TYLER DAVID FRUTH (OD) – Optometrist, NPI 1457086142

TYLER DAVID FRUTH (OD) is a healthcare provider. based in Lexington, Kentucky. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3169 (OK). The NPI Number for TYLER DAVID FRUTH (OD) is 1457086142

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
TYLER DAVID FRUTH (OD)
NPI
1457086142
Phone
Not provided
Address
2720 OLD ROSEBUD RD STE 110
Enumeration Date
18 July 2022
Last Update Date
10 April 2024

Doctor Profile

Medical School Name
UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
8594986001
Graduation Year
2021 (5 years ago)
PAC ID
8729464540
Group Practice PAC ID
5193701159
Professional Enrollment ID
I20221003001076
Address ID
KY403531753MT1XXXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

702 OPTOMETRY in KY

Provider Addresses for TYLER DAVID FRUTH (OD)

  • 2720 OLD ROSEBUD RD STE 110

    LEXINGTON, KY 405098005

    Phone:

    Type: Mailing

  • 1 N MAYSVILLE AVE

    MT STERLING, KY 40353

    Phone: (859) 498-6001

    Fax: (859) 497-0222

    Type: Mailing

  • 1 N MAYSVILLE ST

    MT STERLING, KY 403531753

    Phone: (859) 498-6001

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $461.

Total Amount is formed as General ($461) + Research ($0) + Ownership ($0) = $461.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Alcon Vision LLC ($220).

Total Amount

$461

General + Research + Ownership

Payments

18

Total payment records

General Amount

$461

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

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: 2022-10-03

PECOS data refreshed: 2026-06-15

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
I20221003001076IOptometryKYTBD

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 system9888$0
92250Photography of the retina6968$0
92133Imaging of optic nerve4644$0
92202Extended exam of the back part of the eye with optic nerve drawing3533$0
92083Exam of visual field with extended testing3333$0
View full utilization report →

Insurance plans in this area (ZIP 40509)

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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: 5193701159View full group profile

Reviews

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Frequently asked questions

How is TYLER DAVID FRUTH (OD) identified in CMS data?
CMS-hosted NPPES data lists TYLER DAVID FRUTH (OD) with NPI 1457086142.
Is TYLER DAVID FRUTH (OD) listed as active for patients and plans?
The listing shows TYLER DAVID FRUTH (OD) as active in the NPI system.
What is TYLER DAVID FRUTH (OD)'s primary classification?
Optometrist is the headline specialty for TYLER DAVID FRUTH (OD) here. Clinical services aligned with this taxonomy classification.
What area does TYLER DAVID FRUTH (OD) serve?
TYLER DAVID FRUTH (OD)'s listing highlights Lexington, Kentucky; more addresses can appear in NPPES.
Is the information about TYLER DAVID FRUTH (OD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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