KIRBY L SCULLION O.D.
NPI 1376551457
Optometrist in Canton, OH

Q: What is Kirby Scullion's NPI number?

The NPI number for Kirby Scullion is 1376551457. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Q: What is Kirby Scullion'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 Kirby Scullion was last updated on July 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment

4004 TUSCARAWAS ST W, CANTON, OH 44708(330) 479-9750(330) 479-9752 Get Directions Write a Review

NPPES record last updated: July 20, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kirby L Scullion O.d. NPPES

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

KIRBY L SCULLION O.D. (NPI 1376551457) is an individual optometrist in Canton, Ohio, licensed in Ohio (3495/T1636) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1980).

NPPES Registry Identity

NPI1376551457

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameKIRBY L SCULLIONCredential: O.D.

Location Address4004 TUSCARAWAS ST WCanton, OH 44708-5503

Mailing Address2379 17th St SeEast Canton, OH 44730-9542 · (330) 452-1597 · Fax (330) 479-9752

Phone(330) 479-9750

Fax(330) 479-9752

Sole ProprietorYes

Medical School CMSOhio State University - College Of OptometryGraduated 1980

Enumeration DateAugust 4, 2006

Last NPPES UpdateJuly 20, 2013

✔ NPI 1376551457 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 OH · 3495/T1636

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.

4004 TUSCARAWAS ST W, Canton, OH 44708

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Other Identifiers 3

Medicaid0442239OH

Medicare UPINT47307

Medicare ID-Type UnspecifiedSC4130732

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Kirby L Scullion 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 ID3072596402

PECOS Enrollment IDI20040608000943

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 3

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.

23 services23 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.

21 services19 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

19 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44708 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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