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DR. KATHRYN A. MAYBERRY O.D.
NPI 1124275235
Optometrist in Dexter, MO

Active since August 20, 2008PECOS EnrolledAccepts Medicare Assignment
812 N ONE MILE RD, DEXTER, MO 63841(573) 614-5393(573) 614-5639 Get Directions Write a Review

NPPES record last updated: September 18, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kathryn A. Mayberry O.d. NPPES

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

DR. KATHRYN A. MAYBERRY O.D. (NPI 1124275235) is an individual optometrist in Dexter, Missouri, licensed in Missouri (2009016930) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2008).

NPPES Registry Identity

NPI1124275235
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KATHRYN A. MAYBERRYCredential: O.D.
Location Address812 N ONE MILE RDDexter, MO 63841-1034
Mailing Address812 N One Mile RdDexter, MO 63841-1034 · (573) 614-5393 · Fax (573) 614-5639
Phone(573) 614-5393
Fax(573) 614-5639
Sole ProprietorNo
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2008
Enumeration DateAugust 20, 2008
Last NPPES UpdateSeptember 18, 2012
✔ NPI 1124275235 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 MO · 2009016930
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.
812 N ONE MILE RD, Dexter, MO 63841
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Other Names 1

Former Name (1)Kathryn A. Howard O.d.

Other Identifiers 2

OtherMA1184Medicare Ptan
Medicaid1124275235MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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. Kathryn A. Mayberry 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 ID2365501764
PECOS Enrollment IDI20091029000292
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 4

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.
107 services107 patients
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.
53 services39 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
22 services12 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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63841 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

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 Kathryn Mayberry's NPI number?

The NPI number for Kathryn Mayberry is 1124275235. It was assigned to this individual provider in the NPPES registry on August 20, 2008. The provider is also known as Kathryn A. Howard O.D..

Where is Kathryn Mayberry located?

Kathryn Mayberry practices at 812 N One Mile Rd, Dexter, MO 63841. The listed phone number is (573) 614-5393.

What is Kathryn Mayberry's specialty?

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

Is Kathryn Mayberry enrolled in Medicare?

Yes. Kathryn Mayberry 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 Kathryn Mayberry accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Kathryn Mayberry 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 Kathryn Mayberry was last updated on September 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.