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HELEN D KIM-SHOLEY O. D.
NPI 1275520884
Optometrist in Rock Springs, WY

Active since September 29, 2005PECOS EnrolledAccepts Medicare Assignment
84.69/100
CMS Quality Rating
544 BROADWAY ST, ROCK SPRINGS, WY 82901(307) 382-3937(307) 382-2918 Get Directions Write a Review

NPPES record last updated: May 2, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Helen D Kim-sholey O. D. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HELEN D KIM-SHOLEY O. D. (NPI 1275520884) is an individual optometrist in Rock Springs, Wyoming, licensed in Wyoming (218T) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1993).

NPPES Registry Identity

NPI1275520884
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameHELEN D KIM-SHOLEYCredential: O. D.
Location Address544 BROADWAY STRock Springs, WY 82901-6346
Mailing Address544 Broadway StRock Springs, WY 82901-6346 · (307) 382-3937 · Fax (307) 382-2918
Phone(307) 382-3937
Fax(307) 382-2918
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 1993
Enumeration DateSeptember 29, 2005
Last NPPES UpdateMay 2, 2008
✔ NPI 1275520884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WY · 218T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
544 BROADWAY ST, Rock Springs, WY 82901
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Other Names 1

Professional Name (2)Helen D Kim O. D.

Other Identifiers 5

Medicare UPINU50033WY
Medicaid10981100WY
Medicare PIN410036452WY
Medicare NSC4978190001WY
Medicare PIN307684WY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Providence Health Plan, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Helen D Kim-sholey O. D. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779790019
PECOS Enrollment IDI20111227000634
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
176 services112 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
140 services106 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
125 services124 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
41 services34 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
22 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.37 typical visit price
range $56.42 – $170.72
Typical copayment $32.34 (range $14.10 – $42.68)
Most-billed visit code 99204
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality79.8
Promoting Interoperability86
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
75%24 patients4/55-star benchmark: 87%
Diabetes: Eye Exam
100%35 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
97%569 patients4/55-star benchmark: 100%
e-Prescribing
100%67 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
83%247 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 196 patients
Patients totalRate: 0% · 196 patients
0%196 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILY VISION CLINIC, PC
Optometrist
544 BROADWAY ST
ROCK SPRINGS, WY 82901
Sweetwater County (307) 382-3937
TODD E SHOLEY O.D.
Optometrist
544 BROADWAY ST
ROCK SPRINGS, WY 82901
Sweetwater County (307) 382-3937
DR. RICHARD P CANESTRINI O.D.
Optometrist
544 BROADWAY ST
ROCK SPRINGS, WY 82901
Sweetwater County (307) 382-3937

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Helen Kim-sholey's NPI number?

The NPI number for Helen Kim-sholey is 1275520884. It was assigned to this individual provider in the NPPES registry on September 29, 2005. The provider is also known as Helen D Kim O. D..

Where is Helen Kim-sholey located?

Helen Kim-sholey practices at 544 Broadway St, Rock Springs, WY 82901. The listed phone number is (307) 382-3937.

What is Helen Kim-sholey's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Helen Kim-sholey enrolled in Medicare?

Yes. Helen Kim-sholey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Helen Kim-sholey accept?

Health plans from Blue Cross Blue Shield of Wyoming, Providence Health Plan and University of Utah Health Plans list Helen Kim-sholey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Helen Kim-sholey was last updated on May 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.