DR. JOHN JUNGHYUN KIM (OD) – Optometrist, NPI 1093702615
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,618 OPTOMETRY in OH
Provider Addresses for DR. JOHN JUNGHYUN KIM (OD)
4881 SUGAR MAPLE DR
88 AMDS/SGPE
DAYTON, OH 454335529
Phone: (937) 308-9633
Type: Mailing
4881 Sugar Maple Dr
88 AMDS/SGPE
Dayton, OH 454335529
Phone: (937) 308-9633
Type: Location
388 YPAO RD
TAMUNING, GU 969133701
Phone: (671) 646-8881
Fax: (671) 646-1292
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $85.
Total Amount is formed as General ($85) + Research ($0) + Ownership ($0) = $85.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Dompe US, Inc. ($58).
Total Amount
$85
General + Research + Ownership
Payments
3
Total payment records
General Amount
$85
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dompe US, Inc. | $58 |
| Amgen Inc. | $27 |
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: 2020-03-16
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 |
|---|---|---|---|---|
| I20200316002590 | I | Optometry | GU | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 91 | 89 | $0 |
| 92012 | Established patient problem focused exam of visual system | 34 | 22 | $0 |
| 92250 | Photography of the retina | 30 | 29 | $0 |
| 92004 | New patient complete exam of visual system | 24 | 24 | $0 |
| 92134 | Imaging of retina | 21 | 20 | $0 |
Insurance plans in this area (ZIP 45433)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GU | |
| Family Practice | GU | |
| Nurse Practitioner | GU | |
| Family Practice | GU | |
| Family Practice | WA | |
| Physician Assistant | GU | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Internal Medicine | CA | |
| Nurse Practitioner | GU | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX |
Reviews
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