Shane Kinzer, OD
NPI 1427755511ActiveIndividual· Optometrist· Moscow, ID
Optometrist (OD) in Moscow, Idaho, trained at Pacific University - College of Optometry (class of 2023). In 2024 Medicare paid $16,770 for 188 patients, and Part D covered 56 of their prescriptions, 75% of them generic. Johnson & Johnson Vision Care, Inc. reported $42.29 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1427755511 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | No |
| NPI issued | Feb 9, 2023 |
| Last updated in NPPES | Jul 19, 2023 |
| Certified by provider | Jul 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 100626 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 188 |
|---|---|
| Services billed | 288 across 15 procedure codes |
| Paid by Medicare | $16,770 |
Part D prescriptions in 2024
| Prescriptions (claims) | 56 · 67 30-day fills |
|---|---|
| Patients | 27 |
| Total drug cost | $3,009 |
| Generic share | 75% of claims |
Education and affiliations
| Medical school | Pacific University - College of Optometry |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Optometry |
Medical group
- Wilson Polito PLLCMoscow, ID · 4 clinicians
Industry payments (Open Payments)
- 2024$42.29 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Johnson & Johnson Vision Care, Inc. | $42.29 | 1 |
What the 2024 payments were for
- Food and Beverage$42.29 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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