DR. DIRCK LOUIS DEKEYSER (O.D.) – Optometrist, NPI 1730281247
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 OPTOMETRY in KS
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Provider Addresses for DR. DIRCK LOUIS DEKEYSER (O.D.)
PO BOX 953468
SAINT LOUIS, MO 631953468
Phone: (913) 588-6605
Fax: (913) 588-0888
Type: Mailing
Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States
KANSAS CITY, MO 641411851
Phone: (913) 588-6605
Fax: (913) 588-0888
Type: Mailing
State Line Road, Big Foot Prairie, Town of Walworth, Walworth County, Wisconsin, 53184, United States
SUITE 100
PRAIRIE VILLAGE, KS 662083444
Phone: (913) 588-6600
Fax: (916) 588-6655
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2006-11-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061106000246 | I | Optometry | KS | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 243 | 232 | $0 |
| 92004 | New patient complete exam of visual system | 90 | 90 | $0 |
| 92134 | Imaging of retina | 83 | 78 | $0 |
| 92012 | Established patient problem focused exam of visual system | 48 | 36 | $0 |
| 92083 | Exam of visual field with extended testing | 23 | 21 | $0 |
Insurance plans in this area (ZIP 63195)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | KS | |
| Nurse Practitioner | KS | |
| - | MO | |
| - | KS | |
| - | KS | |
| - | MO | |
| Qualified Audiologist | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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