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KATHY G. BIDDINGER O.D.
NPI 1669434130
Optometrist in Athens, OH

Active since April 03, 2006PECOS Enrolled
199 COLUMBUS RD, ATHENS, OH 45701(740) 593-3191(740) 594-2525 Get Directions Write a Review

NPPES record last updated: June 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathy G. Biddinger O.d. NPPES

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

KATHY G. BIDDINGER O.D. (NPI 1669434130) is an individual optometrist in Athens, Ohio, licensed in Ohio (4820) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1997).

NPPES Registry Identity

NPI1669434130
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKATHY G. BIDDINGERCredential: O.D.
Location Address199 COLUMBUS RDAthens, OH 45701-1315
Mailing AddressPo Box 668Athens, OH 45701-0668 · (740) 593-3191 · Fax (740) 594-2525
Phone(740) 593-3191
Fax(740) 594-2525
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1997
Enumeration DateApril 3, 2006
Last NPPES UpdateJune 14, 2011
✔ NPI 1669434130 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 · 4820
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.
199 COLUMBUS RD, Athens, OH 45701
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Other Identifiers 4

Medicare ID-Type UnspecifiedBIO832943OH
Medicaid2016044OH
Medicare UPINU67456OH
Other311684193Ein

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 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 (PECOS)

Kathy G. Biddinger O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901857820
PECOS Enrollment IDI20050208000428
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 7

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.
177 services173 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.
101 services64 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).
69 services45 patients
Imaging of front third of eye 92132
Imaging of the front third of the eye, also known as anterior segment imaging, captures detailed images of the eye's front part. This includes the iris, cornea, and lens. It's a non-invasive procedure that helps diagnose and monitor eye conditions.
63 services44 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.
60 services52 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.
40 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45701 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.

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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%25 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

DR. LILLIAN JANE HOSKINSON OD
Optometrist
199 COLUMBUS RD
ATHENS, OH 45701
Athens County (740) 593-3191
ARNOLD PATRICK LAGRAFF O.D.
Optometrist
199 COLUMBUS RD
ATHENS, OH 45701
Athens County (740) 593-3191
ATHENS EYE PROFESSIONALS LLC
Optometrist
199 COLUMBUS RD
ATHENS, OH 45701
Athens County (740) 593-3191
MRS. KELLY MOSER O.D.
Optometrist
199 COLUMBUS RD
ATHENS, OH 45701
Athens County (740) 593-3191

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 Kathy Biddinger's NPI number?

The NPI number for Kathy Biddinger is 1669434130. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Kathy Biddinger located?

Kathy Biddinger practices at 199 Columbus Rd, Athens, OH 45701. The listed phone number is (740) 593-3191.

What is Kathy Biddinger's specialty?

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

Is Kathy Biddinger enrolled in Medicare?

Yes. Kathy Biddinger is registered in the Medicare PECOS enrollment system.

What insurance does Kathy Biddinger accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, MedMutual and Providence Health Plan list Kathy Biddinger 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 Kathy Biddinger was last updated on June 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.