Individual provider Active NPI

Caitlin Mary Lingg, OD

  • Optometrist
  • Dodge City, KS
National Provider Identifier
1477284768
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2175 Issued in KS
Practice address
2520 N 14TH Ave
Dodge City, KS 67801-2315
Phone
(620) 227-3071
NPI assigned
Jun 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2175 KS Primary

Addresses

Primary practice location

2520 N 14TH Ave
Dodge City, KS 67801-2315

Mailing address

501 Dornoch Way Apt 201
Manhattan, KS 66502-6845
Phone (785) 656-2469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20220826002097 KS Practitioner - Optometry 9032593991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idocs of Dodge City PAGroup PAC ID 9830152578, 5 clinicians

Practice addresses (Care Compare)

2520 N 14TH Ave
Dodge City, KS 67801-2315
Phone (620) 227-3071

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as group
Quality
71.64
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2175KSMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Bettencourt, O.D. PC Optometrist CurrentSince Aug 1, 2022 Accepting new patients
Idocs of Dodge City, PA Optometrist CurrentSince Aug 1, 2023 Accepting new patients

Locations

2520 N 14th Ave
Dodge City, KS 67801
Phone (620) 227-3071

930 Hayes Dr
Ste D
Manhattan, KS 66502
Phone (785) 539-2020

1405 W US Highway 24
Wamego, KS 66547
Phone (785) 456-8900

Interoperability endpoints

  • Direct secure messaging: caitlin.lingg@direct.revolutionehr.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.

NPI Registry JSON

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

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1477284768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DORNOCH WAY APT 201",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665026845",
            "telephone_number": "785-656-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 N 14TH AVE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012315",
            "telephone_number": "620-227-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGG",
        "first_name": "CAITLIN",
        "middle_name": "MARY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-18",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

Verify at the official NPI Registry.