KYLE THOMPSON OD
NPI 1124691779
Optometrist in Astoria, OR

Active since July 21, 2021PECOS EnrolledAccepts Medicare Assignment
87.89/100
CMS Quality Rating
553 18TH ST, ASTORIA, OR 97103(503) 325-4401 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2021, Aug 19, 2021, Jul 21, 2021 (3 updates tracked since 2021).

About Kyle Thompson Od NPPES

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

KYLE THOMPSON OD (NPI 1124691779) is an individual optometrist in Astoria, Oregon, licensed in Oregon (AT4590) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124691779
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKYLE THOMPSONCredential: OD
Location Address553 18TH STAstoria, OR 97103-3505
Mailing Address819 S Holladay DrSeaside, OR 97138-6608
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 21, 2021
Last NPPES UpdateSeptember 14, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2021
NPI 1124691779 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 OR · AT4590 Licensed in WA · OD61205654
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.
553 18TH ST, Astoria, OR 97103

Secondary Practice Locations 2

Location 1819 S Holladay DrSeaside, OR 97138-6608 · Phone (503) 738-5361
Location 21703 Pacific Ave SLong Beach, WA 98631-3400 · Phone (360) 642-3214

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

Kyle Thompson 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 ID3779987466
PECOS Enrollment IDI20210803000537, I20211105002324
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 9

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.
468 services468 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.
151 services110 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.
144 services144 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
127 services126 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
105 services97 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.
62 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97103 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

87.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.78
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Optometrist
553 18TH ST
ASTORIA, OR 97103
Optometrist
553 18TH ST
ASTORIA, OR 97103
Optometrist
553 18TH ST
ASTORIA, OR 97103
Optometrist
553 18TH ST
ASTORIA, OR 97103

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 Thompson's NPI number?

The NPI number for Kyle Thompson is 1124691779. It was assigned to this individual provider in the NPPES registry on July 21, 2021.

Where is Kyle Thompson located?

Kyle Thompson practices at 553 18th St, Astoria, OR 97103. The listed phone number is (503) 325-4401.

What is Kyle Thompson's specialty?

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

Is Kyle Thompson enrolled in Medicare?

Yes. Kyle Thompson 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 Kyle Thompson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kyle Thompson 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 Thompson was last updated on September 14, 2021. 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.