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KARISSA PAIGE DYKE
NPI 1689461667
Optometrist in Benton, KY

Active since April 22, 2025PECOS EnrolledAccepts Medicare Assignment
109 W 5TH ST, BENTON, KY 42025(270) 527-7421 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karissa Paige Dyke NPPES

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

KARISSA PAIGE DYKE (NPI 1689461667) is an individual optometrist in Benton, Kentucky, licensed in Kentucky (2457DT) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Kentucky School Of Medicine (2025).

NPPES Registry Identity

NPI1689461667
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKARISSA PAIGE DYKE
Location Address109 W 5TH STBenton, KY 42025-1123
Mailing Address15933 Clayton Rd Ste 210Ballwin, MO 63011-2172 · (636) 200-4393
Phone(270) 527-7421
Sole ProprietorNo
Medical School CMSKentucky School Of MedicineGraduated 2025
Enumeration DateApril 22, 2025
Last NPPES UpdateAugust 8, 2025
NPPES CertifiedAugust 8, 2025
✔ NPI 1689461667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in KY · 2457DT
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
109 W 5TH ST, Benton, KY 42025
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Accepted Insurance

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

Karissa Paige Dyke 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 ID4183124241
PECOS Enrollment IDI20250822002401
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 42025 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 6

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

CLARKSON OPTOMETRY MIDWEST INC
Optometrist
109 W 5TH ST
BENTON, KY 42025
Marshall County (636) 200-4393
DR. JOE E ELLIS O.D.
Optometrist
109 W 5TH ST
BENTON, KY 42025
Marshall County (270) 527-7421
DR. LAUREL MORRIS O.D.
Optometrist
109 W 5TH ST
BENTON, KY 42025
Marshall County (270) 527-7421
DR. AARON J. LYLES O.D.
Optometrist
109 W 5TH ST
BENTON, KY 42025
Marshall County (270) 527-7421
CLARKSON OPTOMETRY MIDWEST INC.
Optometrist
109 W 5TH ST
BENTON, KY 42025
Marshall County (636) 200-4393
DR. MICHAEL ANDREW CASE O.D.
Optometrist
109 W 5TH ST
BENTON, KY 42025
Marshall County (270) 527-7421

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 Karissa Dyke's NPI number?

The NPI number for Karissa Dyke is 1689461667. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Karissa Dyke located?

Karissa Dyke practices at 109 W 5th St, Benton, KY 42025. The listed phone number is (270) 527-7421.

What is Karissa Dyke's specialty?

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

Is Karissa Dyke enrolled in Medicare?

Yes. Karissa Dyke 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 Karissa Dyke accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Karissa Dyke 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 Karissa Dyke was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.