DR. SI-ON KIM (OD) – Optometrist, NPI 1477161875
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,128 OPTOMETRY in TX
Provider Addresses for DR. SI-ON KIM (OD)
2600 W UNIVERSITY DR STE 100
MCKINNEY, TX 750713209
Phone: (972) 548-2015
Type: Mailing
8380 WARREN PKWY STE 101
FRISCO, TX 750344199
Phone: (972) 548-2015
Type: Location
1004 HARBOR CLUB CIR W APT 201
MEMPHIS, TN 381035813
Phone: (214) 562-5663
Type: Mailing
1689 NONCONNAH BLVD STE 120
MEMPHIS, TN 381322111
Phone: (901) 523-8990
Type: Location
2600 W University Dr Ste 100
McKinney, TX 750713209
Phone: (972) 548-2015
Type: Location
1602 SABINE DR
MIDLOTHIAN, TX 760653823
Phone: (214) 562-5663
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 52 Open Payments records for all available years, with a total value of $1,430.
Total Amount is formed as General ($1,430) + Research ($0) + Ownership ($0) = $1,430.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: BIOTISSUE HOLDINGS INC. ($478).
Total Amount
$1,430
General + Research + Ownership
Payments
52
Total payment records
General Amount
$1,430
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BIOTISSUE HOLDINGS INC. | $478 |
| BIOTISSUE HOLDINGS, INC. | $271 |
| RxSight Inc | $158 |
| ABBVIE INC. | $109 |
| Astellas Pharma US Inc | $103 |
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: 2021-06-17
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 |
|---|---|---|---|---|
| I20210617001343 | I | Optometry | TX | 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 |
|---|---|---|---|---|
| 92012 | Established patient problem focused exam of visual system | 73 | 33 | $0 |
| 92014 | Established patient complete exam of visual system | 42 | 42 | $0 |
| 92004 | New patient complete exam of visual system | 38 | 38 | $0 |
| 92134 | Imaging of retina | 24 | 23 | $0 |
| 92083 | Exam of visual field with extended testing | 19 | 16 | $0 |
Insurance plans in this area (ZIP 75071)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | TX | |
| O P H T H A L M O L O G Y | TX | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | TX |
Reviews
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