DR. KYLE D MAYGINNES (O.D.) – Optometrist, NPI 1700867652
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. KYLE D MAYGINNES (O.D.)
5116, North Big Hollow Road, Peoria, Peoria County, Illinois, 61615, United States
SUITE 103
PEORIA, IL 616153511
Phone: (309) 683-0500
Fax: (309) 683-0503
Type: Location
Gillman Avenue, Washington, Tazewell County, Illinois, 61571, United States
WASHINGTON, IL 615711136
Phone: (309) 683-0500
Fax: (309) 683-0503
Type: Mailing
226 FAIRHAVENS
MARYSVILLE, OH 430403532
Phone: (309) 645-2229
Type: Mailing
459 COLEMANS CROSSING BLVD
MARYSVILLE, OH 430407068
Phone: (937) 553-6287
Fax: (937) 707-6933
Type: Location
4975 TUTTLE CROSSING BLVD
DUBLIN, OH 430161531
Phone: (614) 766-6638
Fax: (614) 766-2487
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $3,693.
Total Amount is formed as General ($3,693) + Research ($0) + Ownership ($0) = $3,693.
Last reported payment date: 2024-03-13 • Largest payer in this snapshot: CooperVision Inc. ($3,693).
Total Amount
$3,693
General + Research + Ownership
Payments
17
Total payment records
General Amount
$3,693
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $3,693 |
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: 2023-01-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230111002383 | I | Optometry | OH | 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 | 61 | 60 | $0 |
| 92014 | Established patient complete exam of visual system | 47 | 47 | $0 |
| 92004 | New patient complete exam of visual system | 22 | 22 | $0 |
Insurance plans in this area (ZIP 61615)
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