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KYLE J KENISON O.D.
NPI 1750370730
Optometrist in Mountain Home, ID

Active since October 21, 2005PECOS EnrolledAccepts Medicare Assignment
855 WEST 6TH SOUTH, MOUNTAIN HOME, ID 83647(208) 587-2020(208) 587-3349 Get Directions Write a Review

NPPES record last updated: March 15, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kyle J Kenison O.d. NPPES

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

KYLE J KENISON O.D. (NPI 1750370730) is an individual optometrist in Mountain Home, Idaho, licensed in Montana (MT 587) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1993).

NPPES Registry Identity

NPI1750370730
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKYLE J KENISONCredential: O.D.
Location Address855 WEST 6TH SOUTHMountain Home, ID 83647
Mailing Address855 West 6th SouthMountain Home, ID 83647 · (208) 587-2020 · Fax (208) 587-3349
Phone(208) 587-2020
Fax(208) 587-3349
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 1993
Enumeration DateOctober 21, 2005
Last NPPES UpdateMarch 15, 2017
✔ NPI 1750370730 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 MT · MT 587
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.
855 WEST 6TH SOUTH, Mountain Home, ID 83647
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Other Identifiers 2

Medicaid1750370730ID
Medicare PIN1750370730ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.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 J Kenison O.d. 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 ID9739323791
PECOS Enrollment IDI20150124000026
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 6

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 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.
140 services113 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
33 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 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).
22 services13 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.
21 services17 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.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83647 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

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

ELMORE COUNTY EYECARE, PA.
Optometrist
855 WEST 6TH SOUTH
MOUNTAIN HOME, ID 83647
Elmore County (208) 587-2020

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 Kenison's NPI number?

The NPI number for Kyle Kenison is 1750370730. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Where is Kyle Kenison located?

Kyle Kenison practices at 855 West 6th South, Mountain Home, ID 83647. The listed phone number is (208) 587-2020.

What is Kyle Kenison's specialty?

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

Is Kyle Kenison enrolled in Medicare?

Yes. Kyle Kenison 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 Kyle Kenison accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Kyle Kenison 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 Kenison was last updated on March 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.