KEVIN BRADLEY LODEWYK (MD) – Ophthalmology Physician, NPI 1255851952
Ophthalmology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
844 OPHTHALMOLOGY in MI
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Provider Addresses for KEVIN BRADLEY LODEWYK (MD)
PO BOX 1665
GAYLORD, MI 497345665
Phone: (989) 732-6455
Type: Mailing
402, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States
GRAND RAPIDS, MI 495032538
Phone: (616) 391-1929
Type: Mailing
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE, TN 372152691
Phone: (615) 936-2000
Type: Mailing
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 372322538
Phone: (615) 322-3000
Type: Location
350 W NORTH ST
GAYLORD, MI 497351525
Phone: (989) 732-6455
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $439.
Total Amount is formed as General ($439) + Research ($0) + Ownership ($0) = $439.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Alcon Vision LLC ($358).
Total Amount
$439
General + Research + Ownership
Payments
16
Total payment records
General Amount
$439
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $358 |
| Johnson & Johnson Surgical Vision, Inc. | $81 |
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: 2022-04-18
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 |
|---|---|---|---|---|
| I20220418001254 | I | Ophthalmology | 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 |
|---|---|---|---|---|
| 92136 | Measurement of corneal curvature and depth of eye | 344 | 252 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 228 | 141 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 150 | 99 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 137 | 137 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 119 | 105 | $0 |
Insurance plans in this area (ZIP 49734)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| 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 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 |
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