KAITLIN FOSSE OD
NPI 1760052559
Optometrist in Boulder, CO
About Kaitlin Fosse Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLIN FOSSE OD (NPI 1760052559) is an individual optometrist in Boulder, Colorado, licensed in Colorado (0003721) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Indiana University - School Of Optometry (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kaitlin Fosse 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.
Medicare Billing Reassignments
4Medicare enrollment records show Kaitlin Fosse reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boulder, CO 80301
- Reassigned Medicare billing, Colorado enrollment
- 120 clinicians in this Medicare group
Boulder, CO 80301
- Reassigned Medicare billing, Colorado enrollment
- 5 clinicians in this Medicare group
Broomfield, CO 80023
- Reassigned Medicare billing, Colorado enrollment
- 3 clinicians in this Medicare group
Denver, CO 80205
- Reassigned Medicare billing, Colorado enrollment
- 18 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 4
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 80301 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kaitlin Fosse's NPI number?
The NPI number for Kaitlin Fosse is 1760052559. It was assigned to this individual provider in the NPPES registry on June 25, 2021.
Where is Kaitlin Fosse located?
Kaitlin Fosse practices at 6545 Gunpark Dr Ste 250, Boulder, CO 80301. The listed phone number is (303) 530-1973.
What is Kaitlin Fosse's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kaitlin Fosse enrolled in Medicare?
Yes. Kaitlin Fosse 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.
Which organizations bill Medicare for Kaitlin Fosse's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlin Fosse reassigns Medicare benefits to 4 organizations: Myeyedr Optometry Of Colorado PC (Boulder, CO), Simple Optical, Inc. (Boulder, CO), Visionary Eye Care, PLLC (Broomfield, CO) and Colorado Coalition For The Homeless (Denver, CO). Each 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 Kaitlin Fosse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kaitlin Fosse accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Kaitlin Fosse 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 Kaitlin Fosse was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kaitlin Fosse, OD · NPI 1760052559
Optometrist provider in Boulder, Colorado. Individual provider, active in the CMS NPPES registry since June 25, 2021.
## Identity
- **NPI:** 1760052559 (Entity type: Individual)
- **Enumerated:** June 25, 2021
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 0003721 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6545 GUNPARK DR STE 250, Boulder, CO 80301-3350
- **Phone:** (303) 530-1973
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Myeyedr Optometry Of Colorado PC (NPI 1164308623, Boulder, CO); Simple Optical, Inc. (NPI 1518352699, Boulder, CO); Visionary Eye Care, PLLC (NPI 1205482031, Broomfield, CO); Colorado Coalition For The Homeless (NPI 1396793030, Denver, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University - School Of Optometry, class of 2021
## Record status
- **NPPES last updated:** October 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1760052559) · Data from the CMS NPPES public registry.