Kyle Ray Thaxton, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9296T Issued in TX

Practice address

4342 Treanor Dr
Abilene, TX 79602-7012

Phone

(325) 673-0900

NPI assigned

Jul 5, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Brettly J. Teague, LLCGroup PAC ID 1153496849, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.11 of 100Reported as group

Quality

94.31

Improvement activities

40

Cost

74.6

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Dr. Brettly J. Teague, LLC

  • Ophthalmology Physician
  • Abilene, TX
  • NPI 1083875934

  Optometrist, TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477074938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4342 TREANOR DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796027012",
            "telephone_number": "325-673-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4342 TREANOR DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796027012",
            "telephone_number": "325-673-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAXTON",
        "first_name": "KYLE",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9296T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas Oxycare, Inc.
• Texas State Hearing, Inc.
• Texas Swallow Diagnostics, LLC
• Texas Tech University Health Sciences Center - Son - Lubbock
• Paul B Thames, M.D.
• The Exchange Counseling PLLC
• The Haglund Clinic
• The House That Kerry Built, the Center for Medically Fragile Children,
• The Legacy Complex, Inc
• The Pelvic Shift PLLC

• All providers in Abilene, TX
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.