KIRSTEN MADICK (OD) – Optometrist, NPI 1164261301

KIRSTEN MADICK (OD) is a healthcare provider. based in Poland, Ohio. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT.007263 (OH). The NPI Number for KIRSTEN MADICK (OD) is 1164261301

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KIRSTEN MADICK (OD)
NPI
1164261301
Phone
(330) 746-7691
Address
1075 W Western Reserve Rd
Enumeration Date
20 May 2024
Last Update Date
27 August 2024

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
3308846584
Graduation Year
2024 (2 years ago)
PAC ID
0749723294
Group Practice PAC ID
0042350118
Professional Enrollment ID
I20240625001692
Address ID
OH444841039WA4060XNEXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

Provider Addresses for KIRSTEN MADICK (OD)

  • 1075 W Western Reserve Rd

    Poland, OH 445143541

    Phone: (330) 746-7691

    Fax: (330) 743-8368

    Type: Location

  • 4060 N River Rd NE

    Warren, OH 444841039

    Phone: (330) 746-7691

    Fax: (330) 743-8368

    Type: Location

  • 10 Dutton Dr

    Youngstown, OH 445021899

    Phone: (330) 746-7691

    Fax: (330) 743-8368

    Type: Location

  • 10 DUTTON DR

    YOUNGSTOWN, OH 445021899

    Phone: (330) 746-7691

    Fax: (330) 743-8368

    Type: Mailing

  • 2670 S RACCOON RD STE 1

    AUSTINTOWN, OH 445155380

    Phone: (330) 746-7691

    Fax: (330) 743-8368

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2024-06-25

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
I20240625001692IOptometryOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44514)

Loading plans...

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: 0042350118View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YOH
O P T O M E T R YOH
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YOH
O P T O M E T R YOH
O P H T H A L M O L O G YOH

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is KIRSTEN MADICK (OD)'s NPI number?
KIRSTEN MADICK (OD)'s NPI is 1164261301 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to KIRSTEN MADICK (OD)?
You should see KIRSTEN MADICK (OD) as active in CMS-hosted NPPES data.
What expertise is attributed to KIRSTEN MADICK (OD)?
KIRSTEN MADICK (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with KIRSTEN MADICK (OD)?
Directory geography for KIRSTEN MADICK (OD) centers on Poland, Ohio.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

Eye Care Associates, 10, Dutton Drive, Oak Hill, Youngstown, Mahoning County, Ohio, 44502, United States
NPI: 1760476238
114 DIANA DR
NPI: 1184674566

EYE CARE ASSOCIATES, INC

Ophthalmology Physician
10, Dutton Drive, Oak Hill, Youngstown, Mahoning County, Ohio, 44502, United States
NPI: 1336192038
10, Dutton Drive, Oak Hill, Youngstown, Mahoning County, Ohio, 44502, United States
NPI: 1932132818
8277, Market Street, Boardman, Mahoning County, Ohio, 44512, United States
NPI: 1144240045
1075 W WESTERN RESERVE RD
NPI: 1003909094
14, South Main Street, South Main Street Historic District, Poland, Mahoning County, Ohio, 44514, United States
NPI: 1447336524
5890 MAYFAIR RD
NPI: 1538475249
34 BOARDMAN POLAND RD
NPI: 1659710499