KEVIN D OSBORNE (OD) – Optometrist, NPI 1174656870

KEVIN D OSBORNE (OD) is a healthcare provider. based in Moses lake, Washington. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OD00003716 (WA). The NPI Number for KEVIN D OSBORNE (OD) is 1174656870

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN D OSBORNE (OD)
NPI
1174656870
Phone
(509) 764-7338
Address
1217 S PIONEER WAY
Enumeration Date
13 March 2007
Last Update Date
3 July 2018

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5097647338
Graduation Year
1999 (27 years ago)
PAC ID
0749232668
Professional Enrollment ID
I20051118000023
Address ID
WA988372381MO1217XWAYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,098 OPTOMETRY in WA

Provider Addresses for KEVIN D OSBORNE (OD)

  • 1217 S PIONEER WAY

    MOSES LAKE, WA 988372381

    Phone: (509) 764-7338

    Fax: (509) 764-7878

    Type: Mailing

  • 215 E BROADWAY AVE

    MOSES LAKE, WA 988371717

    Phone: (509) 764-7338

    Fax: (509) 764-7878

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $375.

Total Amount is formed as General ($375) + Research ($0) + Ownership ($0) = $375.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Alcon Vision LLC ($300).

Total Amount

$375

General + Research + Ownership

Payments

15

Total payment records

General Amount

$375

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-11-18

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
I20051118000023IOptometryWATBD

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 system115111$0
92134Imaging of retina8872$0
92012Established patient problem focused exam of visual system6352$0
92004New patient complete exam of visual system3030$0
92083Exam of visual field with extended testing2318$0
View full utilization report →

Insurance plans in this area (ZIP 98837)

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Reviews

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Frequently asked questions

How is KEVIN D OSBORNE (OD) identified in CMS data?
CMS-hosted NPPES data lists KEVIN D OSBORNE (OD) with NPI 1174656870.
Is KEVIN D OSBORNE (OD) still practicing?
KEVIN D OSBORNE (OD) is currently listed as active in the public NPI registry.
What healthcare role does KEVIN D OSBORNE (OD) hold?
Scheduling teams often label KEVIN D OSBORNE (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
Where is KEVIN D OSBORNE (OD) based?
KEVIN D OSBORNE (OD) is tied to Moses Lake, Washington in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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