYLE A. WEEDEN (OD) — NPI 1669600136 — is the standard way to identify this listing.
Does the file indicate KYLE A. WEEDEN (OD) is practicing under active NPI?
Directory data currently reports KYLE A. WEEDEN (OD) as active.
What taxonomy line describes KYLE A. WEEDEN (OD)?
For research purposes, treat KYLE A. WEEDEN (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for KYLE A. WEEDEN (OD)?
KYLE A. WEEDEN (OD)'s geographic hint is Topeka, Kansas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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