DR. KYLE NICHOLAS KRAVETZ (OD) – Optometrist, NPI 1609306141

DR. KYLE NICHOLAS KRAVETZ (OD) is a healthcare provider. based in Easton, Maryland. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 13-0001423 (DE). The NPI Number for DR. KYLE NICHOLAS KRAVETZ (OD) is 1609306141

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. KYLE NICHOLAS KRAVETZ (OD)
NPI
1609306141
Phone
(410) 822-3937
Address
210 MARLBORO AVE STE 31
Enumeration Date
18 June 2017
Last Update Date
30 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3022532020
Graduation Year
2017 (9 years ago)
PAC ID
3476824012
Group Practice PAC ID
1052612009
Professional Enrollment ID
I20191120000343
Address ID
DE199472113GE501XXLNXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

626 OPTOMETRY in MD

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Provider Addresses for DR. KYLE NICHOLAS KRAVETZ (OD)

  • Marlboro Avenue, Colonial Heights, Easton, Talbot County, Maryland, 21601, United States

    EASTON, MD 216012767

    Phone: (410) 822-3937

    Type: Mailing

  • 501 COLLEGE PARK LN

    GEORGETOWN, DE 199472113

    Phone: (302) 253-2020

    Fax: (302) 858-4526

    Type: Location

  • 1950 OLD GALLOWS RD STE 520

    VIENNA, VA 221823970

    Phone:

    Type: Mailing

  • 8614 WESTWOOD CENTER DR FL 9

    VIENNA, VA 221822442

    Phone: (703) 847-8899

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $344.

Total Amount is formed as General ($344) + Research ($0) + Ownership ($0) = $344.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: CooperVision Inc. ($133).

Total Amount

$344

General + Research + Ownership

Payments

13

Total payment records

General Amount

$344

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2019-11-20

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
I20191120000343IOptometryDETBD

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 minutes372354$0
99203New patient office or other outpatient visit, 30-44 minutes9393$0
92250Photography of the retina7472$0
99212Established patient office or other outpatient visit, 10-19 minutes7463$0
92083Exam of visual field with extended testing5048$0
View full utilization report →

Insurance plans in this area (ZIP 21601)

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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: 1052612009View full group profile
NameSpecialtyState
-DE
O P T O M E T R YDE
O P T O M E T R YMD
O P T O M E T R YMD
O P T O M E T R YVA
O P T O M E T R YDE
O P T O M E T R YOR
O P T O M E T R YVA
-MD
O P T O M E T R YDE

Reviews

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Frequently asked questions

Can I cross-check DR. KYLE NICHOLAS KRAVETZ (OD) using NPI 1609306141?
NPI 1609306141 belongs to DR. KYLE NICHOLAS KRAVETZ (OD); compare other details if you need extra assurance.
Active or inactive — what applies to DR. KYLE NICHOLAS KRAVETZ (OD)?
You should see DR. KYLE NICHOLAS KRAVETZ (OD) as active in CMS-hosted NPPES data.
What area of care is associated with DR. KYLE NICHOLAS KRAVETZ (OD)?
DR. KYLE NICHOLAS KRAVETZ (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KYLE NICHOLAS KRAVETZ (OD)?
Travel planning: use Easton, Maryland as the reference point for DR. KYLE NICHOLAS KRAVETZ (OD), then confirm.
When was this NPI issued?
Enumeration for DR. KYLE NICHOLAS KRAVETZ (OD) is noted as June 18, 2017 where the registry provides it.

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