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KENNETH D STULTS OD
NPI 1982608865
Optometrist in Creston, IA

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment
1610 W TOWNLINE ST, STE 115, CRESTON, IA 50801(641) 782-7619(641) 782-6549 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth D Stults Od NPPES

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

KENNETH D STULTS OD (NPI 1982608865) is an individual optometrist in Creston, Iowa, licensed in Iowa (02061) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1995).

NPPES Registry Identity

NPI1982608865
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKENNETH D STULTSCredential: OD
Location Address1610 W TOWNLINE ST, STE 115Creston, IA 50801-1064
Mailing AddressPo Box 427Creston, IA 50801-0427 · (641) 782-7619 · Fax (641) 782-6549
Phone(641) 782-7619
Fax(641) 782-6549
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 1995
Enumeration DateJune 9, 2005
Last NPPES UpdateNovember 27, 2007
✔ NPI 1982608865 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 IA · 02061
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.
1610 W TOWNLINE ST, Creston, IA 50801
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Other Identifiers 6

Medicaid0128975IA
Other51981IA · Blue Cross Blue Shield
Other02061IA · Iowa License
Other1520261IA · Od License
Medicare UPINU56526IA
Medicare ID-Type UnspecifiedI7312IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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

Kenneth D Stults 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 ID1759375215
PECOS Enrollment IDI20100514000550
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 11

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.
568 services560 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.
268 services167 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.
160 services160 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.
124 services117 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.
120 services115 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
105 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50801 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $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.

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.

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
100%89 patients5/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
100%88 patients5/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%167 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
100%82 patients5/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
100%196 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers28 claims28 services$50.39 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier23 claims45 services$50.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

JAMES E MANSOUR M.D.
Family Medicine
1610 W TOWNLINE ST, SUITE 200
CRESTON, IA 50801
Union County (641) 782-2131
CRYSTAL JEAN JOHNSON ARNP
Nurse Practitioner (Family)
1610 W TOWNLINE ST
CRESTON, IA 50801
Union County (641) 782-2131
DR. CHARLES ALVIN CUNNINGHAM MD
Obstetrics & Gynecology
1610 W TOWNLINE ST
CRESTON, IA 50801
Union County (641) 782-3887
CRESTON MEDICAL CLINIC, P.C.
Nurse Anesthetist, Certified Registered
1610 W TOWNLINE ST, SUITE 200
CRESTON, IA 50801
Union County (641) 782-2131
DR. AMY SLEE HYNEK MCFARLAND D.O.
Surgery
1610 W TOWNLINE ST
CRESTON, IA 50801
Union County (641) 782-2131
EMILY A TURNER ARNP
Nurse Practitioner
1610 W TOWNLINE ST
CRESTON, IA 50801
Union County (641) 782-2131
NEW LIFE FAMILY MEDICINE P.C.
Family Medicine
1610 W TOWNLINE ST, SUITE 100
CRESTON, IA 50801
Union County (641) 782-3877
DANIEL E WALKER D.O.
Family Medicine
1610 W TOWNLINE ST, SUITE 200
CRESTON, IA 50801
Union County (641) 782-2131

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 Kenneth Stults's NPI number?

The NPI number for Kenneth Stults is 1982608865. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Kenneth Stults located?

Kenneth Stults practices at 1610 W Townline St Ste 115, Creston, IA 50801. The listed phone number is (641) 782-7619.

What is Kenneth Stults's specialty?

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

Is Kenneth Stults enrolled in Medicare?

Yes. Kenneth Stults 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 Kenneth Stults accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 5 other insurers list Kenneth Stults 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 Kenneth Stults was last updated on November 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.