Individual provider Active NPI

Travis Kimple, MD

  • Ophthalmology Physician
  • Garden City, KS
National Provider Identifier
1114450566
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
04-44919 Issued in KS
Practice address
502 College Dr
Garden City, KS 67846-6183
Phone
(620) 275-7248
NPI assigned
Apr 4, 2017
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 04-44919 KS Primary
Surgery Physician 208600000X 04-44919 KS

Addresses

Primary practice location

502 College Dr
Garden City, KS 67846-6183

Mailing address

502 College Dr
Garden City, KS 67846-6183
Phone (620) 275-7248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210804002202 KS Practitioner - Ophthalmology 1052669322 Reassigns benefits to 1 organization
I20211105000722 CO Practitioner - Ophthalmology 1052669322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kansas School of Med (KC/Wich/Sal), 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fry Eye Associates PAGroup PAC ID 7012960289, 4 clinicians

Practice addresses (Care Compare)

1607 S Main St
Fry Eye Associates Lamar Co
Lamar, CO 81052-3825
Phone (620) 275-7248

502 College Dr
Garden City, KS 67846-6183
Phone (620) 275-7248

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.87 of 100Reported as group
Quality
94.33
Promoting interoperability
100
Improvement activities
40
Cost
71.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery801
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fry Eye Associates PA Ophthalmology CurrentSince Aug 1, 2021 Accepting new patients
Fry Eye Surgery Center, LLC Current Accepting new patients

Locations

1607 S Main St
Lamar, CO 81052
Phone (620) 275-7248

411 N Campus Dr
Garden City, KS 67846
Phone (620) 275-7248

502 College Dr
Garden City, KS 67846
Phone (316) 275-7248

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: travis.kimple.p1@direct.fryeye.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1114450566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 COLLEGE DR",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678466183",
            "telephone_number": "620-275-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 COLLEGE DR",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678466183",
            "telephone_number": "620-275-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMPLE",
        "first_name": "TRAVIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-44919",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-44919",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

Verify at the official NPI Registry.