DR. KIM P ECKROTH (OD) – Optometrist, NPI 1992777189

DR. KIM P ECKROTH (OD) is a healthcare provider. based in University place, Washington. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OD00003986 (WA). The NPI Number for DR. KIM P ECKROTH (OD) is 1992777189

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIM P ECKROTH (OD)
NPI
1992777189
Phone
(253) 564-9262
Address
8204 27TH ST W
Enumeration Date
2 February 2006
Last Update Date
4 December 2007

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
3604582088
Graduation Year
2005 (21 years ago)
PAC ID
2365474004
Group Practice PAC ID
9739181728
Professional Enrollment ID
I20050902000214
Address ID
WA985978652YE207XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,098 OPTOMETRY in WA

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Provider Addresses for DR. KIM P ECKROTH (OD)

  • 8204, 27th Street West, Devonshire Townhomes, University Place, Pierce County, Washington, 98466, United States

    UNIVERSITY PLACE, WA 984662719

    Phone: (253) 564-9262

    Fax: (253) 564-0996

    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 3 Open Payments records for all available years, with a total value of $49.

Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Alcon Vision LLC ($32).

Total Amount

$49

General + Research + Ownership

Payments

3

Total payment records

General Amount

$49

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

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: 2005-09-02

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
I20050902000214IOptometryWATBD

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 system134133$0
99213Established patient office or other outpatient visit, 20-29 minutes9968$0
92083Exam of visual field with extended testing8166$0
92133Imaging of optic nerve6661$0
92004New patient complete exam of visual system5151$0
View full utilization report →

Insurance plans in this area (ZIP 98466)

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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: 9739181728View full group profile
NameSpecialtyState
O P T O M E T R YWA
-WA

Reviews

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Frequently asked questions

Is DR. KIM P ECKROTH (OD) listed with a National Provider Identifier?
Yes — DR. KIM P ECKROTH (OD) has NPI 1992777189 on file in the registry.
Active or inactive — what applies to DR. KIM P ECKROTH (OD)?
You should see DR. KIM P ECKROTH (OD) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. KIM P ECKROTH (OD)?
DR. KIM P ECKROTH (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. KIM P ECKROTH (OD) located near University Place?
DR. KIM P ECKROTH (OD) currently maps to University Place, Washington in this extract.
Can I trust this NPI listing for DR. KIM P ECKROTH (OD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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