DR. KENDALL CRAIG WILLDEN (O.D.) – Optometrist, NPI 1598072043
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,977 OPTOMETRY in NY
Provider Addresses for DR. KENDALL CRAIG WILLDEN (O.D.)
3455 VESTAL PARWAY EAST
VESTAL, NY 13850
Phone: (607) 722-2020
Fax: (607) 722-3937
Type: Mailing
3485 N COLE RD UNIT 45479
BOISE, ID 837111095
Phone: (208) 954-9106
Type: Mailing
2990 S 25TH E
IDAHO FALLS, ID 834046515
Phone: (833) 776-2020
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $568.
Total Amount is formed as General ($568) + Research ($0) + Ownership ($0) = $568.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($256).
Total Amount
$568
General + Research + Ownership
Payments
16
Total payment records
General Amount
$568
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $256 |
| Alcon Vision LLC | $148 |
| CooperVision Inc. | $126 |
| Astellas Pharma US Inc | $19 |
| Johnson & Johnson Vision Care, Inc. | $18 |
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: 2018-05-24
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 |
|---|---|---|---|---|
| I20180524001722 | I | Optometry | ID | 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 | 118 | 116 | $0 |
| 92004 | New patient complete exam of visual system | 59 | 59 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 21 | 11 | $0 |
| 92134 | Imaging of retina | 16 | 15 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 13850)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | OR |
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