JOHN L COTTLE (O.D.) – Optometrist, NPI 1396743472

JOHN L COTTLE (O.D.) is a healthcare provider. based in Lees summit, Missouri. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2004016908 (MO). The NPI Number for JOHN L COTTLE (O.D.) is 1396743472

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
JOHN L COTTLE (O.D.)
NPI
1396743472
Phone
(816) 623-9990
Address
3700 SW CHEDDINGTON DR
Enumeration Date
12 July 2005
Last Update Date
8 July 2019

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
8166239990
Graduation Year
2004 (22 years ago)
PAC ID
5890743843
Group Practice PAC ID
9931202165
Professional Enrollment ID
I20050106000764
Address ID
MO640824797LE3700XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

863 OPTOMETRY in MO

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Provider Addresses for JOHN L COTTLE (O.D.)

  • 3700, Southwest Cheddington Drive, Lee's Summit, Jackson County, Missouri, 64082, United States

    LEES SUMMIT, MO 640824797

    Phone: (816) 623-9990

    Fax: (816) 623-9990

    Type: Mailing

  • 4741 S Arrowhead Dr

    Independence, MO 640556957

    Phone: (913) 261-2020

    Fax: (913) 261-2090

    Type: Location

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: 2024-02-02 • Largest payer in this snapshot: Alcon Vision LLC ($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

2024-02-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$22
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: 2005-01-06

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
I20050106000764IOptometryMOTBD

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 system7670$0
92004New patient complete exam of visual system2121$0
92012Established patient problem focused exam of visual system1311$0
View full utilization report →

Insurance plans in this area (ZIP 64082)

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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: 9931202165View full group profile
NameSpecialtyState
O P T O M E T R YMO

Reviews

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Frequently asked questions

Is JOHN L COTTLE (O.D.) listed with a National Provider Identifier?
Yes — JOHN L COTTLE (O.D.) has NPI 1396743472 on file in the registry.
Is there an active status for JOHN L COTTLE (O.D.)?
For scheduling context, JOHN L COTTLE (O.D.) is shown as active in the registry.
What kind of doctor is JOHN L COTTLE (O.D.)?
JOHN L COTTLE (O.D.) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOHN L COTTLE (O.D.)?
Travel planning: use Lees Summit, Missouri as the reference point for JOHN L COTTLE (O.D.), then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.