DR. ETHIN STANLEE KIEKHAFER OD
NPI 1366175416
Ophthalmology - Cornea and External Diseases Specialist in Stillwater, MN

Active since July 06, 2022PECOS EnrolledAccepts Medicare Assignment
83.07/100
CMS Quality Rating
ASSOCIATED EYE CARE, 2950 CURVE CREST BLVD, STILLWATER, MN 55082(651) 275-3000 Get Directions Write a Review

NPPES record last updated: June 25, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 25, 2023, Jul 6, 2022 (2 updates tracked since 2022).

About Dr. Ethin Stanlee Kiekhafer Od NPPES

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

DR. ETHIN STANLEE KIEKHAFER OD (NPI 1366175416) is an individual cornea and external diseases specialist in Stillwater, Minnesota, licensed in Wisconsin (3820) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1366175416
Entity TypeIndividualMale
Primary Taxonomy207WX0120X
Provider Legal NameDR. ETHIN STANLEE KIEKHAFERCredential: OD
Location AddressASSOCIATED EYE CARE, 2950 CURVE CREST BLVDStillwater, MN 55082
Mailing AddressAssociated Eye Care, 2950 Curve Crest BlvdStillwater, MN 55082 · (651) 275-3000
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 6, 2022
Last NPPES UpdateJune 25, 20232 updates tracked since enumeration
NPPES CertifiedJune 25, 2023
✔ NPI 1366175416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Cornea and External Diseases SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0120X
Licenses✔ Licensed in WI · 3820✔ Licensed in MN · 3795
Definition
An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.
ASSOCIATED EYE CARE, Stillwater, MN 55082

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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. Ethin Stanlee Kiekhafer 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 ID5799168969
PECOS Enrollment IDI20220822000440, I20230317001953
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.

Areas of Expertise CMS Part B claims 8

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.

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.
232 services230 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.
162 services162 patients
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.
133 services127 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.
126 services92 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
38 services37 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.
37 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55082 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability95
Improvement Activities40
Cost47.74

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 Ethin Kiekhafer's NPI number?

The NPI number for Ethin Kiekhafer is 1366175416. It was assigned to this individual provider in the NPPES registry on July 6, 2022.

Where is Ethin Kiekhafer located?

Ethin Kiekhafer practices at Associated Eye Care 2950 Curve Crest Blvd, Stillwater, MN 55082. The listed phone number is (651) 275-3000.

What is Ethin Kiekhafer's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Cornea and External Diseases Specialist, with taxonomy code 207WX0120X.

Is Ethin Kiekhafer enrolled in Medicare?

Yes. Ethin Kiekhafer 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.

What insurance does Ethin Kiekhafer accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HealthPartners and 3 other insurers list Ethin Kiekhafer 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 Ethin Kiekhafer was last updated on June 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.