DR. LISA ANN MCKIM (OD) – Optometrist, NPI 1013192350
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,055 OPTOMETRY in FL
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Provider Addresses for DR. LISA ANN MCKIM (OD)
4417, Raptor Circle, Island View Housing, Bay County, Florida, 32403, United States
TYNDALL AFB, FL 324031063
Phone: (813) 777-1415
Type: Mailing
Sam's Club, 1707, West 23rd Street, Panama City, Bay County, Florida, 32405, United States
PANAMA CITY, FL 324052916
Phone: (850) 769-4747
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $905.
Total Amount is formed as General ($905) + Research ($0) + Ownership ($0) = $905.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: CooperVision Inc. ($504).
Total Amount
$905
General + Research + Ownership
Payments
25
Total payment records
General Amount
$905
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $504 |
| Optos, Inc. | $131 |
| ABBVIE INC. | $75 |
| Alcon Vision LLC | $59 |
| Sun Pharmaceutical Industries Inc. | $49 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-10-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221020003296 | I | Optometry | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 47 | 25 | $0 |
| 92004 | New patient complete exam of visual system | 11 | 11 | $0 |
Insurance plans in this area (ZIP 32403)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | CO | |
| O P T O M E T R Y | CO | |
| O P T O M E T R Y | CO |
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