DR. KYLE JONATHAN WEAVER OD
NPI 1609141233
Optometrist in Oregon, OH
About Dr. Kyle Jonathan Weaver Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KYLE JONATHAN WEAVER OD (NPI 1609141233) is an individual optometrist in Oregon, Ohio, licensed in Indiana (18003711A) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2011).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kyle Jonathan Weaver Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kyle Weaver reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43616 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
OREGON, OH 43616
OREGON, OH 43616
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 Kyle Weaver's NPI number?
The NPI number for Kyle Weaver is 1609141233. It was assigned to this individual provider in the NPPES registry on March 15, 2012.
Where is Kyle Weaver located?
Kyle Weaver practices at 2740 Navarre Ave, Oregon, OH 43616. The listed phone number is (419) 693-4444.
What is Kyle Weaver's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kyle Weaver enrolled in Medicare?
Yes. Kyle Weaver is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kyle Weaver's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Weaver reassigns Medicare benefits to C J Pataluch Od PC (Fort Wayne, IN). 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 Kyle Weaver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyle Weaver accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Louisiana and 4 other insurers list Kyle Weaver 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 Kyle Weaver was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Kyle Jonathan Weaver, OD · NPI 1609141233
Optometrist provider in Oregon, Ohio. Individual provider, active in the CMS NPPES registry since March 15, 2012.
## Identity
- **NPI:** 1609141233 (Entity type: Individual)
- **Enumerated:** March 15, 2012
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 18003711A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2740 NAVARRE AVE, Oregon, OH 43616
- **Phone:** (419) 693-4444 · **Fax:** (419) 697-2149
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** C J Pataluch Od PC (NPI 1760786503, Fort Wayne, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University - School Of Optometry, class of 2011
## Record status
- **NPPES last updated:** August 14, 2018
- **Other identifiers:** Medicaid 0233917 (OH)
---
Source: [NPI Profile](https://npiprofile.com/npi/1609141233) · Data from the CMS NPPES public registry.