DR. KENNETH A YOUNG (O.D.) – Optometrist, NPI 1184619009

DR. KENNETH A YOUNG (O.D.) is a healthcare provider. based in Brentwood, Tennessee. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. ODT1488 (TN). The NPI Number for DR. KENNETH A YOUNG (O.D.) is 1184619009

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH A YOUNG (O.D.)
NPI
1184619009
Phone
(615) 373-0080
Address
205 WARD CIR
Enumeration Date
16 September 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9314890029
Graduation Year
1993 (33 years ago)
PAC ID
6204910490
Group Practice PAC ID
0446576359
Professional Enrollment ID
I20111213000451
Address ID
TN371744415SP5407XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

957 OPTOMETRY in TN

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Provider Addresses for DR. KENNETH A YOUNG (O.D.)

  • 205, Ward Circle, Iroquois Estates, Brentwood, Williamson County, Middle Tennessee, Tennessee, 37027, United States

    BRENTWOOD, TN 370277552

    Phone: (615) 373-0080

    Fax: (615) 373-2848

    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 36 Open Payments records for all available years, with a total value of $769.

Total Amount is formed as General ($769) + Research ($0) + Ownership ($0) = $769.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($197).

Total Amount

$769

General + Research + Ownership

Payments

36

Total payment records

General Amount

$769

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2011-12-13

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
I20111213000451IOptometryTNTBD

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
66984Removal of cataract with insertion of prosthetic lens2,93722$0
92014Established patient complete exam of visual system8989$0
99213Established patient office or other outpatient visit, 20-29 minutes5852$0
99212Established patient office or other outpatient visit, 10-19 minutes3734$0
92134Imaging of retina2119$0
View full utilization report →

Insurance plans in this area (ZIP 37027)

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Provider's Procedures

DR. KENNETH A YOUNG (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYTN92012Eye and medical examination for diagnosis and treatment, established patient3626
OPTOMETRYTN92083Measurement of field of vision during daylight conditions3027
OPTOMETRYTN92134Diagnostic imaging of retina1111

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: 0446576359View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. KENNETH A YOUNG (O.D.)?
DR. KENNETH A YOUNG (O.D.) — NPI 1184619009 — is the standard way to identify this listing.
Can I rely on DR. KENNETH A YOUNG (O.D.) being an active provider?
As of the registry snapshot, DR. KENNETH A YOUNG (O.D.) is marked active.
What taxonomy line describes DR. KENNETH A YOUNG (O.D.)?
For research purposes, treat DR. KENNETH A YOUNG (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. KENNETH A YOUNG (O.D.) serve?
DR. KENNETH A YOUNG (O.D.)'s listing highlights Brentwood, Tennessee; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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