KYLE THOMPSON (OD) – Optometrist, NPI 1124691779
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
672 OPTOMETRY in OR
Provider Addresses for KYLE THOMPSON (OD)
819 S Holladay Dr
Seaside, OR 971386608
Phone: (503) 738-5361
Type: Location
1703 Pacific Ave S
Long Beach, WA 986313400
Phone: (360) 642-3214
Type: Location
819 S HOLLADAY DR
SEASIDE, OR 971386608
Phone:
Type: Mailing
553 18TH ST
ASTORIA, OR 971033505
Phone: (503) 325-4401
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $67.
Total Amount is formed as General ($67) + Research ($0) + Ownership ($0) = $67.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Alcon Vision LLC ($67).
Total Amount
$67
General + Research + Ownership
Payments
3
Total payment records
General Amount
$67
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $67 |
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: 2021-11-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210803000537 | I | Optometry | OR | TBD |
| I20211105002324 | I | Optometry | WA | TBD |
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.
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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 466 | 462 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 199 | 157 | $0 |
| 92004 | New patient complete exam of visual system | 165 | 165 | $0 |
| 92134 | Imaging of retina | 136 | 131 | $0 |
| 92133 | Imaging of optic nerve | 99 | 93 | $0 |
Insurance plans in this area (ZIP 97138)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | WA | |
| O P T O M E T R Y | WA |
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