KYLE SCOTT BOTHWELL
NPI 1912638115
Optometrist in Mesa, AZ
About Kyle Scott Bothwell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE SCOTT BOTHWELL (NPI 1912638115) is an individual optometrist in Mesa, Arizona, licensed in Arizona (002585) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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 Scott Bothwell 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85202 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
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 Kyle Bothwell's NPI number?
The NPI number for Kyle Bothwell is 1912638115. It was assigned to this individual provider in the NPPES registry on June 20, 2022.
Where is Kyle Bothwell located?
Kyle Bothwell practices at 1240 W Southern Ave Ste 101, Mesa, AZ 85202. The listed phone number is (480) 655-0741.
What is Kyle Bothwell's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kyle Bothwell enrolled in Medicare?
Yes. Kyle Bothwell 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 Bothwell accept?
Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 4 other insurers list Kyle Bothwell 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 Bothwell was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kyle Scott Bothwell · NPI 1912638115
Optometrist provider in Mesa, Arizona. Individual provider, active in the CMS NPPES registry since June 20, 2022.
## Identity
- **NPI:** 1912638115 (Entity type: Individual)
- **Enumerated:** June 20, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 002585 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1240 W SOUTHERN AVE STE 101, Mesa, AZ 85202-4882
- **Phone:** (480) 655-0741
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Southern College Of Optometry, class of 2022
## Record status
- **NPPES last updated:** June 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1912638115) · Data from the CMS NPPES public registry.