DR. KYLE KOUBEK (OD) – Optometrist, NPI 1629546668

DR. KYLE KOUBEK (OD) is a healthcare provider. based in Westlake, Ohio. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 006701 (OH). The NPI Number for DR. KYLE KOUBEK (OD) is 1629546668

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. KYLE KOUBEK (OD)
NPI
1629546668
Phone
(440) 892-5367
Address
26927 DETROIT RD
Enumeration Date
7 November 2018
Last Update Date
10 August 2023

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
4197322828
Graduation Year
2018 (8 years ago)
PAC ID
7618212788
Group Practice PAC ID
3870957921
Professional Enrollment ID
I20181218000773
Address ID
OH434522416PO820XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,619 OPTOMETRY in OH

Provider Addresses for DR. KYLE KOUBEK (OD)

  • 26927 DETROIT RD

    WESTLAKE, OH 441452370

    Phone: (440) 892-5367

    Type: Mailing

  • Norwalk Road, Litchfield, Litchfield Township, Medina County, Ohio, 44253, United States

    LITCHFIELD, OH 442539401

    Phone: (440) 309-7501

    Type: Mailing

  • 200 Public Square, 200, Euclid Avenue, East 4th Street, Warehouse District, Cleveland, Cuyahoga County, Ohio, 44114, United States

    CLEVELAND, OH 441142301

    Phone: (216) 621-2815

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $1,438.

Total Amount is formed as General ($1,438) + Research ($0) + Ownership ($0) = $1,438.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Alcon Vision LLC ($629).

Total Amount

$1,438

General + Research + Ownership

Payments

27

Total payment records

General Amount

$1,438

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

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: 2018-12-18

PECOS data refreshed: 2026-06-15

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
I20181218000773IOptometryOHTBD

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
92014Established patient complete exam of visual system3535$0
99213Established patient office or other outpatient visit, 20-29 minutes2118$0
92134Imaging of retina1918$0
92004New patient complete exam of visual system1818$0
View full utilization report →

Insurance plans in this area (ZIP 44145)

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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: 3870957921View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P T O M E T R YOH

Reviews

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Frequently asked questions

What NPI should I save for DR. KYLE KOUBEK (OD)?
Save NPI 1629546668 if you need a stable reference for DR. KYLE KOUBEK (OD).
Is DR. KYLE KOUBEK (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. KYLE KOUBEK (OD)?
The page reflects Optometrist for DR. KYLE KOUBEK (OD). Clinical services aligned with this taxonomy classification.
Does DR. KYLE KOUBEK (OD) practice in Ohio?
You will see Westlake, Ohio on file for DR. KYLE KOUBEK (OD) alongside any extra practice locations.
Is DR. KYLE KOUBEK (OD) a real provider?
This page reflects official NPPES data for NPI 1629546668. Always confirm identity and privileges with the practice and licensing boards.

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