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KEVIN MICHAEL SIMMONS O.D.
NPI 1407101892
Optometrist in Bellevue, WA

Active since July 20, 2012PECOS EnrolledAccepts Medicare Assignment
63.05/100
CMS Quality Rating
14645 BEL RED RD, BUILDING E, STE 102, BELLEVUE, WA 98007(425) 432-6056 Get Directions Write a Review

NPPES record last updated: May 9, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2016, Mar 15, 2016 (2 updates tracked since 2016).

About Kevin Michael Simmons O.d. NPPES

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

KEVIN MICHAEL SIMMONS O.D. (NPI 1407101892) is an individual optometrist in Bellevue, Washington, licensed in Minnesota (MN3454) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2012).

NPPES Registry Identity

NPI1407101892
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKEVIN MICHAEL SIMMONSCredential: O.D.
Location Address14645 BEL RED RD, BUILDING E, STE 102Bellevue, WA 98007-3929
Mailing Address2180 Troop Dr, Apt D104Sartell, MN 56377-4563 · (320) 258-3915 · Fax (320) 258-3917
Phone(425) 432-6056
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2012
Enumeration DateJuly 20, 2012
Last NPPES UpdateMay 9, 20162 updates tracked since enumeration
✔ NPI 1407101892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MN · MN3454
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.
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License MN3454 (MN)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License MN3454 (MN)
14645 BEL RED RD, Bellevue, WA 98007
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Other Names 1

Other Name (5)Kevy Michael Simmons O.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Kevin Michael Simmons 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 ID9032360391
PECOS Enrollment IDI20160511002377
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98007 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

63.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality35
Promoting Interoperability96
Improvement Activities40

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.

MR. GREGORY BRUCE MORENSEN DDS
Dentist (General Practice)
14645 BEL RED RD, SUITE 100
BELLEVUE, WA 98007
King County (425) 644-2205
NORTHWEST PEDIATRIC EYE CARE P.S.
Optometrist (Pediatrics)
14645 BEL RED RD, STE E102
BELLEVUE, WA 98007
King County (425) 732-6056
KAREN L PRESTON O.D.
Optometrist (Pediatrics)
14645 BEL RED RD, STE E102
BELLEVUE, WA 98007
King County (425) 732-6056

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 Simmons's NPI number?

The NPI number for Kevin Simmons is 1407101892. It was assigned to this individual provider in the NPPES registry on July 20, 2012. The provider is also known as Kevy Michael Simmons O.D..

Where is Kevin Simmons located?

Kevin Simmons practices at 14645 Bel Red Rd Building E, Ste 102, Bellevue, WA 98007. The listed phone number is (425) 432-6056.

What is Kevin Simmons's specialty?

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

Is Kevin Simmons enrolled in Medicare?

Yes. Kevin Simmons 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 Kevin Simmons accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Kevin Simmons 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 Simmons was last updated on May 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.