DR. MICHAEL AUSTIN KILLINGSWORTH OD
NPI 1104434042
Optometrist in West Memphis, AR

Q: What is Michael Killingsworth's NPI number?

The NPI number for Michael Killingsworth is 1104434042. It was assigned to this individual provider in the NPPES registry on July 16, 2020.

Q: What is Michael Killingsworth's specialty?

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

Active since July 16, 2020PECOS Enrolled

798 W SERVICE RD, WEST MEMPHIS, AR 72301(870) 732-2066 Get Directions Write a Review

NPPES record last updated: August 16, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 16, 2020, Jul 16, 2020 (2 updates tracked since 2020).

On this page

About Dr. Michael Austin Killingsworth Od NPPES

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

DR. MICHAEL AUSTIN KILLINGSWORTH OD (NPI 1104434042) is an individual optometrist in West Memphis, Arkansas, licensed in Arkansas (2820) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2020).

NPPES Registry Identity

NPI1104434042

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. MICHAEL AUSTIN KILLINGSWORTHCredential: OD

Location Address798 W SERVICE RDWest Memphis, AR 72301-1727

Mailing Address232 Summitt St Apt 3Memphis, TN 38104-5370 · (479) 964-2670

Phone(870) 732-2066

Sole ProprietorYes

Medical School CMSSouthern College Of OptometryGraduated 2020

Enumeration DateJuly 16, 2020

Last NPPES UpdateAugust 16, 20202 updates tracked since enumeration

NPPES CertifiedAugust 16, 2020

✔ NPI 1104434042 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 AR · 2820✔ Licensed in TN · 3595

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.

798 W SERVICE RD, West Memphis, AR 72301

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Austin Killingsworth Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335510759

PECOS Enrollment IDI20230123002754

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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Killingsworth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Provider Profile

Same address

Optometrist

798 W SERVICE RD
West Memphis, AR 72301

Reassigned Medicare billing, Arkansas enrollment

NPI 1861500175 (870) 732-2066

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72301 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

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

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 6

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

WALMART INC.

Pharmacy (Community/Retail Pharmacy)