DR. COURTNEY ADELE BLOODGOOD (O.D.) – Optometrist, NPI 1942614714

DR. COURTNEY ADELE BLOODGOOD (O.D.) is a healthcare provider. based in Spring hill, Kansas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1972 (KS). The NPI Number for DR. COURTNEY ADELE BLOODGOOD (O.D.) is 1942614714

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. COURTNEY ADELE BLOODGOOD (O.D.)
NPI
1942614714
Phone
(913) 592-2020
Address
21900 S WEBSTER ST
Enumeration Date
19 June 2014
Last Update Date
10 September 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9135922020
Graduation Year
2014 (12 years ago)
PAC ID
2365668928
Group Practice PAC ID
5799800843
Professional Enrollment ID
I20140717001418
Address ID
KS660839616SP21900BXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

532 OPTOMETRY in KS

Provider Addresses for DR. COURTNEY ADELE BLOODGOOD (O.D.)

  • 21900 S WEBSTER ST

    SUITE B

    SPRING HILL, KS 660839609

    Phone: (913) 592-2020

    Fax: (913) 273-0528

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $170.

Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($137).

Total Amount

$170

General + Research + Ownership

Payments

6

Total payment records

General Amount

$170

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

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: 2014-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-07-31 (1046 days ago).

Enrollment records

1

Earliest due date

2023-07-31

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
I20140717001418IOptometryKS2023-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 minutes5550$0
92014Established patient complete exam of visual system5353$0
66984Removal of cataract with insertion of prosthetic lens3421$0
92012Established patient problem focused exam of visual system2727$0
92083Exam of visual field with extended testing2120$0
View full utilization report →

Insurance plans in this area (ZIP 66083)

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Provider's Procedures

DR. COURTNEY ADELE BLOODGOOD (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYKS92134Diagnostic imaging of retina1313

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: 5799800843View full group profile
NameSpecialtyState
O P T O M E T R YKS

Reviews

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Frequently asked questions

What identifier follows DR. COURTNEY ADELE BLOODGOOD (O.D.) across health systems?
The NPI 1942614714 uniquely identifies DR. COURTNEY ADELE BLOODGOOD (O.D.) in U.S. healthcare data.
Is DR. COURTNEY ADELE BLOODGOOD (O.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. COURTNEY ADELE BLOODGOOD (O.D.) as active.
What does the directory say DR. COURTNEY ADELE BLOODGOOD (O.D.) does?
Insurance directories may phrase it differently, but here DR. COURTNEY ADELE BLOODGOOD (O.D.) maps to Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. COURTNEY ADELE BLOODGOOD (O.D.)?
DR. COURTNEY ADELE BLOODGOOD (O.D.) shows a connection to Spring Hill, Kansas in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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