DR. KAITLYN RENAE GIBSON OD
NPI 1992319719
Optometrist in Cedar Lake, IN
About Dr. Kaitlyn Renae Gibson Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KAITLYN RENAE GIBSON OD (NPI 1992319719) is an individual optometrist in Cedar Lake, Indiana, licensed in Indiana (18004243A) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dyer, and is a graduate of Illinois College Of Optometry At Chicago (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Dr. Kaitlyn Renae Gibson 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
2Medicare enrollment records show Kaitlyn Gibson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cedar Lake, IN 46303
- Reassigned Medicare billing, Indiana enrollment
- 4 clinicians in this Medicare group
Munster, IN 46321
- Reassigned Medicare billing, Indiana enrollment
- 2 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46303 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 Kaitlyn Gibson's NPI number?
The NPI number for Kaitlyn Gibson is 1992319719. It was assigned to this individual provider in the NPPES registry on August 31, 2020.
Where is Kaitlyn Gibson located?
Kaitlyn Gibson practices at 13115 Wicker Ave Ste E, Cedar Lake, IN 46303. The listed phone number is (219) 374-7800.
What is Kaitlyn Gibson's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kaitlyn Gibson enrolled in Medicare?
Yes. Kaitlyn Gibson 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 Kaitlyn Gibson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Gibson reassigns Medicare benefits to 2 organizations: Illiana Eyecare Inc (Cedar Lake, IN) and Region Eye Care LLC (Munster, IN). 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 Kaitlyn Gibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kaitlyn Gibson accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Kaitlyn Gibson 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 Kaitlyn Gibson was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Kaitlyn Renae Gibson, OD · NPI 1992319719
Optometrist provider in Cedar Lake, Indiana. Individual provider, active in the CMS NPPES registry since August 31, 2020.
## Identity
- **NPI:** 1992319719 (Entity type: Individual)
- **Enumerated:** August 31, 2020
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 18004243A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 13115 WICKER AVE STE E, Cedar Lake, IN 46303-7400
- **Phone:** (219) 374-7800 · **Fax:** (219) 374-5196
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Illiana Eyecare Inc (NPI 1215040142, Cedar Lake, IN); Region Eye Care LLC (NPI 1043717945, Munster, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Illinois College Of Optometry At Chicago, class of 2020
## Record status
- **NPPES last updated:** August 31, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1992319719) · Data from the CMS NPPES public registry.