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DR. KEVIN SEMMA OD
NPI 1396272555
Optometrist in Bloomfield Hills, MI

Active since May 18, 2017PECOS Enrolled
3683 W MAPLE RD, BLOOMFIELD HILLS, MI 48301(248) 246-4466 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 21, 2022, Jun 8, 2017, May 18, 2017 (3 updates tracked since 2017).

About Dr. Kevin Semma Od NPPES

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

DR. KEVIN SEMMA OD (NPI 1396272555) is an individual optometrist in Bloomfield Hills, Michigan, licensed in Michigan (4901005043) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1396272555
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KEVIN SEMMACredential: OD
Location Address3683 W MAPLE RDBloomfield Hills, MI 48301-3376
Mailing Address23342 Farmington RdFarmington, MI 48336-3102 · (248) 477-1616
Phone(248) 246-4466
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 18, 2017
Last NPPES UpdateApril 21, 20223 updates tracked since enumeration
NPPES CertifiedApril 21, 2022
✔ NPI 1396272555 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 MI · 4901005043
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.
3683 W MAPLE RD, Bloomfield Hills, MI 48301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Semma Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436428901
PECOS Enrollment IDI20170627002856
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kevin Semma reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ks Optom PLLC
Same address
Optometrist
3683 W MAPLE RD
Bloomfield Hills, MI 48301
  • Reassigned Medicare billing, Michigan enrollment
NPI 1568137933 (248) 246-4466
Svs Vision Inc
1.2 mi
Optometrist
6602 TELEGRAPH RD
Bloomfield Hills, MI 48301
  • Reassigned Medicare billing, Michigan enrollment
  • 113 clinicians in this Medicare group
NPI 1609140680 (248) 419-3500
Primary Eye And Vision Care, LLC
35 mi
Optometrist
1191 BYRON RD
Howell, MI 48843
  • Reassigned Medicare billing, Michigan enrollment
  • 11 clinicians in this Medicare group
NPI 1902194970 (517) 546-4655

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.
25 services21 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
18 services18 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48301 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Other Providers at the Same Location NPPES

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

KS OPTOM PLLC
Optometrist
3683 W MAPLE RD
BLOOMFIELD HILLS, MI 48301
Oakland County (248) 246-4466

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 Kevin Semma's NPI number?

The NPI number for Kevin Semma is 1396272555. It was assigned to this individual provider in the NPPES registry on May 18, 2017.

Where is Kevin Semma located?

Kevin Semma practices at 3683 W Maple Rd, Bloomfield Hills, MI 48301. The listed phone number is (248) 246-4466.

What is Kevin Semma's specialty?

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

Is Kevin Semma enrolled in Medicare?

Yes. Kevin Semma is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kevin Semma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Semma reassigns Medicare benefits to 3 organizations: Ks Optom PLLC (Bloomfield Hills, MI), Svs Vision Inc (Bloomfield Hills, MI) and Primary Eye And Vision Care, LLC (Howell, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Semma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Semma accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 12 other insurers list Kevin Semma 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 Kevin Semma was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.