DR. AUTUMN RAE NUNN KILLOP (OD, MPH) – Optometrist, NPI 1164098893

DR. AUTUMN RAE NUNN KILLOP (OD, MPH) is a healthcare provider. based in Armada, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD, MPH. They hold a License No. 4901005523 (MI). The NPI Number for DR. AUTUMN RAE NUNN KILLOP (OD, MPH) is 1164098893

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. AUTUMN RAE NUNN KILLOP (OD, MPH)
NPI
1164098893
Phone
(586) 651-1907
Address
73949 GEORGIAN CT
Enumeration Date
2 June 2021
Last Update Date
3 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163635413
Graduation Year
2021 (5 years ago)
PAC ID
3173923901
Group Practice PAC ID
4688794647
Professional Enrollment ID
I20210615002404
Address ID
MI495259432GR2820XNEXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,203 OPTOMETRY in MI

Provider Addresses for DR. AUTUMN RAE NUNN KILLOP (OD, MPH)

  • 73949 GEORGIAN CT

    ARMADA, MI 480053391

    Phone: (586) 651-1907

    Type: Mailing

  • 100 CHERRY ST SE

    GRAND RAPIDS, MI 495034526

    Phone: (616) 965-8200

    Type: Location

  • 2820 E BELTLINE LN NE

    GRAND RAPIDS, MI 495259432

    Phone: (766) 363-5413

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $364.

Total Amount is formed as General ($364) + Research ($0) + Ownership ($0) = $364.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($245).

Total Amount

$364

General + Research + Ownership

Payments

9

Total payment records

General Amount

$364

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2021-06-15

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
I20210615002404IOptometryMITBD

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 minutes8166$0
99203New patient office or other outpatient visit, 30-44 minutes3333$0
92014Established patient complete exam of visual system2121$0
92004New patient complete exam of visual system1818$0
92134Imaging of retina1614$0
View full utilization report →

Insurance plans in this area (ZIP 48005)

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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: 4688794647View full group profile
NameSpecialtyState
-MI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI

Reviews

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Frequently asked questions

Where can patients find DR. AUTUMN RAE NUNN KILLOP (OD, MPH)'s NPI?
You can confirm DR. AUTUMN RAE NUNN KILLOP (OD, MPH) with NPI 1164098893; it appears in the national provider directory.
Does this profile mean DR. AUTUMN RAE NUNN KILLOP (OD, MPH) is currently active?
Yes — DR. AUTUMN RAE NUNN KILLOP (OD, MPH) appears active in the national provider directory.
What does DR. AUTUMN RAE NUNN KILLOP (OD, MPH) treat or focus on?
Patients typically see DR. AUTUMN RAE NUNN KILLOP (OD, MPH) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. AUTUMN RAE NUNN KILLOP (OD, MPH)'s primary listing?
We display Armada, Michigan because that is what the record indicates for DR. AUTUMN RAE NUNN KILLOP (OD, MPH).
Is DR. AUTUMN RAE NUNN KILLOP (OD, MPH) a real provider?
This page reflects official NPPES data for NPI 1164098893. Always confirm identity and privileges with the practice and licensing boards.

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