DR. SUNG KWONG OR D.O.
NPI 1477511475
Ophthalmology in Beavercreek, OH

Q: What is Sung Or's NPI number?

The NPI number for Sung Or is 1477511475. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Q: What is Sung Or's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Sung Or was last updated on April 12, 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.

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment

1538 MARSETTA DR, BEAVERCREEK, OH 45432(937) 427-2828(937) 427-2880 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Sung Kwong Or D.o. NPPES

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

DR. SUNG KWONG OR D.O. (NPI 1477511475) is an individual ophthalmology provider in Beavercreek, Ohio, licensed in Ohio (34008241O) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1477511475

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. SUNG KWONG ORCredential: D.O.

Location Address1538 MARSETTA DRBeavercreek, OH 45432-2733

Mailing Address1538 Marsetta DrBeavercreek, OH 45432-2733 · (937) 427-2828 · Fax (937) 427-2880

Phone(937) 427-2828

Fax(937) 427-2880

Sole ProprietorYes

Medical School CMSOtherGraduated 1999

Enumeration DateMay 2, 2006

Last NPPES UpdateApril 12, 2022

NPPES CertifiedApril 12, 2022

✔ NPI 1477511475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in OH · 34008241O

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1538 MARSETTA DR, Beavercreek, OH 45432

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Secondary Practice Location 1

Location 1330 Forest AveDayton, OH 45405-4536 · Phone (937) 723-4994 · Fax (937) 463-4244

Other Identifiers 3

Medicaid2492324OH

Other510552661027OH · Care Source

Other000000384230OH · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Dr. Sung Kwong Or D.o. 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 ID749250660

PECOS Enrollment IDI20040728001198

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

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

Trinity Eye Care,llc

Same address

Ophthalmology

1538 MARSETTA DR
Beavercreek, OH 45432

Reassigned Medicare billing, Ohio enrollment

NPI 1518925429 (937) 427-2828

Dayton Osteopathic Hospital

7.6 mi

Anesthesiology

405 W GRAND AVE
Dayton, OH 45405

Reassigned Medicare billing, Ohio enrollment
105 clinicians in this Medicare group

NPI 1902097280 (937) 723-3200

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 15

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 problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

143 services79 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).

104 services78 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.

89 services79 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

83 services64 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.

74 services64 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

50 services25 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.

33 services30 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.

29 services15 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

27 services14 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.

23 services23 patients

Test for allergy using allergenic extract applied to eye 95060

This is a diagnostic test to identify if you're allergic to specific substances. A tiny amount of allergenic extract is applied to your eye. If you're allergic, your eye may react with symptoms like redness or itching. It's a safe and quick way to pinpoint allergies.

23 services23 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

20 services11 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.

16 services16 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.

14 services14 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45432 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

TRINITY EYE CARE,LLC

Ophthalmology

1538 MARSETTA DR
BEAVERCREEK, OH 45432

Greene County (937) 427-2828

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 Sung Or's NPI number?

The NPI number for Sung Or is 1477511475. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Sung Or located?

Sung Or practices at 1538 Marsetta Dr, Beavercreek, OH 45432. The listed phone number is (937) 427-2828.

What is Sung Or's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Sung Or enrolled in Medicare?

Yes. Sung Or 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 Sung Or's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sung Or reassigns Medicare benefits to 2 organizations: Trinity Eye Care,llc (Beavercreek, OH) and Dayton Osteopathic Hospital (Dayton, OH). 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 Sung Or's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sung Or accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Sung Or 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.

Is Sung Or affiliated with any hospitals?

According to CMS data, Sung Or is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Sung Or was last updated on April 12, 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.