KYLIE SEBASTIAN OD
NPI 1114376365
Optometrist in Kokomo, IN

Active since June 08, 2016PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1601 W LINCOLN RD, KOKOMO, IN 46902(765) 453-5696(765) 455-4323 Get Directions Write a Review

NPPES record last updated: December 7, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 7, 2017, Oct 13, 2016, Jun 15, 2016 (3 updates tracked since 2016).

About Kylie Sebastian Od NPPES

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

KYLIE SEBASTIAN OD (NPI 1114376365) is an individual optometrist in Kokomo, Indiana, licensed in Indiana (18003966) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Kokomo, and is a graduate of Indiana University - School Of Optometry (2016).

NPPES Registry Identity

NPI1114376365
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKYLIE SEBASTIANCredential: OD
Location Address1601 W LINCOLN RDKokomo, IN 46902-3275
Mailing AddressPo Box 549Wabash, IN 46992-0549 · (260) 569-9550 · Fax (260) 569-0760
Fax(765) 455-4323
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2016
Enumeration DateJune 8, 2016
Last NPPES UpdateDecember 7, 20173 updates tracked since enumeration
NPI 1114376365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in IN · 18003966
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.
1601 W LINCOLN RD, Kokomo, IN 46902

Other Names 1

Former Name (1)Kylie Cardwell Od

Other Identifiers 2

Medicaid201364070IN
OtherP01707911IN · Railroad Medicare

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

Kylie Sebastian 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.

PECOS PAC ID8921399312
PECOS Enrollment IDI20160615000223
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 14

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 office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
932 services614 patients
Analysis of substance using immunoassay technique, multiple step method 83516
This procedure involves the use of an immunoassay, a highly sensitive technique, to detect and measure substances in your body. It involves multiple steps and is commonly used in diagnosing and monitoring various health conditions.
774 services262 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
693 services246 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
691 services527 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
439 services397 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.
433 services341 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Vincent Kokomo

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150010
Location1907 W Sycamore StKokomo, IN 46904 · Howard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46902 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%51 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

Ophthalmology
1601 W LINCOLN RD
KOKOMO, IN 46902
Ophthalmology (Retina Specialist)
1601 W LINCOLN RD
KOKOMO, IN 46902
Hearing Instrument Specialist
1601 W LINCOLN RD
KOKOMO, IN 46902
Optometrist
1601 W LINCOLN RD
KOKOMO, IN 46902
Clinic/Center
1601 W LINCOLN RD
KOKOMO, IN 46902
Hearing Instrument Specialist
1601 W LINCOLN RD
KOKOMO, IN 46902
Optometrist
1601 W LINCOLN RD
KOKOMO, IN 46902
Ophthalmology
1601 W LINCOLN RD
KOKOMO, IN 46902

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 Kylie Sebastian's NPI number?

The NPI number for Kylie Sebastian is 1114376365. It was assigned to this individual provider in the NPPES registry on June 8, 2016. The provider is also known as Kylie Cardwell Od.

Where is Kylie Sebastian located?

Kylie Sebastian practices at 1601 W Lincoln Rd, Kokomo, IN 46902. The listed phone number is (765) 453-5696.

What is Kylie Sebastian's specialty?

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

Is Kylie Sebastian enrolled in Medicare?

Yes. Kylie Sebastian 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 Kylie Sebastian 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 6 other insurers list Kylie Sebastian 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.

Is Kylie Sebastian affiliated with any hospitals?

According to CMS data, Kylie Sebastian is affiliated with Ascension St Vincent Kokomo.

When was this NPI record last updated?

The NPPES record for Kylie Sebastian was last updated on December 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.