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DR. SI-ON KIM OD
NPI 1477161875
Optometrist in Frisco, TX

Active since July 21, 2020PECOS EnrolledAccepts Medicare Assignment
82.46/100
CMS Quality Rating
8380 WARREN PKWY STE 101, FRISCO, TX 75034(972) 548-2015 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2024, Jun 12, 2021, Mar 2, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Si-on Kim Od NPPES

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

DR. SI-ON KIM OD (NPI 1477161875) is an individual optometrist in Frisco, Texas, licensed in Texas (10006) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mckinney, and is a graduate of University Of Houston - College Of Optometry (2020).

NPPES Registry Identity

NPI1477161875
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SI-ON KIMCredential: OD
Location Address8380 WARREN PKWY STE 101Frisco, TX 75034-4199
Mailing Address2600 W University Dr Ste 100Mckinney, TX 75071-3209 · (972) 548-2015
Phone(972) 548-2015
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2020
Enumeration DateJuly 21, 2020
Last NPPES UpdateMay 9, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2021
✔ NPI 1477161875 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 TX · 10006
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.
8380 WARREN PKWY STE 101, Frisco, TX 75034
Open in Google Maps ↗

Secondary Practice Location 1

Location 12600 W University Dr Ste 100McKinney, TX 75071-3209 · Phone (972) 548-2015

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Si-on Kim Od 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 ID244630937
PECOS Enrollment IDI20210617001343
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

2

Medicare enrollment records show Si-on Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Vision & Laser Center, PLLC
15 mi
Ophthalmology
2600 W UNIVERSITY DR STE 100
Mckinney, TX 75071
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group
NPI 1659575926 (972) 548-2015
Texas Eye And Cataract
47 mi
Ophthalmology
101 YMCA DR
Waxahachie, TX 75165
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
NPI 1013483163 (469) 505-2020

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 10

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.
112 services92 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.
49 services48 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.
40 services38 patients
Placement of amniotic membrane on eye surface for wound healing 65778
The placement of an amniotic membrane on the eye surface is a treatment to promote healing of eye wounds. It involves placing a thin, protective layer over the eye. This layer, derived from the amniotic membrane, helps reduce inflammation and scarring, while encouraging healing.
31 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
27 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75034 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

82.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Improvement Activities40
Cost79.14

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 Si-on Kim's NPI number?

The NPI number for Si-on Kim is 1477161875. It was assigned to this individual provider in the NPPES registry on July 21, 2020.

Where is Si-on Kim located?

Si-on Kim practices at 8380 Warren Pkwy Ste 101, Frisco, TX 75034. The listed phone number is (972) 548-2015.

What is Si-on Kim's specialty?

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

Is Si-on Kim enrolled in Medicare?

Yes. Si-on Kim 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.

Which organizations bill Medicare for Si-on Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Si-on Kim reassigns Medicare benefits to 2 organizations: Texas Vision & Laser Center, PLLC (Mckinney, TX) and Texas Eye And Cataract (Waxahachie, TX). 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 Si-on Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Si-on Kim accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Si-on Kim 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 Si-on Kim was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.