DR. CONNER MICHAEL KAPPERMAN (OD) – Optometrist, NPI 1356961213

DR. CONNER MICHAEL KAPPERMAN (OD) is a healthcare provider. based in Jenks, Oklahoma. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2642 (NC). The NPI Number for DR. CONNER MICHAEL KAPPERMAN (OD) is 1356961213

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. CONNER MICHAEL KAPPERMAN (OD)
NPI
1356961213
Phone
(918) 747-2020
Address
244 S Gateway Pl
Enumeration Date
21 April 2020
Last Update Date
21 September 2023

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
4238922020
Graduation Year
2020 (6 years ago)
PAC ID
9133539539
Group Practice PAC ID
2769570571
Professional Enrollment ID
I20230829002481
Address ID
TN374213192CH1720XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:6State licenses:3Digital endpointsOther names

684 OPTOMETRY in OK

Provider Addresses for DR. CONNER MICHAEL KAPPERMAN (OD)

  • 244 S Gateway Pl

    Jenks, OK 740373460

    Phone: (918) 747-2020

    Type: Location

  • 1629 Owen Dr

    Fayetteville, NC 283043425

    Phone: (910) 484-2284

    Fax: (910) 484-1673

    Type: Location

  • 11500 MCGHEE RD

    APISON, TN 373029601

    Phone: (423) 443-9066

    Type: Mailing

  • 244 S GATEWAY PL

    JENKS, OK 740373460

    Phone: (918) 747-2020

    Type: Location

  • 1720 GUNBARREL RD STE 100

    CHATTANOOGA, TN 374213192

    Phone: (423) 892-2020

    Type: Mailing

  • 1726 METROMEDICAL DR

    FAYETTEVILLE, NC 283043861

    Phone: (910) 484-2284

    Fax: (910) 484-1673

    Type: Mailing

  • 1629 OWEN DR

    FAYETTEVILLE, NC 283043425

    Phone: (910) 484-2284

    Fax: (910) 484-1673

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $1,543.

Total Amount is formed as General ($1,543) + Research ($0) + Ownership ($0) = $1,543.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($621).

Total Amount

$1,543

General + Research + Ownership

Payments

46

Total payment records

General Amount

$1,543

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2023-08-29

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
I20210803003092IOptometryNCTBD
I20230829002481IOptometryTNTBD

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 minutes341335$0
92250Photography of the retina273267$0
99213Established patient office or other outpatient visit, 20-29 minutes189166$0
92134Imaging of retina129128$0
92133Imaging of optic nerve10197$0
View full utilization report →

Insurance plans in this area (ZIP 74037)

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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: 2769570571View full group profile
NameSpecialtyState
O P T O M E T R YTN
O P T O M E T R YTN
O P T O M E T R YTN

Reviews

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Frequently asked questions

What NPI should I save for DR. CONNER MICHAEL KAPPERMAN (OD)?
Save NPI 1356961213 if you need a stable reference for DR. CONNER MICHAEL KAPPERMAN (OD).
Is DR. CONNER MICHAEL KAPPERMAN (OD) currently active in the NPI registry?
CMS-published data lists DR. CONNER MICHAEL KAPPERMAN (OD) as an active registrant.
Does DR. CONNER MICHAEL KAPPERMAN (OD) list a primary specialty?
If you are matching referrals, note Optometrist for DR. CONNER MICHAEL KAPPERMAN (OD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. CONNER MICHAEL KAPPERMAN (OD)?
The snapshot lists Jenks, Oklahoma for DR. CONNER MICHAEL KAPPERMAN (OD); download NPPES for the complete set.
What if Jenks, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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