CLARISSA KUM
NPI 1558777078
Optometrist in Memphis, TN

Active since July 03, 2014PECOS EnrolledAccepts Medicare Assignment
1030 JEFFERSON AVE, MEMPHIS, TN 38104(901) 523-8990 Get Directions Write a Review

NPPES record last updated: February 7, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clarissa Kum NPPES

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

CLARISSA KUM (NPI 1558777078) is an individual optometrist in Memphis, Tennessee, licensed in New York (56008208) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2014).

NPPES Registry Identity

NPI1558777078
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameCLARISSA KUM
Location Address1030 JEFFERSON AVEMemphis, TN 38104-2127
Mailing Address1030 Jefferson Ave, Cw104aMemphis, TN 38104-2127
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2014
Enumeration DateJuly 3, 2014
Last NPPES UpdateFebruary 7, 2015
NPI 1558777078 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 NY · 56008208
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.

1030 JEFFERSON AVE, Memphis, TN 38104

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

Clarissa Kum 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 ID1951618131
PECOS Enrollment IDI20170810002433
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 5

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 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.
145 services145 patients
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.
140 services99 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.
31 services27 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.
19 services18 patients
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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%58 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 20

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

Registered Nurse (Psychiatric/Mental Health)
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Social Worker (Clinical)
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Pharmacist
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Pharmacist
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Physical Medicine & Rehabilitation
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Registered Nurse
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Pharmacy Technician
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Dentist (General Practice)
1030 JEFFERSON AVE
MEMPHIS, TN 38104

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 Clarissa Kum's NPI number?

The NPI number for Clarissa Kum is 1558777078. It was assigned to this individual provider in the NPPES registry on July 3, 2014.

Where is Clarissa Kum located?

Clarissa Kum practices at 1030 Jefferson Ave, Memphis, TN 38104. The listed phone number is (901) 523-8990.

What is Clarissa Kum's specialty?

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

Is Clarissa Kum enrolled in Medicare?

Yes. Clarissa Kum 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.

When was this NPI record last updated?

The NPPES record for Clarissa Kum was last updated on February 7, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.