DR. KENYON B ANDERSON (O.D.) – Optometrist, NPI 1043280555
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
312 OPTOMETRY in UT
Provider Addresses for DR. KENYON B ANDERSON (O.D.)
252 W Main St Ste C
Santaquin, UT 84655
Phone: (801) 609-2020
Type: Location
4505 E Greenstreet Cir
Wasilla, AK 996548425
Phone: (907) 376-2020
Type: Location
252 W MAIN ST STE C
SANTAQUIN, UT 846557086
Phone: (801) 609-2020
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $3,115.
Total Amount is formed as General ($3,115) + Research ($0) + Ownership ($0) = $3,115.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: CooperVision Inc. ($2,307).
Total Amount
$3,115
General + Research + Ownership
Payments
27
Total payment records
General Amount
$3,115
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $2,307 |
| Optos, Inc. | $321 |
| Bausch & Lomb Americas Inc. | $225 |
| Johnson & Johnson Vision Care, Inc. | $160 |
| Alcon Vision LLC | $87 |
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: 2025-04-24
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 |
|---|---|---|---|---|
| I20140627000175 | I | Optometry | UT | TBD |
| I20250424002984 | I | Optometry | AK | 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 | 157 | 110 | $0 |
| 92134 | Imaging of retina | 43 | 38 | $0 |
| 92133 | Imaging of optic nerve | 32 | 30 | $0 |
| 92004 | New patient complete exam of visual system | 31 | 31 | $0 |
| 92083 | Exam of visual field with extended testing | 28 | 27 | $0 |
Insurance plans in this area (ZIP 84655)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | AK | |
| O P H T H A L M O L O G Y | AK | |
| O P T O M E T R Y | KY | |
| O P T O M E T R Y | AK | |
| O P H T H A L M O L O G Y | AK | |
| O P T O M E T R Y | AK | |
| O P T O M E T R Y | KY | |
| O P T O M E T R Y | AK |
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