KATILYN C BROBERG (OD) – Optometrist, NPI 1801522875

KATILYN C BROBERG (OD) is a healthcare provider. based in Wichita, Kansas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2168 (KS). The NPI Number for KATILYN C BROBERG (OD) is 1801522875

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KATILYN C BROBERG (OD)
NPI
1801522875
Phone
(316) 305-2750
Address
1652 S BUTTERNUT ST
Enumeration Date
1 August 2022
Last Update Date
1 August 2022

Doctor Profile

Medical School Name
MID WEST MEDICAL COLLEGE
Secondary Phone
3169427496
Graduation Year
2022 (4 years ago)
PAC ID
0648652859
Group Practice PAC ID
2567541451
Professional Enrollment ID
I20220804002826
Address ID
KS672132605WI2635XAVEX400

Contacts

Secure Messaging
kati.broberg@direct.revolutionehr.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

532 OPTOMETRY in KS

Provider Addresses for KATILYN C BROBERG (OD)

  • 1652 S BUTTERNUT ST

    WICHITA, KS 672307633

    Phone: (316) 305-2750

    Type: Mailing

  • 2635 W DOUGLAS AVE

    WICHITA, KS 672132605

    Phone: (316) 942-7496

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $779.

Total Amount is formed as General ($779) + Research ($0) + Ownership ($0) = $779.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: BIOTISSUE HOLDINGS, INC. ($329).

Total Amount

$779

General + Research + Ownership

Payments

16

Total payment records

General Amount

$779

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

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: 2022-08-04

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
I20220804002826IOptometryKSTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes237158$0
92014Established patient complete exam of visual system188188$0
92250Photography of the retina9187$0
92134Imaging of retina6759$0
92083Exam of visual field with extended testing4739$0
View full utilization report →

Insurance plans in this area (ZIP 67230)

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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: 2567541451View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YKS
O P T O M E T R YKS
-KS
O P T O M E T R YNE
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
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

How do I look up KATILYN C BROBERG (OD) by NPI?
Use NPI 1801522875 when you need to reference KATILYN C BROBERG (OD) in forms, claims, or directories.
Is KATILYN C BROBERG (OD) currently active in the NPI registry?
CMS-published data lists KATILYN C BROBERG (OD) as an active registrant.
What field does KATILYN C BROBERG (OD) work in?
You can think of KATILYN C BROBERG (OD) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Where does public data place KATILYN C BROBERG (OD)?
The snapshot lists Wichita, Kansas for KATILYN C BROBERG (OD); download NPPES for the complete set.
How can I contact KATILYN C BROBERG (OD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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