KIERSTEN WYTOVAK
NPI 1386317006
Optometrist in Indianapolis, IN

Active since July 28, 2021PECOS EnrolledAccepts Medicare Assignment
1511 N POST RD STE A, INDIANAPOLIS, IN 46219(317) 899-1017 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kiersten Wytovak NPPES

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

KIERSTEN WYTOVAK (NPI 1386317006) is an individual optometrist in Indianapolis, Indiana, licensed in Indiana (18004297A) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1386317006
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKIERSTEN WYTOVAK
Location Address1511 N POST RD STE AIndianapolis, IN 46219-4248
Mailing Address3015 Hartmetz AveEvansville, IN 47712-5003
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 28, 2021
NPPES CertifiedJuly 28, 2021
NPI 1386317006 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 IN · 18004297A
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.
1511 N POST RD STE A, Indianapolis, IN 46219

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

Kiersten Wytovak 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 ID8628429628
PECOS Enrollment IDI20240103003603
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 46219 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 Kiersten Wytovak's NPI number?

The NPI number for Kiersten Wytovak is 1386317006. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Where is Kiersten Wytovak located?

Kiersten Wytovak practices at 1511 N Post Rd Ste A, Indianapolis, IN 46219. The listed phone number is (317) 899-1017.

What is Kiersten Wytovak's specialty?

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

Is Kiersten Wytovak enrolled in Medicare?

Yes. Kiersten Wytovak 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 Kiersten Wytovak accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 3 other insurers list Kiersten Wytovak 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 Kiersten Wytovak was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.