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DR. PETER WILLIAM KISHBAUGH O.D.
NPI 1265326342
Optometrist in Richardson, TX

Active since June 04, 2025PECOS EnrolledAccepts Medicare Assignment
3021 E RENNER RD STE 100, RICHARDSON, TX 75082(972) 771-2020 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Peter William Kishbaugh O.d. NPPES

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

DR. PETER WILLIAM KISHBAUGH O.D. (NPI 1265326342) is an individual optometrist in Richardson, Texas, licensed in Texas (11420) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2025).

NPPES Registry Identity

NPI1265326342
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PETER WILLIAM KISHBAUGHCredential: O.D.
Location Address3021 E RENNER RD STE 100Richardson, TX 75082-3579
Mailing Address11442 N Central ExpyDallas, TX 75243-6602 · (214) 220-3937
Phone(972) 771-2020
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2025
Enumeration DateJune 4, 2025
Last NPPES UpdateJune 6, 2025
NPPES CertifiedJune 6, 2025
✔ NPI 1265326342 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 TX · 11420
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.
3021 E RENNER RD STE 100, Richardson, TX 75082
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Health and more.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. Peter William Kishbaugh O.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 ID5991210510
PECOS Enrollment IDI20250714001776
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 Reassignment

Medicare enrollment records show Peter Kishbaugh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jw Eye Associates, PLLC
8.9 mi
Ophthalmology
11442 N. CENTRAL EXPRESSWAY
Dallas, TX 75243
  • Reassigned Medicare billing, Texas enrollment
  • 48 clinicians in this Medicare group
NPI 1285679803 (214) 754-0000

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 75082 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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 Peter Kishbaugh's NPI number?

The NPI number for Peter Kishbaugh is 1265326342. It was assigned to this individual provider in the NPPES registry on June 4, 2025.

Where is Peter Kishbaugh located?

Peter Kishbaugh practices at 3021 E Renner Rd Ste 100, Richardson, TX 75082. The listed phone number is (972) 771-2020.

What is Peter Kishbaugh's specialty?

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

Is Peter Kishbaugh enrolled in Medicare?

Yes. Peter Kishbaugh 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 Peter Kishbaugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Kishbaugh reassigns Medicare benefits to Jw Eye Associates, PLLC (Dallas, TX). 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 Peter Kishbaugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Kishbaugh accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Health, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers list Peter Kishbaugh 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 Peter Kishbaugh was last updated on June 6, 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.