DR. KENYON B ANDERSON O.D.
NPI 1043280555
Optometrist in Santaquin, UT

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
252 W MAIN ST STE C, SANTAQUIN, UT 84655(801) 609-2020 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenyon B Anderson O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENYON B ANDERSON O.D. (NPI 1043280555) is an individual optometrist in Santaquin, Utah, licensed in Utah (8897506) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Missouri St Louis - School Of Optometry (2005).

NPPES Registry Identity

NPI1043280555
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KENYON B ANDERSONCredential: O.D.
Location Address252 W MAIN ST STE CSantaquin, UT 84655
Mailing Address252 W Main St Ste CSantaquin, UT 84655-7086 · (801) 609-2020
Sole ProprietorNo
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2005
Enumeration DateJanuary 25, 2006
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
NPI 1043280555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in UT · 8897506 Licensed in ID · ODP-100087 Licensed in AK · 235042
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
252 W MAIN ST STE C, Santaquin, UT 84655

Secondary Practice Locations 2

Location 1252 W Main St Ste CSantaquin, UT 84655 · Phone (801) 609-2020
Location 24505 E Greenstreet CirWasilla, AK 99654-8425 · Phone (907) 376-2020

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenyon B Anderson O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537187547
PECOS Enrollment IDI20140627000175
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
117 services86 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
34 services26 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
30 services13 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
28 services28 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
21 services20 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
252 W MAIN ST STE C
SANTAQUIN, UT 84655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenyon Anderson's NPI number?

The NPI number for Kenyon Anderson is 1043280555. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Kenyon Anderson located?

Kenyon Anderson practices at 252 W Main St Ste C, Santaquin, UT 84655. The listed phone number is (801) 609-2020.

What is Kenyon Anderson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kenyon Anderson enrolled in Medicare?

Yes. Kenyon Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenyon Anderson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Premera Blue Cross Blue Shield of Alaska and 4 other insurers list Kenyon Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenyon Anderson was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.