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DR. KYLE MAXAM O.D.
NPI 1124476411
Optometrist in Brookville, OH

Active since May 27, 2016PECOS EnrolledAccepts Medicare Assignment
430 ARLINGTON RD STE A, BROOKVILLE, OH 45309(937) 770-1265 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2025, May 5, 2025 (2 updates tracked since 2025).

About Dr. Kyle Maxam O.d. NPPES

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

DR. KYLE MAXAM O.D. (NPI 1124476411) is an individual optometrist in Brookville, Ohio, licensed in Ohio (6478) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2016).

NPPES Registry Identity

NPI1124476411
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KYLE MAXAMCredential: O.D.
Location Address430 ARLINGTON RD STE ABrookville, OH 45309-1103
Mailing Address430 Arlington RdBrookville, OH 45309-1103 · (937) 770-1265
Phone(937) 770-1265
Sole ProprietorYes
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2016
Enumeration DateMay 27, 2016
Last NPPES UpdateJuly 11, 20252 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
✔ NPI 1124476411 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 OH · 6478
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.
430 ARLINGTON RD STE A, Brookville, OH 45309
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Kyle Maxam 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 ID3072874890
PECOS Enrollment IDI20180220001532
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 Kyle Maxam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eyedocs Family Eye Care
Same address
Optometrist
430 ARLINGTON RD STE A
Brookville, OH 45309
  • Reassigned Medicare billing, Ohio enrollment
  • 4 clinicians in this Medicare group
NPI 1912411497 (513) 265-9422

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 2

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.
34 services34 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.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45309 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

EYEDOCS FAMILY EYE CARE
Optometrist
430 ARLINGTON RD STE A
BROOKVILLE, OH 45309
Montgomery County (513) 265-9422

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 Kyle Maxam's NPI number?

The NPI number for Kyle Maxam is 1124476411. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Where is Kyle Maxam located?

Kyle Maxam practices at 430 Arlington Rd Ste A, Brookville, OH 45309. The listed phone number is (937) 770-1265.

What is Kyle Maxam's specialty?

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

Is Kyle Maxam enrolled in Medicare?

Yes. Kyle Maxam 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 Kyle Maxam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Maxam reassigns Medicare benefits to Eyedocs Family Eye Care (Brookville, OH). 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 Kyle Maxam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Maxam accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 12 other insurers list Kyle Maxam 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 Kyle Maxam was last updated on July 11, 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.