DR. KENEDI MARTIN OD
NPI 1255227567
Optometrist in Saint Louis, MO

Q: 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.

Q: What is Kenedi Martin's specialty?

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

Q: 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 14 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.

Active since June 13, 2025PECOS EnrolledAccepts Medicare Assignment

5605 STATLER AVE, SAINT LOUIS, MO 63136(636) 627-1090 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

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

NPI1255227567

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. KENEDI MARTINCredential: OD

Location Address5605 STATLER AVESaint Louis, MO 63136-1126

Mailing Address5605 Statler AveSaint Louis, MO 63136-1126 · (636) 627-1090

Phone(636) 627-1090

Sole ProprietorNo

Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2025

Enumeration DateJune 13, 2025

NPPES CertifiedJune 13, 2025

✔ NPI 1255227567 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 MO · 2025022272

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.

5605 STATLER AVE, Saint Louis, MO 63136

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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. 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.

PECOS PAC ID8527551290

PECOS Enrollment IDI20251202000739

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.

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.

New Patient

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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.

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.

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 14 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.