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Kacey Dustin Blaylock, O.D.

NPI 1164871489ActiveIndividual· Optometrist· Boise, ID

Optometrist (O.D.) in Boise, Idaho, trained at Pacific University - College of Optometry (class of 2016). In 2024 Medicare paid $101,995 for 888 patients, and Part D covered 982 of their prescriptions, 57% of them generic. Biotissue Holdings Inc. was the largest of 5 companies reporting payments in 2025, $541.89 in all, mostly food and beverage.

Overview

NPI1164871489
StatusActive
Entity typeIndividual
CredentialO.D.
Sole proprietorNo
NPI issuedJun 7, 2016
Last updated in NPPESJun 16, 2021
Certified by providerJun 16, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000XODP-100370ID

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Optometry (ID)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients888
Services billed1,699 across 24 procedure codes
Paid by Medicare$101,995

Part D prescriptions in 2024

Prescriptions (claims)982 · 1,343 30-day fills
Patients307
Total drug cost$68,910
Generic share57% of claims

Medicare sources and data years

Education and affiliations

Medical schoolPacific University - College of Optometry
Graduation year2016
Medicare specialtyOptometry

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$541.89 · 14 payments from 5 companies
  • 2024$211.93 · 7 payments from 6 companies

Top paying companies in 2025

CompanyAmountPayments
Biotissue Holdings Inc.$143.071
Harrow Eye, LLC$128.122
Alcon Vision LLC$108.324
Dompe US, Inc.$96.774
Abbvie Inc.$65.613

What the 2025 payments were for

  • Food and Beverage$541.89 · 14 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Optometrist providers in Boise

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