AUSTIN ANDERSEN M.D.
NPI 1164819579
Ophthalmology in Overland Park, KS

Active since April 23, 2015PECOS EnrolledAccepts Medicare Assignment
11121 W 95TH ST, PROFESSIONAL EYECARE, OVERLAND PARK, KS 66214(913) 492-7728(913) 492-5217 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Austin Andersen M.d. NPPES

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

AUSTIN ANDERSEN M.D. (NPI 1164819579) is an individual ophthalmology provider in Overland Park, Kansas, licensed in Kansas (04-39234) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lawrence, and is a graduate of Creighton University School Of Medicine (2014).

NPPES Registry Identity

NPI1164819579
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameAUSTIN ANDERSENCredential: M.D.
Location Address11121 W 95TH ST, PROFESSIONAL EYECAREOverland Park, KS 66214-1824
Mailing Address16325 S Allman RdOlathe, KS 66062-9067 · (402) 540-0017
Fax(913) 492-5217
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2014
Enumeration DateApril 23, 2015
Last NPPES UpdateSeptember 4, 2019
✔ NPI 1164819579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in KS · 04-39234
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
11121 W 95TH ST, Overland Park, KS 66214

Secondary Practice Location 1

Location 13201 S Iowa StLawrence, KS 66046-5205 · Phone (785) 838-3417

Accepted 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

Austin Andersen M.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 ID1052623568
PECOS Enrollment IDI20161202000908
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 Reassignments

2

Medicare enrollment records show Austin Andersen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
11121 W 95TH ST
Overland Park, KS 66214
  • Reassigned Medicare billing, Kansas enrollment
  • 6 clinicians in this Medicare group
Ophthalmology
6575 W 119TH ST
Overland Park, KS 66209
  • Reassigned Medicare billing, Kansas enrollment
  • 6 clinicians in this Medicare group

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 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.

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.
117 services116 patients
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.
72 services72 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.
39 services39 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.
24 services22 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66214 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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 4

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

Optometrist
11121 W 95TH ST
OVERLAND PARK, KS 66214
Eyewear Supplier
11121 W 95TH ST, OAK PARK MALL
OVERLAND PARK, KS 66214
Optometrist
11121 W 95TH ST
OVERLAND PARK, KS 66214
Optometrist
11121 W 95TH ST
OVERLAND PARK, KS 66214

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 Austin Andersen's NPI number?

The NPI number for Austin Andersen is 1164819579. It was assigned to this individual provider in the NPPES registry on April 23, 2015.

Where is Austin Andersen located?

Austin Andersen practices at 11121 W 95th St Professional Eyecare, Overland Park, KS 66214. The listed phone number is (913) 492-7728.

What is Austin Andersen's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Austin Andersen enrolled in Medicare?

Yes. Austin Andersen 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 organizations bill Medicare for Austin Andersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Austin Andersen reassigns Medicare benefits to 2 organizations: Professional Eyecare Oak Park Inc. (Overland Park, KS) and Professional Eyecare South LLC (Overland Park, KS). Each 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 Austin Andersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Austin Andersen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 9 other insurers list Austin Andersen 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 Austin Andersen was last updated on September 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.