COURTNEY NICOLE KASSENBROCK OD
NPI 1093121303
Optometrist in Indianapolis, IN
About Courtney Nicole Kassenbrock Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COURTNEY NICOLE KASSENBROCK OD (NPI 1093121303) is an individual optometrist in Indianapolis, Indiana, licensed in Indiana (18003843) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of Indiana University - School Of Optometry (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Courtney Nicole Kassenbrock Od 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.
Medicare Billing Reassignment
Medicare enrollment records show Courtney Kassenbrock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Indianapolis, IN 46201
- Reassigned Medicare billing, Indiana enrollment
- 59 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Courtney Kassenbrock's NPI number?
The NPI number for Courtney Kassenbrock is 1093121303. It was assigned to this individual provider in the NPPES registry on July 8, 2014.
Where is Courtney Kassenbrock located?
Courtney Kassenbrock practices at 54 Monument Cir Ste 125, Indianapolis, IN 46204. The listed phone number is (317) 631-1200.
What is Courtney Kassenbrock's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Courtney Kassenbrock enrolled in Medicare?
Yes. Courtney Kassenbrock 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.
Which organization bills Medicare for Courtney Kassenbrock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Kassenbrock reassigns Medicare benefits to City Optical Co., Inc. (Indianapolis, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Courtney Kassenbrock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Courtney Kassenbrock accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 8 other insurers list Courtney Kassenbrock 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 Courtney Kassenbrock was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Courtney Nicole Kassenbrock, OD · NPI 1093121303
Optometrist provider in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since July 8, 2014.
## Identity
- **NPI:** 1093121303 (Entity type: Individual)
- **Enumerated:** July 8, 2014
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 18003843 (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 54 MONUMENT CIR, STE 125, Indianapolis, IN 46204-2942
- **Phone:** (317) 631-1200 · **Fax:** (317) 631-1600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** City Optical Co., Inc. (NPI 1093513137, Indianapolis, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University - School Of Optometry, class of 2014
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1093121303) · Data from the CMS NPPES public registry.