Kyler Drew Knobbe, O.D.

Individual provider Active NPI Optometrist · Wamego, KS

NPI 1871975367 · NPPES record last updated Jun 22, 2015

Key facts

NPI
1871975367
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
2008 (KS)
Practice address
1405 W US Highway 24
Wamego, KS 66547-1256
Phone
(785) 456-8900
NPI assigned
Jun 22, 2015
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kyler Knobbe OD LLC (3 clinicians)

Practice addresses (Care Compare)

1405 W US Hwy 24
Wamego, KS 66547-1256
Phone (785) 456-8900

Merit-based Incentive Payment System (MIPS)

Final score
88.77 of 100 (group)
Quality
77.54
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery53

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150708001880 KS Practitioner - Optometry 2466764287 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2008KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kyler Knobbe, OD, LLC Optometrist Current
since Aug 1, 2016
Accepting new patients
Kansal Eye Physicians and Surgeons Chartered Past
since Jun 30, 2015
Accepting new patients

Locations

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: kyler.knobbe@direct.revolutionehr.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2008 KS Yes
Corneal and Contact Management Optometrist 152WC0802X 2008 KS

Addresses

Primary practice location

1405 W US Highway 24
Wamego, KS 66547-1256

Mailing address

1405 W US Highway 24
Wamego, KS 66547-1256
Phone (785) 456-8900

Other providers in Wamego, KS

All providers in Wamego, KS · Optometrist in Kansas

Sources for this page

Verify at the official NPI Registry.