KELSI BUTHERUS O.D.
NPI 1174762389
Optometrist in Coeur D Alene, ID
About Kelsi Butherus O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSI BUTHERUS O.D. (NPI 1174762389) is an individual optometrist in Coeur D Alene, Idaho, licensed in Idaho (ODP-100183) and active in the NPI registry since February 2009. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kelsi Butherus O.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2015 through July 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83815 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COEUR D ALENE, ID 83815
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 Kelsi Butherus's NPI number?
The NPI number for Kelsi Butherus is 1174762389. It was assigned to this individual provider in the NPPES registry on February 11, 2009. The provider is also known as Kelsi Kepler O.D..
Where is Kelsi Butherus located?
Kelsi Butherus practices at 355 E Neider Ave, Coeur D Alene, ID 83815. The listed phone number is (208) 676-7356.
What is Kelsi Butherus's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kelsi Butherus enrolled in Medicare?
No. Kelsi Butherus has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Kelsi Butherus accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kelsi Butherus 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 Kelsi Butherus was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kelsi Butherus, O.D. · NPI 1174762389
Optometrist provider in Coeur D Alene, Idaho. Individual provider, active in the CMS NPPES registry since February 11, 2009.
## Identity
- **NPI:** 1174762389 (Entity type: Individual)
- **Enumerated:** February 11, 2009
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** ODP-100183 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 355 E NEIDER AVE, Coeur D Alene, ID 83815-3723
- **Phone:** (208) 676-7356
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** January 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1174762389) · Data from the CMS NPPES public registry.