Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467930735 Individual Practitioner Female Practitioner

Dr. Kaylyn Marie Nickelson , OD

Optometrist • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kaylyn Nickelson, OD is a certified Optometrist practicing in Springfield, IL. With approximately 8 years of clinical experience since graduating from Indiana University - School Of Optometry in 2018, Dr. Nickelson delivers high-quality medical care to the local community at 2020 W ILES AVE.

Dr. Nickelson is affiliated with Prairie Eye Center, Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, exam of visual field with extended testing, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2020 W Iles Ave

Springfield, IL 627047015

Telephone 2176983030
Fax 2177185687
Associated Practice Facility / Clinic
🏢 Prairie Eye Center, Ltd Facility NPI 1447222864

Medicare Profile & Education

Medical School

Indiana University - School Of Optometry

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Springfield, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -14.4 yrs vs City Avg
City Avg: 22.4 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
40 Specialists

Practicing in Springfield, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nickelson (8 Years) 8 Yrs
Springfield Specialty Average (22.4 Years) 22.4 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
171 157 $294.00 $123.28
92083 Exam of visual field with extended testing
66 55 $158.00 $61.64
92133 Imaging of optic nerve
63 58 $90.00 $33.34
92012 Established patient problem focused exam of visual system
40 33 $168.00 $86.99
99213 Established patient office or other outpatient visit, typically 15 minutes
37 27 $177.00 $90.03
92134 Imaging of retina
21 18 $100.00 $39.49
92250 Photography of the retina
18 17 $121.00 $36.14
92004 New patient complete exam of visual system
13 13 $352.00 $146.09

Medical Specialties & State Licenses

CMS Verified: 2025-03-18
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046011215

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
046011215 (IL)

Hospital & Practice Group Affiliations

Prairie Eye Center, Ltd

2020 W Iles Ave, Springfield, IL 627044174

Phone: 2176983030

Practice Associates & Co-Workers

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

20 Associated Practitioners
NPI 1003298803

Doctor of Optometry

NPI 1043268386

Doctor of Medicine (M.D.)

NPI 1063862266

Doctor of Optometry

NPI 1114975414

Doctor of Medicine (M.D.)

NPI 1144279498

Doctor of Medicine (M.D.)

NPI 1235440777

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 30, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 30, 2018

Registered at 2020 W ILES AVE, SPRINGFIELD, IL 627047015 (Tel: 2176983030)

📍
Updated Business Mailing Address July 30, 2018

Registered at 2020 W ILES AVE, SPRINGFIELD, IL 627047015 (Tel: 2176983030)

👤
Provider Name / Credentials Updated July 30, 2018

Recorded as KAYLYN NICKELSON, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2018

Optometrist (License #046011215 in IL)

🟢
Initial NPI Registration & Enumeration July 30, 2018

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: 1467930735
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2018
Last Update: March 18, 2025
Sole Proprietor: No

Mailing Address

2020 W Iles Ave

Springfield, IL 627047015

Phone: 2176983030

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.