DR. KYLE M CHEATHAM (O. D.) – Optometrist, NPI 1568568384

DR. KYLE M CHEATHAM (O. D.) is a healthcare provider. based in Omaha, Nebraska. specializing in OPTOMETRY. They hold the professional credentials O. D.. They hold a License No. 1267 (NE). The NPI Number for DR. KYLE M CHEATHAM (O. D.) is 1568568384

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. KYLE M CHEATHAM (O. D.)
NPI
1568568384
Phone
(402) 205-0754
Address
3606 N 156th St Ste 105
Enumeration Date
16 September 2006
Last Update Date
12 September 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
4022050754
Graduation Year
2005 (21 years ago)
PAC ID
7911905914
Group Practice PAC ID
7719212307
Professional Enrollment ID
I20061130000285
Address ID
NE681162163OM3606XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

338 OPTOMETRY in NE

Provider Addresses for DR. KYLE M CHEATHAM (O. D.)

  • 3606 N 156th St Ste 105

    Omaha, NE 681162163

    Phone: (402) 205-0754

    Type: Location

  • 120 Olson Dr Ste 107

    Papillion, NE 680462961

    Phone: (402) 504-4257

    Type: Location

  • Westfield II, 9900, Nicholas Street, Omaha, Douglas County, Nebraska, 68114, United States

    STE 250

    OMAHA, NE 681142149

    Phone: (402) 493-6500

    Fax: (402) 493-4370

    Type: Mailing

  • 2514 W BROADWAY

    COUNCIL BLUFFS, IA 515013509

    Phone: (711) 322-3097

    Fax: (712) 322-4130

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $243.

Total Amount is formed as General ($243) + Research ($0) + Ownership ($0) = $243.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($208).

Total Amount

$243

General + Research + Ownership

Payments

4

Total payment records

General Amount

$243

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

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: 2007-05-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061130000285IOptometryNETBD
I20070518000119IOptometryIATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6249$0
92285Photography of content of eyes4834$0
92250Photography of the retina3939$0
92083Exam of visual field with extended testing1917$0
92012Established patient problem focused exam of visual system1613$0
View full utilization report →

Insurance plans in this area (ZIP 68116)

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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: 7719212307View full group profile
NameSpecialtyState
O P T O M E T R YIA
O P T O M E T R YMN
O P T O M E T R YIL

Reviews

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Frequently asked questions

What identifier follows DR. KYLE M CHEATHAM (O. D.) across health systems?
The NPI 1568568384 uniquely identifies DR. KYLE M CHEATHAM (O. D.) in U.S. healthcare data.
Is DR. KYLE M CHEATHAM (O. D.)'s NPI status active today?
Active status means DR. KYLE M CHEATHAM (O. D.)'s NPI record is not deactivated in the public file.
What type of care does DR. KYLE M CHEATHAM (O. D.) provide?
DR. KYLE M CHEATHAM (O. D.)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. KYLE M CHEATHAM (O. D.)?
DR. KYLE M CHEATHAM (O. D.) is associated with Omaha, Nebraska in the same public data insurers reference.
Why is information missing for DR. KYLE M CHEATHAM (O. D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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