KYLE M OTTESON OD
NPI 1679907307
Optometrist in Bismarck, ND

Q: What is Kyle Otteson's NPI number?

The NPI number for Kyle Otteson is 1679907307. It was assigned to this individual provider in the NPPES registry on August 29, 2013.

Q: What is Kyle Otteson'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 Kyle Otteson was last updated on December 15, 2020. 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 August 29, 2013PECOS EnrolledAccepts Medicare Assignment

75.28/100

CMS Quality Rating

200 S 5TH ST, BISMARCK, ND 58504(701) 222-3937(701) 222-8805 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2020, Apr 7, 2020 (2 updates tracked since 2020).

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About Kyle M Otteson Od NPPES

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

KYLE M OTTESON OD (NPI 1679907307) is an individual optometrist in Bismarck, North Dakota, licensed in North Dakota (714) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bismarck, and is a graduate of Illinois College Of Optometry At Chicago (2013).

NPPES Registry Identity

NPI1679907307

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameKYLE M OTTESONCredential: OD

Location Address200 S 5TH STBismarck, ND 58504-5675

Mailing Address200 S 5th StBismarck, ND 58504-5675 · (701) 222-3937 · Fax (701) 222-8805

Phone(701) 222-3937

Fax(701) 222-8805

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2013

Enumeration DateAugust 29, 2013

Last NPPES UpdateDecember 15, 20202 updates tracked since enumeration

NPPES CertifiedDecember 15, 2020

✔ NPI 1679907307 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 ND · 714

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.

200 S 5TH ST, Bismarck, ND 58504

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Secondary Practice Location 1

Location 13119 N 14th StBismarck, ND 58503-0664 · Phone (701) 222-3937 · Fax (701) 222-8805

Other Identifiers 1

Medicaid1450928ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of North Dakota, Medica 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

Kyle M Otteson Od 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 ID143464008

PECOS Enrollment IDI20130913000557

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.

252 services243 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

114 services114 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.

52 services48 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.

36 services29 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.

29 services29 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.

19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58504 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

$127.45 typical visit price

range $55.75 – $168.12

Typical copayment $31.86 (range $13.93 – $42.03)

Most-billed visit code 99204

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

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.

75.28/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

100

Improvement Activities

Cost

17.62

Other Providers at the Same Location NPPES 19

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

ANDREW L RODENBURG M.D.

Ophthalmology