HELEN D KIM-SHOLEY (O. D.) – Optometrist, NPI 1275520884

HELEN D KIM-SHOLEY (O. D.) is a healthcare provider. based in Rock springs, Wyoming. specializing in OPTOMETRY. They hold the professional credentials O. D.. They hold a License No. 218T (WY). The NPI Number for HELEN D KIM-SHOLEY (O. D.) is 1275520884

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
HELEN D KIM-SHOLEY (O. D.)
NPI
1275520884
Phone
(307) 382-3937
Address
544 BROADWAY ST
Enumeration Date
29 September 2005
Last Update Date
2 May 2008

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
3073823937
Graduation Year
1993 (33 years ago)
PAC ID
3779790019
Group Practice PAC ID
4284617499
Professional Enrollment ID
I20111227000634
Address ID
WY829016346RO544XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

106 OPTOMETRY in WY

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Provider Addresses for HELEN D KIM-SHOLEY (O. D.)

  • 544, Broadway Street, Rock Springs, Sweetwater County, Wyoming, 82901, United States

    ROCK SPRINGS, WY 829016346

    Phone: (307) 382-3937

    Fax: (307) 382-2918

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-12-27

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
I20111227000634IOptometryWYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes17499$0
92014Established patient complete exam of visual system108107$0
92134Imaging of retina10376$0
92133Imaging of optic nerve3933$0
66984Removal of cataract with insertion of prosthetic lens2112$0
View full utilization report →

Insurance plans in this area (ZIP 82901)

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Provider's Procedures

HELEN D KIM-SHOLEY (O. D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYWY92134Diagnostic imaging of retina6947

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: 4284617499View full group profile
NameSpecialtyState
O P T O M E T R YWY
O P T O M E T R YWY

Reviews

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Frequently asked questions

Can I verify HELEN D KIM-SHOLEY (O. D.) with an NPI only?
You can start verification with NPI 1275520884 for HELEN D KIM-SHOLEY (O. D.), then check state licensing separately.
Is HELEN D KIM-SHOLEY (O. D.) listed as active for patients and plans?
The listing shows HELEN D KIM-SHOLEY (O. D.) as active in the NPI system.
What is HELEN D KIM-SHOLEY (O. D.)'s specialty?
The listing groups HELEN D KIM-SHOLEY (O. D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is HELEN D KIM-SHOLEY (O. D.) based?
HELEN D KIM-SHOLEY (O. D.) is tied to Rock Springs, Wyoming in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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