DR. JAIME LARSEN KENNY OD
NPI 1154368736
Optometrist in Webster, NY

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1028 RIDGE RD STE 104, EMPIRE VISION CENTERS, WEBSTER, NY 14580(585) 872-2200(585) 288-8998 Get Directions Write a Review

NPPES record last updated: February 6, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jaime Larsen Kenny Od NPPES

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

DR. JAIME LARSEN KENNY OD (NPI 1154368736) is an individual optometrist in Webster, New York, licensed in New York (TUV006551) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2002).

NPPES Registry Identity

NPI1154368736
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAIME LARSEN KENNYCredential: OD
Location Address1028 RIDGE RD STE 104, EMPIRE VISION CENTERSWebster, NY 14580-2973
Mailing Address1028 Ridge Rd, Ste 104Webster, NY 14580-2975 · (315) 445-7465 · Fax (315) 445-7675
Fax(585) 288-8998
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 2002
Enumeration DateJune 1, 2006
Last NPPES UpdateFebruary 6, 2018
NPI 1154368736 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 NY · TUV006551
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.

1028 RIDGE RD STE 104, Webster, NY 14580

Other Names 1

Other Name (5)Dr. Jaime Larsen Van Fossan Od

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

Dr. Jaime Larsen Kenny 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 ID8921081050
PECOS Enrollment IDI20040610000479
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 5

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.
67 services67 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).
18 services17 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.
17 services17 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.
16 services15 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.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14580 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

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 Jaime Kenny's NPI number?

The NPI number for Jaime Kenny is 1154368736. It was assigned to this individual provider in the NPPES registry on June 1, 2006. The provider is also known as Dr. Jaime Larsen Van Fossan Od.

Where is Jaime Kenny located?

Jaime Kenny practices at 1028 Ridge Rd Ste 104 Empire Vision Centers, Webster, NY 14580. The listed phone number is (585) 872-2200.

What is Jaime Kenny's specialty?

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

Is Jaime Kenny enrolled in Medicare?

Yes. Jaime Kenny 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 Jaime Kenny accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Jaime Kenny 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 Jaime Kenny was last updated on February 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.