DR. KEVIN JACOB DITTLINGER (OD) – Optometrist, NPI 1114411451

DR. KEVIN JACOB DITTLINGER (OD) is a healthcare provider. based in Saint louis, Missouri. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2018021087 (MO). The NPI Number for DR. KEVIN JACOB DITTLINGER (OD) is 1114411451

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN JACOB DITTLINGER (OD)
NPI
1114411451
Phone
(314) 516-5131
Address
7840 NATURAL BRIDGE BLVD
Enumeration Date
20 June 2018
Last Update Date
27 February 2019

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
5036570321
Graduation Year
2018 (8 years ago)
PAC ID
7214283647
Group Practice PAC ID
7416265194
Professional Enrollment ID
I20191107002872
Address ID
OR970156609CL15259DRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:7State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

Provider Addresses for DR. KEVIN JACOB DITTLINGER (OD)

  • 7840 NATURAL BRIDGE BLVD

    PATIENT CARE CENTER

    SAINT LOUIS, MO 63121

    Phone: (314) 516-5131

    Fax: (314) 516-5507

    Type: Location

  • 3940 Lindell Blvd

    Saint Louis, MO 631083204

    Phone: (314) 516-5016

    Fax: (314) 535-4741

    Type: Location

  • Florissant Road, Cool Valley, Saint Louis County, Missouri, 63121, United States

    PATIENT CARE CENTER

    ST LOUIS, MO 63121

    Phone: (314) 516-5131

    Fax: (314) 516-5507

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-04-25 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-25

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: 2019-11-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180627002335IOptometryMOTBD
I20191107002872IOptometryORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5552$0
92060Exam to measure eye deviation and range of motion3724$0
99213Established patient office or other outpatient visit, 20-29 minutes3630$0
92134Imaging of retina2421$0
99212Established patient office or other outpatient visit, 10-19 minutes2118$0
View full utilization report →

Insurance plans in this area (ZIP 63121)

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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: 7416265194View full group profile
NameSpecialtyState
O P T O M E T R YOR
O P T O M E T R YOR
O P T O M E T R YOR
O P T O M E T R YOR
O P T O M E T R YOR
-OR

Reviews

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Frequently asked questions

Can I use this page to confirm DR. KEVIN JACOB DITTLINGER (OD)'s NPI?
Yes. DR. KEVIN JACOB DITTLINGER (OD) is listed with NPI 1114411451 in the public NPI dataset.
Does CMS list DR. KEVIN JACOB DITTLINGER (OD) as active?
Yes — DR. KEVIN JACOB DITTLINGER (OD) is active in the NPI listing used on this page.
What is DR. KEVIN JACOB DITTLINGER (OD)'s primary classification?
Optometrist is the headline specialty for DR. KEVIN JACOB DITTLINGER (OD) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KEVIN JACOB DITTLINGER (OD) on a map?
Expect Saint Louis, Missouri as a primary anchor for DR. KEVIN JACOB DITTLINGER (OD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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