KENNETH R MUELLER (O.D.) – Optometrist, NPI 1013966076

KENNETH R MUELLER (O.D.) is a healthcare provider. based in Hannibal, Missouri. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046008326 (IL). The NPI Number for KENNETH R MUELLER (O.D.) is 1013966076

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH R MUELLER (O.D.)
NPI
1013966076
Phone
(573) 248-1616
Address
215 PROGRESS RD
Enumeration Date
8 May 2006
Last Update Date
21 February 2018

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
5732483937
Graduation Year
1990 (36 years ago)
PAC ID
3870664188
Group Practice PAC ID
0244125235
Professional Enrollment ID
I20100823000202
Address ID
MO634016637HA215XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

863 OPTOMETRY in MO

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Provider Addresses for KENNETH R MUELLER (O.D.)

  • International Eyecare Center, 215, Progress Road, Hannibal, Marion County, Missouri, 63401, United States

    HANNIBAL, MO 634016637

    Phone: (573) 248-1616

    Fax: (573) 248-1963

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $1,395.

Total Amount is formed as General ($1,395) + Research ($0) + Ownership ($0) = $1,395.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Alcon Vision LLC ($1,278).

Total Amount

$1,395

General + Research + Ownership

Payments

15

Total payment records

General Amount

$1,395

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2010-08-23

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
I20100823000202IOptometryMOTBD

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
92014Established patient complete exam of visual system343339$0
92134Imaging of retina245227$0
92202Extended exam of the back part of the eye with optic nerve drawing192185$0
99212Established patient office or other outpatient visit, 10-19 minutes12495$0
99213Established patient office or other outpatient visit, 20-29 minutes12187$0
View full utilization report →

Insurance plans in this area (ZIP 63401)

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Provider's Procedures

KENNETH R MUELLER (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMO92083Measurement of field of vision during daylight conditions221167
OPTOMETRYMO92134Diagnostic imaging of retina11390

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: 0244125235View full group profile
NameSpecialtyState
O P T O M E T R YIL
-MO
-IL
O P T O M E T R YIL
O P T O M E T R YNE
O P T O M E T R YIL
O P T O M E T R YIA
O P T O M E T R YIA
O P T O M E T R YIA
O P T O M E T R YMO

Reviews

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Frequently asked questions

Can I verify KENNETH R MUELLER (O.D.) with an NPI only?
You can start verification with NPI 1013966076 for KENNETH R MUELLER (O.D.), then check state licensing separately.
Does CMS list KENNETH R MUELLER (O.D.) as active?
Yes — KENNETH R MUELLER (O.D.) is active in the NPI listing used on this page.
What healthcare role does KENNETH R MUELLER (O.D.) hold?
Scheduling teams often label KENNETH R MUELLER (O.D.) under Optometrist. Clinical services aligned with this taxonomy classification.
Where is KENNETH R MUELLER (O.D.) based?
KENNETH R MUELLER (O.D.) is tied to Hannibal, Missouri in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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