KRYSTAL ANN WELLS (OD) – Optometrist, NPI 1003046087
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
338 OPTOMETRY in NE
Provider Addresses for KRYSTAL ANN WELLS (OD)
4353 DODGE ST
OMAHA, NE 681312709
Phone: (402) 552-2020
Fax: (402) 552-2367
Type: Location
Midwest Eye Care, 4353, Dodge Street, Omaha, Douglas County, Nebraska, 68131, United States
OMAHA, NE 681312709
Phone: (402) 552-2020
Fax: (402) 552-2367
Type: Mailing
18111, Q Street, Omaha, Chicago Precinct, Douglas County, Nebraska, 68135, United States
OMAHA, NE 681351200
Phone: (402) 552-2020
Fax: (402) 552-2367
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 $120.
Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.
Last reported payment date: 2023-05-10 • Largest payer in this snapshot: RxSight Inc ($120).
Total Amount
$120
General + Research + Ownership
Payments
1
Total payment records
General Amount
$120
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| RxSight Inc | $120 |
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: 2010-09-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100813000956 | I | Optometry | NE | TBD |
| I20100915000821 | I | Optometry | IA | 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 | 557 | 553 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 194 | 167 | $0 |
| 92133 | Imaging of optic nerve | 122 | 116 | $0 |
| 92004 | New patient complete exam of visual system | 108 | 108 | $0 |
| 92134 | Imaging of retina | 75 | 66 | $0 |
Insurance plans in this area (ZIP 68131)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IA | |
| O P T O M E T R Y | NE | |
| O P H T H A L M O L O G Y | MO | |
| O P H T H A L M O L O G Y | MO | |
| O P H T H A L M O L O G Y | NE | |
| O P H T H A L M O L O G Y | NE | |
| O P H T H A L M O L O G Y | NE | |
| O P H T H A L M O L O G Y | NE | |
| O P H T H A L M O L O G Y | NE | |
| O P H T H A L M O L O G Y | NE |
Reviews
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