DR. KENEDI MARTIN OD
NPI 1255227567
Optometrist in Saint Louis, MO
About Dr. Kenedi Martin Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENEDI MARTIN OD (NPI 1255227567) is an individual optometrist in Saint Louis, Missouri, licensed in Missouri (2025022272) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2025).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Kenedi Martin 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.
Medicare Billing Reassignment
Medicare enrollment records show Kenedi Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Florissant, MO 63031
- Reassigned Medicare billing, Missouri enrollment
- 4 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kenedi Martin's NPI number?
The NPI number for Kenedi Martin is 1255227567. It was assigned to this individual provider in the NPPES registry on June 13, 2025.
Where is Kenedi Martin located?
Kenedi Martin practices at 5605 Statler Ave, Saint Louis, MO 63136. The listed phone number is (636) 627-1090.
What is Kenedi Martin's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kenedi Martin enrolled in Medicare?
Yes. Kenedi Martin 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 organization bills Medicare for Kenedi Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenedi Martin reassigns Medicare benefits to Eye Center Inc (Florissant, MO). The 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 Kenedi Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenedi Martin accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Kenedi Martin 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 Kenedi Martin was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. Kenedi Martin, OD · NPI 1255227567
Optometrist provider in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since June 13, 2025.
## Identity
- **NPI:** 1255227567 (Entity type: Individual)
- **Enumerated:** June 13, 2025
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 2025022272 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 5605 STATLER AVE, Saint Louis, MO 63136-1126
- **Phone:** (636) 627-1090
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Eye Center Inc (NPI 1558429258, Florissant, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Missouri St Louis - School Of Optometry, class of 2025
## Record status
- **NPPES last updated:** June 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255227567) · Data from the CMS NPPES public registry.