DR. KRISTOFER KYLE THORNTON (O.D.) – Optometrist, NPI 1073712485

DR. KRISTOFER KYLE THORNTON (O.D.) is a healthcare provider. based in Marshall, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 7078T (TX). The NPI Number for DR. KRISTOFER KYLE THORNTON (O.D.) is 1073712485

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISTOFER KYLE THORNTON (O.D.)
NPI
1073712485
Phone
(903) 938-2555
Address
2306 E END BLVD S
Enumeration Date
16 July 2007
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
9039382555
Graduation Year
2007 (19 years ago)
PAC ID
4284783200
Group Practice PAC ID
7911308283
Professional Enrollment ID
I20090522000126
Address ID
TX756727469MA2306XSXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,129 OPTOMETRY in TX

Provider Addresses for DR. KRISTOFER KYLE THORNTON (O.D.)

  • 2306 E END BLVD S

    MARSHALL, TX 756727469

    Phone: (903) 938-2555

    Type: Location

  • 105 Cottage Rd

    Carthage, TX 756331507

    Phone: (903) 693-7745

    Type: Location

  • 1821 Judson Rd

    Longview, TX 756054710

    Phone: (903) 758-8832

    Type: Location

  • Judson Road, Longview, Gregg County, Texas, 75601, United States

    LONGVIEW, TX 756054640

    Phone: (903) 758-9090

    Fax: (903) 758-1701

    Type: Mailing

  • 1950 OLD GALLOWS RD STE 520

    VIENNA, VA 221823970

    Phone:

    Type: Mailing

  • 2304 JUDSON RD STE B

    LONGVIEW, TX 756054674

    Phone: (903) 758-9090

    Fax: (903) 758-1701

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $505.

Total Amount is formed as General ($505) + Research ($0) + Ownership ($0) = $505.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Alcon Vision LLC ($309).

Total Amount

$505

General + Research + Ownership

Payments

23

Total payment records

General Amount

$505

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2009-05-22

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
I20090522000126IOptometryTXTBD

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 system8585$0
99213Established patient office or other outpatient visit, 20-29 minutes4535$0
92134Imaging of retina2922$0
92083Exam of visual field with extended testing2821$0
92004New patient complete exam of visual system1919$0
View full utilization report →

Insurance plans in this area (ZIP 75672)

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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: 7911308283View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX

Reviews

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Frequently asked questions

How do payers reference DR. KRISTOFER KYLE THORNTON (O.D.)?
For DR. KRISTOFER KYLE THORNTON (O.D.), use NPI 1073712485 as the unique 10-digit identifier.
Active or inactive — what applies to DR. KRISTOFER KYLE THORNTON (O.D.)?
You should see DR. KRISTOFER KYLE THORNTON (O.D.) as active in CMS-hosted NPPES data.
What area of care is associated with DR. KRISTOFER KYLE THORNTON (O.D.)?
DR. KRISTOFER KYLE THORNTON (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. KRISTOFER KYLE THORNTON (O.D.) located near Marshall?
DR. KRISTOFER KYLE THORNTON (O.D.) currently maps to Marshall, Texas in this extract.
What does 8 location(s) imply?
8 practice locations appear in the available data.

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