Active NPI 1164871489 Individual Practitioner Male Practitioner

Dr. Kacey Dustin Blaylock , OD

Optometrist • Boise, ID

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Kacey Blaylock, OD is a registered Optometrist practitioner in Boise, ID. With approximately 10 years of clinical practice since graduating from Pacific University - College Of Optometry in 2016, Dr. Blaylock provides healthcare services at the registered practice location at 360 E MALLARD DR STE 110.

Dr. Blaylock is affiliated with Hollingshead Eye Center Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, imaging of retina, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

360 E Mallard Dr Ste 110

Boise, ID 837063945

Telephone 2083368700

Fax 2084260902

Associated Practice Facility / Clinic

🏢 Lasercare Center Of Idaho Facility NPI 1780726455

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Boise, ID

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -7.1 yrs vs City Avg

City Avg: 17.1 Yrs

State Avg: 21.1 Yrs

Regional Practice Density

87 Specialists

Practicing in Boise, ID (385 Statewide)

Telehealth Adoption Rate

1.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blaylock (10 Years) 10 Yrs

Boise Specialty Average (17.1 Years) 17.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	613	570	$351.80	$119.70
92134 Imaging of retina	296	273	$112.32	$38.10
99213 Established patient office or other outpatient visit, typically 15 minutes	163	127	$254.24	$85.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	98	$359.59	$123.35
92004 New patient complete exam of visual system	125	125	$418.01	$142.29
92133 Imaging of optic nerve	92	90	$101.31	$34.51
68761 Closure of tear duct opening using plug	62	28	$478.37	$146.63
92250 Photography of the retina	50	47	$102.82	$35.04
92286 Imaging of front third of eye using a special microscope	41	41	$108.48	$37.11
92083 Exam of visual field with extended testing	29	27	$175.38	$60.23
92285 Photography of content of eyes	21	17	$62.93	$21.62
92201 Extended exam of the back part of the eye with retinal drawing	18	16	$69.74	$23.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$156.81	$53.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	522	487	$292.04	$117.88
92134 Imaging of retina	282	258	$102.22	$37.47
99213 Established patient office or other outpatient visit, typically 15 minutes	210	142	$207.31	$84.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	166	155	$293.13	$119.20
92133 Imaging of optic nerve	83	78	$90.12	$34.10
68761 Closure of tear duct opening using plug	67	22	$391.96	$102.39
92004 New patient complete exam of visual system	54	54	$343.23	$140.59
92250 Photography of the retina	52	46	$89.36	$34.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$362.69	$155.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	35	$128.87	$52.55
92083 Exam of visual field with extended testing	28	26	$148.66	$57.90
92286 Imaging of front third of eye using a special microscope	22	22	$95.66	$36.18
67820 Removal of eyelashes using forceps	14	14	$100.00	$18.78
92285 Photography of content of eyes	12	11	$58.61	$20.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	285	271	$167.43	$112.48
99213 Established patient office or other outpatient visit, typically 15 minutes	208	163	$111.84	$81.06
92134 Imaging of retina	204	187	$49.81	$35.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	155	$179.95	$115.02
92133 Imaging of optic nerve	78	77	$48.44	$32.39
68761 Closure of tear duct opening using plug	76	26	$152.46	$99.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	63	$81.06	$50.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$210.21	$149.81
92083 Exam of visual field with extended testing	52	48	$70.19	$54.95
92250 Photography of the retina	32	30	$46.77	$32.74
92004 New patient complete exam of visual system	23	23	$220.36	$134.10
67820 Removal of eyelashes using forceps	15	14	$21.54	$17.27
92286 Imaging of front third of eye using a special microscope	14	13	$44.52	$34.40
76514 Ultrasound scan of cornea to determine thickness	12	12	$11.69	$9.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$141.51	$101.21
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$35.39	$24.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	134	130	$130.36	$120.15
92134 Imaging of retina	125	123	$48.48	$38.01
92014 Established patient complete exam of visual system	125	123	$180.15	$117.90
99213 Established patient office or other outpatient visit, typically 15 minutes	124	102	$95.89	$84.58
92133 Imaging of optic nerve	60	58	$40.35	$33.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	49	$58.62	$52.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$189.22	$153.81
92083 Exam of visual field with extended testing	35	33	$71.29	$56.47
68761 Closure of tear duct opening using plug	30	15	$146.00	$103.75
92004 New patient complete exam of visual system	30	30	$189.00	$140.73
92250 Photography of the retina	13	13	$68.69	$36.28
67820 Removal of eyelashes using forceps	13	13	$30.92	$20.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	127	127	$230.00	$118.90
92134 Imaging of retina	72	66	$65.00	$38.35
92004 New patient complete exam of visual system	32	32	$230.00	$142.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$260.00	$154.92
92250 Photography of the retina	14	14	$100.00	$42.03
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$130.00	$70.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	129	129	$230.00	$118.61
92134 Imaging of retina	58	52	$65.00	$38.41
92004 New patient complete exam of visual system	41	41	$230.00	$142.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$152.29	$102.37
92250 Photography of the retina	16	14	$100.00	$47.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$252.07	$153.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	100	$139.00	$98.59
92134 Imaging of retina	58	54	$65.00	$37.94
99213 Established patient office or other outpatient visit, typically 15 minutes	34	33	$117.50	$66.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$129.00	$97.91
66984 Removal of cataract with insertion of lens	34	21	$269.56	$115.64
92250 Photography of the retina	25	20	$100.00	$51.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$153.63	$146.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	122	$138.75	$99.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$149.00	$145.43
92250 Photography of the retina	53	52	$100.00	$59.38
92134 Imaging of retina	31	27	$65.00	$37.72
66984 Removal of cataract with insertion of lens	27	16	$267.44	$116.62

Medical Specialties & State Licenses

CMS Verified: 2021-06-16

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License ID ODP-100370

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Hospital & Practice Group Affiliations

Hollingshead Eye Center Pc

360 E Mallard Dr, Boise, ID 837063945

Phone: 2083368700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Dr. Karma Castro , OD

Optometrist

NPI 1073303533

Doctor of Optometry

Linda Evans , CRNA

Nurse Anesthetist, Certified Registered

NPI 1093894107

Certified Registered Nurse Anesthetist

Christi Campbell , RN

Registered Nurse - Ophthalmic

NPI 1326095233

Registered Nurse

Dr. Scott Woolf , MD

Ophthalmology - Glaucoma Specialist

NPI 1629509682

Doctor of Medicine (M.D.)

Dr. Mark Hollingshead , MD

Ophthalmology

NPI 1689670911

Doctor of Medicine (M.D.)

Dr. Brian Mcneel , OD

Optometrist

NPI 1821094152

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location June 16, 2021

Registered at 360 E MALLARD DR STE 110, BOISE, ID 837063945 (Tel: 2083368700)

📍

Updated Business Mailing Address June 16, 2021

Registered at 360 E MALLARD DR STE 110, BOISE, ID 837063945 (Tel: 2083368700)

✅

NPI Profile Active June 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 07, 2016

Registered at 291 N MILWAUKEE ST, SUITE A-3, BOISE, ID 837049132 (Tel: 2083787020)

📍

Updated Business Mailing Address June 07, 2016

Registered at 6128 W FAIRVIEW AVE, SUITE 2A, BOISE, ID 837045000 (Tel: 2082977019)

👤

Provider Name / Credentials Updated June 07, 2016

Recorded as KACEY BLAYLOCK, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2016

Optometrist (License #ODP-100370 in ID)

🟢

Initial NPI Registration & Enumeration June 07, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164871489

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 07, 2016

Last Update: June 16, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

360 E Mallard Dr Ste 110

Boise, ID 837063945

Phone: 2083368700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.