Doctor profile · Federal record
Dr. Kylie Divine, O.D
Optometrist (CMS: Optometry) · Poplar Bluff, MO
- NPI 1558672162
- Accepts Medicare
- 16 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1475 N Westwood Blvd
Poplar Bluff, MO 639013315
(573) 712-2333
fax (572) 712-2433
Credentials & registration
- NPI registered
- June 2010 — 16 yrs on file
- Profile last updated
- February 5, 2026
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- Missouri #2010020558
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1558672162. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
820
Distinct HCPCS
10
Medicare allowed
$70,187
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
92014 |
Established patient complete exam of visual system | 206 | 202 | $114 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 188 | 132 | $83 | |
92250 |
Photography of the retina | 123 | 121 | $34 | |
92004 |
New patient complete exam of visual system | 119 | 119 | $136 | |
92134 |
Imaging of retina | 42 | 39 | $36 | |
66984 |
Removal of cataract with insertion of prosthetic lens | 41 | 25 | $95 | |
92133 |
Imaging of optic nerve | 36 | 35 | $32 | |
92083 |
Exam of visual field with extended testing | 29 | 29 | $56 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 20 | 16 | $51 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 16 | 16 | $103 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 129. This provider delivers 6.4× the peer median.Open Payments
Industry payments received
All-time total
$54
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| CooperVision Inc. | 2 | $53.97 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
288
Patients
121
Total drug cost
$20,167
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Latanoprost | Generic | 121 | 38 | $3,675 |
| Timolol Maleate | Generic | 54 | 16 | $754 |
| Prednisolone Acetate | Generic | 46 | 41 | $1,685 |
| Neomycin-Polymyxin-Dexameth (Neomycin/Polymyxin B/Dexametha) | Brand | 28 | 26 | $320 |
| Lumigan (Bimatoprost) | Brand | 23 | 0 | $13,210 |
| Dorzolamide Hcl | Generic | 16 | 0 | $522 |
Frequently asked questions
What is Dr. Kylie Divine's medical specialty?
Dr. Kylie Divine practices Optometrist in Poplar Bluff, MO.
Where does Dr. Kylie Divine practice?
Dr. Kylie Divine practices at 1475 N Westwood Blvd, Poplar Bluff, MO 639013315. Office phone: 5737122333.
What is Dr. Kylie Divine's NPI?
Dr. Kylie Divine's National Provider Identifier (NPI) is 1558672162, issued by NPPES.
Does Dr. Kylie Divine accept Medicare assignment?
Yes. Dr. Kylie Divine accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kylie Divine commonly perform?
Top Medicare-reported procedures in 2023: Established patient complete exam of visual system (HCPCS 92014); Established patient office or other outpatient visit (HCPCS 99213); Photography of the retina (HCPCS 92250). Source: CMS Medicare Physician & Other Practitioners file.