KYLE KLUG (OD) – Optometrist, NPI 1356963391

KYLE KLUG (OD) is a healthcare provider. based in Omaha, Nebraska. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 030.0133922-EMGY (VT). The NPI Number for KYLE KLUG (OD) is 1356963391

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
KYLE KLUG (OD)
NPI
1356963391
Phone
(402) 896-3300
Address
12660 Q ST
Enumeration Date
13 May 2020
Last Update Date
4 April 2024

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
4028963300
Graduation Year
2020 (6 years ago)
PAC ID
4981025848
Group Practice PAC ID
5991727729
Professional Enrollment ID
I20220412002318
Address ID
NE681373332OM12660STXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

114 OPTOMETRY in VT

Provider Addresses for KYLE KLUG (OD)

  • 12660 Q ST

    OMAHA, NE 681373332

    Phone: (402) 896-3300

    Fax: (402) 896-5931

    Type: Mailing

  • PO BOX 843

    HARTINGTON, NE 687390843

    Phone: (402) 841-1018

    Type: Mailing

  • 468 HOSPITAL DR

    ST JOHNSBURY, VT 058199225

    Phone: (802) 748-3536

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $436.

Total Amount is formed as General ($436) + Research ($0) + Ownership ($0) = $436.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($400).

Total Amount

$436

General + Research + Ownership

Payments

11

Total payment records

General Amount

$436

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

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: 2022-04-12

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
I20220412002318IOptometryNETBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7657$0
92014Established patient complete exam of visual system2626$0
92134Imaging of retina2320$0
92284Evaluation of eye adaptation to light and dark with interpretation and report2016$0
92133Imaging of optic nerve1411$0
View full utilization report →

Insurance plans in this area (ZIP 68137)

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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: 5991727729View full group profile
NameSpecialtyState
-NE
O P T O M E T R YNE
O P T O M E T R YNE
O P T O M E T R YNE
O P T O M E T R YNE

Reviews

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Frequently asked questions

What identifier follows KYLE KLUG (OD) across health systems?
The NPI 1356963391 uniquely identifies KYLE KLUG (OD) in U.S. healthcare data.
Should I treat KYLE KLUG (OD) as an active provider?
Patients and plans typically see KYLE KLUG (OD) as active in the national extract.
What type of care does KYLE KLUG (OD) provide?
KYLE KLUG (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to KYLE KLUG (OD)?
KYLE KLUG (OD) shows a connection to Omaha, Nebraska in registry-derived data.
Can I export KYLE KLUG (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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