SCOTT KAWAKAMI OD
NPI 1457808719
Optometrist in Idaho Falls, ID

Q: What is Scott Kawakami's NPI number?

The NPI number for Scott Kawakami is 1457808719. It was assigned to this individual provider in the NPPES registry on September 4, 2016.

Q: What is Scott Kawakami'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 Scott Kawakami was last updated on June 22, 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.

Active since September 04, 2016PECOS Enrolled

700 E 17TH ST, IDAHO FALLS, ID 83404(208) 522-2839 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 22, 2021, Apr 16, 2021, Sep 4, 2016 (3 updates tracked since 2016).

On this page

About Scott Kawakami Od NPPES

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

SCOTT KAWAKAMI OD (NPI 1457808719) is an individual optometrist in Idaho Falls, Idaho, licensed in Idaho (ODP-100529) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2016).

NPPES Registry Identity

NPI1457808719

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameSCOTT KAWAKAMICredential: OD

Location Address700 E 17TH STIdaho Falls, ID 83404-6152

Mailing Address700 E 17th StIdaho Falls, ID 83404-6152 · (208) 522-2839

Phone(208) 522-2839

Sole ProprietorYes

Medical School CMSSouthern California College Of OptometryGraduated 2016

Enumeration DateSeptember 4, 2016

Last NPPES UpdateJune 22, 20213 updates tracked since enumeration

NPPES CertifiedJune 2, 2021

✔ NPI 1457808719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in ID · ODP-100529✔ Licensed in NV · 889

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.

700 E 17TH ST, Idaho Falls, ID 83404

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott Kawakami Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608285739

PECOS Enrollment IDI20251204004273

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 2

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.

56 services55 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.

53 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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 11

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

DR. ANGELA D DURTSCHI PHARMD.

Pharmacist