KATHLEEN MARIE LEAHY (OD) – Optometrist, NPI 1104483437
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,204 OPTOMETRY in MI
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Provider Addresses for KATHLEEN MARIE LEAHY (OD)
369, Kratky Drive, Blair Township, Grand Traverse County, Michigan, 49696, United States
TRAVERSE CITY, MI 496961181
Phone: (231) 590-3690
Type: Mailing
State Highway 72, Kalkaska Township, Kalkaska County, Michigan, United States
KALKASKA, MI 496468787
Phone: (231) 258-9781
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $482.
Total Amount is formed as General ($482) + Research ($0) + Ownership ($0) = $482.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Alcon Vision LLC ($247).
Total Amount
$482
General + Research + Ownership
Payments
12
Total payment records
General Amount
$482
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $247 |
| Johnson & Johnson Vision Care, Inc. | $88 |
| BIOTISSUE HOLDINGS, INC. | $87 |
| Bausch & Lomb Americas Inc. | $60 |
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: 2019-07-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190729002363 | I | Optometry | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 79 | 79 | $0 |
| 92250 | Photography of the retina | 45 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 31 | 26 | $0 |
| 92004 | New patient complete exam of visual system | 29 | 29 | $0 |
| 92133 | Imaging of optic nerve | 23 | 23 | $0 |
Insurance plans in this area (ZIP 49696)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MI | |
| O P H T H A L M O L O G Y | MI | |
| Nurse Practitioner | MI | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MI | |
| O P H T H A L M O L O G Y | MI | |
| O P H T H A L M O L O G Y | MI |
Reviews
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