DR. KYLE STEPHEN BENNER (O.D.) – Optometrist, NPI 1912156811

DR. KYLE STEPHEN BENNER (O.D.) is a healthcare provider. based in Portland, Maine. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT905 (ME). The NPI Number for DR. KYLE STEPHEN BENNER (O.D.) is 1912156811

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. KYLE STEPHEN BENNER (O.D.)
NPI
1912156811
Phone
(207) 883-2809
Address
PO BOX 7487
Enumeration Date
16 September 2008
Last Update Date
20 January 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2077993877
Graduation Year
2008 (18 years ago)
PAC ID
1759445174
Group Practice PAC ID
3274620562
Professional Enrollment ID
I20090130000138
Address ID
ME041063601SO10XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

219 OPTOMETRY in ME

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Provider Addresses for DR. KYLE STEPHEN BENNER (O.D.)

  • Southeast Cesar Chavez Boulevard & Steele, Southeast César E. Chávez Boulevard, Woodstock, Portland, Metro, Multnomah County, Oregon, 97202, United States

    PORTLAND, ME 041127487

    Phone: (207) 883-2809

    Type: Mailing

  • 7, Portland Farms Road, Cumberland County, Maine, 04074, United States

    SCARBOROUGH, ME 040745301

    Phone: (207) 883-2809

    Type: Location

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 $134.

Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.

Last reported payment date: 2024-07-19 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($55).

Total Amount

$134

General + Research + Ownership

Payments

6

Total payment records

General Amount

$134

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-19

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: 2009-01-30

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
I20090130000138IOptometryMETBD

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
66984Removal of cataract with insertion of prosthetic lens1,48115$0
92014Established patient complete exam of visual system294294$0
92133Imaging of optic nerve8873$0
92134Imaging of retina8275$0
99213Established patient office or other outpatient visit, 20-29 minutes7558$0
View full utilization report →

Insurance plans in this area (ZIP 04112)

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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: 3274620562View full group profile
NameSpecialtyState
O P T O M E T R YME
O P T O M E T R YME
O P T O M E T R YME
O P T O M E T R YME
-ME
O P T O M E T R YME
O P T O M E T R YME
O P T O M E T R YME
O P T O M E T R YME

Reviews

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Frequently asked questions

Can I cross-check DR. KYLE STEPHEN BENNER (O.D.) using NPI 1912156811?
NPI 1912156811 belongs to DR. KYLE STEPHEN BENNER (O.D.); compare other details if you need extra assurance.
Active or inactive — what applies to DR. KYLE STEPHEN BENNER (O.D.)?
You should see DR. KYLE STEPHEN BENNER (O.D.) as active in CMS-hosted NPPES data.
What area of care is associated with DR. KYLE STEPHEN BENNER (O.D.)?
DR. KYLE STEPHEN BENNER (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. KYLE STEPHEN BENNER (O.D.) located near Portland?
DR. KYLE STEPHEN BENNER (O.D.) currently maps to Portland, Maine in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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