Philip Gale Kies, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4331/T1024 Issued in OH

Practice address

4452 Eastgate Blvd
Suite 305
Cincinnati, OH 45245-1584

Phone

(513) 752-5700

Fax

(513) 752-5716

NPI assigned

May 17, 2006

Last updated

Apr 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OH, KY2 enrollments

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 2

Specialty

Optometry

Education

Indiana University - School of Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-State Centers for Sight IncGroup PAC ID 7113812090, shared by 8 NPIs, 37 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.01 of 100Reported as apm

Quality

86.02

Promoting interoperability

100

Improvement activities

40

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tri-State Centers for Sight, Inc.

  • Ophthalmology Physician
  • Cincinnati, OH
  • NPI 1912232505
  Medicare reassignment NPD
• Tri-State Centers for Sight, Inc.

  • Ophthalmology Physician
  • Crestview Hills, KY
  • NPI 1467520296
  Medicare reassignment NPD
• Tri-State Centers for Sight, Inc.

  • Ophthalmology Physician
  • Oxford, OH
  • NPI 1881762920
  NPD
• Tri-State Centers for Sight Inc

  dba Kentucky Eye Institute

  • Ophthalmology Physician
  • Paintsville, KY
  • NPI 1649083965

  Optometrist

  NPD
• Tri-State Centers for Sight Inc

  dba Kentucky Eye Institute

  • Ophthalmology Physician
  • Corbin, KY
  • NPI 1932912466

  Optometrist

  NPD
• Tri-State Centers for Sight Inc

  • Ophthalmologic Surgery Clinic/Center
  • Cincinnati, OH
  • NPI 1871698894
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1508819244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4452 EASTGATE BLVD",
            "address_2": "SUITE 305",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451584",
            "telephone_number": "513-752-5700",
            "fax_number": "513-752-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4452 EASTGATE BLVD",
            "address_2": "SUITE 305",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451584",
            "telephone_number": "513-752-5700",
            "fax_number": "513-752-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIES",
        "first_name": "PHILIP",
        "middle_name": "GALE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1251DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4331/T1024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0947962",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77901981",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77902757",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77540276",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77901999",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Kiehborth
• Catherine Kiely
• Ella D Kiener
• Genna Kieper
• Victoria Kiernicki
• Suzette Kies
• Herman Joseph Kiesler Jr., M.D.
• Roy Kiessling, MSW
• James G. Kiffmeyer, RPH
• Harriet S. Kiganda, RN

• Optometrist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.