KRISTIN N DOERFLER – Optometrist, NPI 1174261994

KRISTIN N DOERFLER is a healthcare provider. based in Creve coeur, Missouri. specializing in OPTOMETRY. They hold a License No. 2022022062 (MO). The NPI Number for KRISTIN N DOERFLER is 1174261994

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN N DOERFLER
NPI
1174261994
Phone
(314) 878-8770
Address
12392 Olive Blvd
Enumeration Date
23 May 2022
Last Update Date
23 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6369469242
Graduation Year
2022 (4 years ago)
PAC ID
7315327863
Group Practice PAC ID
3870651508
Professional Enrollment ID
I20220630001658
Address ID
MO633012444SA1384XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

Provider Addresses for KRISTIN N DOERFLER

  • 12392 Olive Blvd

    Creve Coeur, MO 631416443

    Phone: (314) 878-8770

    Fax: (314) 878-5971

    Type: Location

  • 1155 Wentzville Pkwy Ste 119

    Wentzville, MO 633853476

    Phone: (636) 639-9422

    Fax: (636) 639-6713

    Type: Location

  • 1384 S 5th St

    Saint Charles, MO 633012444

    Phone: (636) 946-9242

    Fax: (636) 946-4903

    Type: Location

  • 1384 S 5TH ST

    SAINT CHARLES, MO 633012444

    Phone: (636) 946-9242

    Fax: (636) 946-4903

    Type: Mailing

  • 1401 TRIAD CENTER DR

    SAINT PETERS, MO 633767353

    Phone: (636) 441-8010

    Fax: (636) 441-5128

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $1,791.

Total Amount is formed as General ($1,791) + Research ($0) + Ownership ($0) = $1,791.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: CooperVision Inc. ($596).

Total Amount

$1,791

General + Research + Ownership

Payments

37

Total payment records

General Amount

$1,791

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2022-06-30

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
I20220630001658IOptometryMOTBD

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
92012Established patient problem focused exam of visual system204127$0
92250Photography of the retina129118$0
92083Exam of visual field with extended testing8277$0
92133Imaging of optic nerve7373$0
92020Exam of the internal drainage system of eye7272$0
View full utilization report →

Insurance plans in this area (ZIP 63141)

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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: 3870651508View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMI
O P T O M E T R YMO
-MO
O P T O M E T R YMO
O P T O M E T R YMO

Reviews

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Frequently asked questions

Can I verify KRISTIN N DOERFLER with an NPI only?
You can start verification with NPI 1174261994 for KRISTIN N DOERFLER, then check state licensing separately.
Can I rely on KRISTIN N DOERFLER being an active provider?
As of the registry snapshot, KRISTIN N DOERFLER is marked active.
What is KRISTIN N DOERFLER's specialty?
The listing groups KRISTIN N DOERFLER with Optometrist. Clinical services aligned with this taxonomy classification.
Does KRISTIN N DOERFLER list a practice location?
Patients near Creve Coeur, Missouri may find KRISTIN N DOERFLER in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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