KIM FORGIONE (OD) – Optometrist, NPI 1063866424

KIM FORGIONE (OD) is a healthcare provider. based in Forest grove, Oregon. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4290ATI (OR). The NPI Number for KIM FORGIONE (OD) is 1063866424

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
KIM FORGIONE (OD)
NPI
1063866424
Phone
(503) 352-2207
Address
2043 College Way
Enumeration Date
21 April 2016
Last Update Date
28 June 2018

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
2062845850
Graduation Year
2017 (9 years ago)
PAC ID
6800140716
Group Practice PAC ID
3476927997
Professional Enrollment ID
I20181220002786
Address ID
WA981993208SE3202XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:10State licenses:2Digital endpointsOther names

672 OPTOMETRY in OR

Provider Addresses for KIM FORGIONE (OD)

  • 2043 College Way

    Forest Grove, OR 971161756

    Phone: (503) 352-2207

    Type: Location

  • 305 NW Burnside Rd

    Gresham, OR 970303851

    Phone: (561) 666-9869

    Type: Location

  • 1514, Southwest 6th Street, Battle Ground, Clark County, Washington, 98604, United States

    BATTLE GROUND, WA 986043000

    Phone: (360) 702-8184

    Type: Mailing

  • Northeast 162nd Avenue, Vancouver, Clark County, Washington, 98683, United States

    VANCOUVER, WA 98684

    Phone: (360) 702-8184

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $598.

Total Amount is formed as General ($598) + Research ($0) + Ownership ($0) = $598.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($385).

Total Amount

$598

General + Research + Ownership

Payments

9

Total payment records

General Amount

$598

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-12-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181220002786IOptometryWATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina3432$0
99213Established patient office or other outpatient visit, 20-29 minutes3217$0
92014Established patient complete exam of visual system1919$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 97116)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476927997View full group profile
NameSpecialtyState
O P T O M E T R YHI
O P T O M E T R YWA
O P T O M E T R YWA
O P T O M E T R YUT
O P T O M E T R YWA
O P T O M E T R YWA
O P T O M E T R YWA
O P T O M E T R YWA
O P T O M E T R YIN
O P T O M E T R YWA

Reviews

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Frequently asked questions

What NPI should I save for KIM FORGIONE (OD)?
Save NPI 1063866424 if you need a stable reference for KIM FORGIONE (OD).
Does this profile mean KIM FORGIONE (OD) is currently active?
Yes — KIM FORGIONE (OD) appears active in the national provider directory.
Does KIM FORGIONE (OD) list a primary specialty?
If you are matching referrals, note Optometrist for KIM FORGIONE (OD). Clinical services aligned with this taxonomy classification.
What location metadata exists for KIM FORGIONE (OD)?
The page summarizes Forest Grove, Oregon for KIM FORGIONE (OD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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