DR. GARY E KING (OD) – Optometrist, NPI 1336229715

DR. GARY E KING (OD) is a healthcare provider. based in Berea, Kentucky. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 856DT (KY). The NPI Number for DR. GARY E KING (OD) is 1336229715

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. GARY E KING (OD)
NPI
1336229715
Phone
(859) 986-7027
Address
109 BOONE ST
Enumeration Date
17 October 2006
Last Update Date
16 September 2020

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
8599867027
Graduation Year
1977 (49 years ago)
PAC ID
7113931734
Group Practice PAC ID
8628138229
Professional Enrollment ID
I20060202000392
Address ID
KY404039814BE854XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

700 OPTOMETRY in KY

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Provider Addresses for DR. GARY E KING (OD)

  • 109, Boone Street, Berea, Madison County, Kentucky, 40403, United States

    BEREA, KY 404031603

    Phone: (859) 986-7027

    Fax: (859) 986-4749

    Type: Mailing

  • 854, Ridgewood Drive, Berea, Madison County, Kentucky, 40403, United States

    BEREA, KY 404039814

    Phone: (859) 986-7027

    Fax: (859) 986-4749

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $494.

Total Amount is formed as General ($494) + Research ($0) + Ownership ($0) = $494.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($261).

Total Amount

$494

General + Research + Ownership

Payments

20

Total payment records

General Amount

$494

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2006-02-02

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
I20060202000392IOptometryKYTBD

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 system6868$0
99213Established patient office or other outpatient visit, 20-29 minutes3632$0
92250Photography of the retina2929$0
92004New patient complete exam of visual system2828$0
92134Imaging of retina1515$0
View full utilization report →

Insurance plans in this area (ZIP 40403)

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Provider's Procedures

DR. GARY E KING (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYKY92134Diagnostic imaging of retina2925

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: 8628138229View full group profile
NameSpecialtyState
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY

Reviews

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Frequently asked questions

Is there an official ID for DR. GARY E KING (OD) in U.S. healthcare records?
The official identifier for DR. GARY E KING (OD) is NPI 1336229715.
Would DR. GARY E KING (OD) appear as active to a payer?
You can treat DR. GARY E KING (OD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. GARY E KING (OD)'s focus?
For DR. GARY E KING (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. GARY E KING (OD)?
Directory geography for DR. GARY E KING (OD) centers on Berea, Kentucky.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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