DR. KEVIN KEITH TOLLER (MD) – Ophthalmology Physician, NPI 1457373466

DR. KEVIN KEITH TOLLER (MD) is a healthcare provider. based in Grove, Oklahoma. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 21196 (OK). The NPI Number for DR. KEVIN KEITH TOLLER (MD) is 1457373466

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN KEITH TOLLER (MD)
NPI
1457373466
Phone
(918) 787-2020
Address
1120 NEO LOOP
Enumeration Date
25 July 2006
Last Update Date
10 April 2015

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
4794422020107
Graduation Year
1994 (32 years ago)
PAC ID
0547207870
Group Practice PAC ID
5395713382
Professional Enrollment ID
I20190923003386
Address ID
AR727034096FA594XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

212 OPHTHALMOLOGY in OK

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Provider Addresses for DR. KEVIN KEITH TOLLER (MD)

  • Grove, Trilofos, Δήμος Θέρμης, Thessaloniki Regional Unit, Central Macedonia, Macedonia and Thrace, 57500, Greece

    GROVE, OK 74344

    Phone: (918) 787-2020

    Fax: (918) 787-6002

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $543.

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

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Glaukos Corporation ($248).

Total Amount

$543

General + Research + Ownership

Payments

9

Total payment records

General Amount

$543

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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: 2019-09-23

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
I20190923003386IOphthalmologyARTBD

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
92136Measurement of corneal curvature and depth of eye345117$0
92134Imaging of retina20883$0
66984Removal of cataract with insertion of prosthetic lens16687$0
67028Injection of drug into eye15849$0
J7999Compounded drug, not otherwise classified10934$0
View full utilization report →

Insurance plans in this area (ZIP 74344)

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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: 5395713382View full group profile
NameSpecialtyState
O P H T H A L M O L O G YAR
O P T O M E T R YAR
O P T O M E T R YAR
-AR
O P T O M E T R YAR
O P T O M E T R YAR
O P H T H A L M O L O G YAR

Reviews

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Frequently asked questions

Is DR. KEVIN KEITH TOLLER (MD) listed with a National Provider Identifier?
Yes — DR. KEVIN KEITH TOLLER (MD) has NPI 1457373466 on file in the registry.
Is DR. KEVIN KEITH TOLLER (MD) still an active registrant?
DR. KEVIN KEITH TOLLER (MD) carries an active NPI according to the public dataset.
What area of care is associated with DR. KEVIN KEITH TOLLER (MD)?
DR. KEVIN KEITH TOLLER (MD)'s record emphasizes Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where in Oklahoma is DR. KEVIN KEITH TOLLER (MD) registered?
Use Grove, Oklahoma as the headline location for DR. KEVIN KEITH TOLLER (MD) here.
When was this NPI issued?
Enumeration for DR. KEVIN KEITH TOLLER (MD) is noted as July 25, 2006 where the registry provides it.