Kyle M Otteson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

714 Issued in ND

Practice address

200 S 5TH St
Bismarck, ND 58504-5675

Phone

(701) 222-3937

Fax

(701) 222-8805

NPI assigned

Aug 29, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

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

Illinois College of Optometry at Chicago, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dakota Eye Institute PCGroup PAC ID 2062404205, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.05 of 100Reported as group

Quality

92.92

Promoting interoperability

100

Improvement activities

40

Cost

47.25

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kotteson@dakotaeye.emadirect.md

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.

• Dakota Eye Institute PC

  • Ophthalmology Physician
  • Bismarck, ND
  • NPI 1962449835

  Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1679907307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S 5TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045675",
            "telephone_number": "701-222-3937",
            "fax_number": "701-222-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 5TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045675",
            "telephone_number": "701-222-3937",
            "fax_number": "701-222-8805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3119 N 14th St",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585030664",
            "country_code": "US",
            "telephone_number": "701-222-3937",
            "fax_number": "701-222-8805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTESON",
        "first_name": "KYLE",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-29",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1450928",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Wayne Osmond, D.D.S., M.S.D.
• Michaela Ostendorf, PHARM.D
• Lynelle Osvold
• Jessica Beth Oswald, MS OTR/L
• Guy G Otteson, OD
• Otto W. Dohm, DDS, Ms, PC
• Maxwell James Otto, MD
• Brock Allen Oukrop, DDS
• Allyson Ova
• Erica Ova, MS, OTR/L

• Optometrist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.