TRACIE KINGSOLVER (OD) – Optometrist, NPI 1215367917
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,618 OPTOMETRY in OH
Provider Addresses for TRACIE KINGSOLVER (OD)
2920 GLENDALE MILFORD RD STE 220
CINCINNATI, OH 452413131
Phone: (513) 557-3669
Type: Mailing
5303 GLENWAY AVE
CINCINNATI, OH 452383706
Phone: (513) 922-9000
Fax: (513) 922-4050
Type: Location
5854 CINEMA DR
MILFORD, OH 451501507
Phone: (513) 248-1212
Fax: (513) 248-1247
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $443.
Total Amount is formed as General ($443) + Research ($0) + Ownership ($0) = $443.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Alcon Vision LLC ($174).
Total Amount
$443
General + Research + Ownership
Payments
13
Total payment records
General Amount
$443
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $174 |
| Bausch & Lomb Americas Inc. | $128 |
| CooperVision Inc. | $111 |
| Tarsus Pharmaceuticals, Inc. | $16 |
| Sun Pharmaceutical Industries Inc. | $14 |
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: 2013-12-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (892 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20131211000379 | I | Optometry | OH | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 45241)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| O P T O M E T R Y | OH |
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