BAILEY R KENNEDY (OD) – Optometrist, NPI 1457910861
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,145 OPTOMETRY in TX
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Provider Addresses for BAILEY R KENNEDY (OD)
142 TOP FLIGHT DR
WEATHERFORD, TX 760874007
Phone: (817) 771-0241
Type: Mailing
Azle, Tarrant County, Texas, 76020, United States
AZLE, TX 760202930
Phone: (817) 441-1717
Type: Location
1120 FM 1189 STE 106-107
MILLSAP, TX 760663545
Phone: (817) 406-2996
Type: Mailing
1120 FM 1189 STE 106
MILLSAP, TX 760663546
Phone: (817) 406-2996
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $403.
Total Amount is formed as General ($403) + Research ($0) + Ownership ($0) = $403.
Last reported payment date: 2024-08-05 • Largest payer in this snapshot: BIOTISSUE HOLDINGS, INC. ($187).
Total Amount
$403
General + Research + Ownership
Payments
11
Total payment records
General Amount
$403
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BIOTISSUE HOLDINGS, INC. | $187 |
| BIOTISSUE HOLDINGS INC. | $144 |
| CooperVision Inc. | $34 |
| Bausch & Lomb Americas Inc. | $21 |
| Alcon Vision LLC | $17 |
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: 2019-08-21
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190821004675 | I | Optometry | TX | 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 |
|---|---|---|---|---|
| 92250 | Photography of the retina | 93 | 93 | $0 |
| 92083 | Exam of visual field with extended testing | 88 | 88 | $0 |
| 92014 | Established patient complete exam of visual system | 71 | 71 | $0 |
| 92004 | New patient complete exam of visual system | 23 | 23 | $0 |
| 92012 | Established patient problem focused exam of visual system | 19 | 12 | $0 |
Insurance plans in this area (ZIP 76087)
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