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DR. AUTUMN RAE NUNN KILLOP OD, MPH
NPI 1164098893
Optometrist in Grand Rapids, MI

Active since June 02, 2021PECOS EnrolledAccepts Medicare Assignment
74.01/100
CMS Quality Rating
2820 E BELTLINE LN NE, GRAND RAPIDS, MI 49525(616) 363-5413(616) 363-4211 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2025, Jun 2, 2021 (2 updates tracked since 2021).

About Dr. Autumn Rae Nunn Killop Od, Mph NPPES

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

DR. AUTUMN RAE NUNN KILLOP OD, MPH (NPI 1164098893) is an individual optometrist in Grand Rapids, Michigan, licensed in Michigan (4901005523) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164098893
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. AUTUMN RAE NUNN KILLOPCredential: OD, MPH
Location Address2820 E BELTLINE LN NEGrand Rapids, MI 49525-9432
Mailing Address2820 E Beltline Ln NeGrand Rapids, MI 49525-9432 · (766) 363-5413
Phone(616) 363-5413
Fax(616) 363-4211
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 2, 2021
Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1164098893 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 MI · 4901005523
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.
2820 E BELTLINE LN NE, Grand Rapids, MI 49525
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Autumn Rae Nunn Killop Od, Mph 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 ID3173923901
PECOS Enrollment IDI20210615002404
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.
62 services59 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.
36 services29 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.
19 services19 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 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $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.

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.

74.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability97
Improvement Activities40
Cost15.89

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.

GRAND RAPIDS EYE CARE 2820 PLLC
Optometrist
2820 E BELTLINE LN NE
GRAND RAPIDS, MI 49525
Kent County (616) 363-5413
DR. MARK COLLINS DAVIS OD
Optometrist
2820 E BELTLINE LN NE
GRAND RAPIDS, MI 49525
Kent County (616) 363-5413
JACQUELYN LEE COSGROVE MALLEIS O.D.
Optometrist
2820 E BELTLINE LN NE
GRAND RAPIDS, MI 49525
Kent County (616) 363-5413
ADAM HOFFHINES OD
Optometrist
2820 E BELTLINE LN NE
GRAND RAPIDS, MI 49525
Kent County (616) 363-5413

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 Autumn Killop's NPI number?

The NPI number for Autumn Killop is 1164098893. It was assigned to this individual provider in the NPPES registry on June 2, 2021.

Where is Autumn Killop located?

Autumn Killop practices at 2820 E Beltline Ln NE, Grand Rapids, MI 49525. The listed phone number is (616) 363-5413.

What is Autumn Killop's specialty?

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

Is Autumn Killop enrolled in Medicare?

Yes. Autumn Killop 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 Autumn Killop accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 7 other insurers list Autumn Killop 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 Autumn Killop was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.