CLARISSA KUM
NPI 1558777078
Optometrist in Memphis, TN
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Clarissa Kum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dilkon, AZ 86047
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Winslow Indian Health Care Center Inc
- 219 clinicians in this Medicare group
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 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.
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.
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
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.
MEMPHIS, TN 38104
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.
Which organization bills Medicare for Clarissa Kum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clarissa Kum reassigns Medicare benefits to Dilkon Medical Center (Dilkon, AZ). The 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 Clarissa Kum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Clarissa Kum was last updated on February 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Clarissa Kum · NPI 1558777078
Optometrist provider in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since July 3, 2014.
## Identity
- **NPI:** 1558777078 (Entity type: Individual)
- **Enumerated:** July 3, 2014
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 56008208 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1030 JEFFERSON AVE, Memphis, TN 38104-2127
- **Phone:** (901) 523-8990
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Dilkon Medical Center (NPI 1306016126, Dilkon, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York - State College Optometry, class of 2014
## Record status
- **NPPES last updated:** February 7, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1558777078) · Data from the CMS NPPES public registry.