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HEECHUNG KO O.D.
NPI 1609997337
Optometrist in Lexington, KY

Active since April 02, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
535 WELLINGTON WAY, SUITE 160, LEXINGTON, KY 40503(859) 275-2030(859) 275-2130 Get Directions Write a Review

NPPES record last updated: June 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heechung Ko O.d. NPPES

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

HEECHUNG KO O.D. (NPI 1609997337) is an individual optometrist in Lexington, Kentucky, licensed in Kentucky (1514DT) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2001).

NPPES Registry Identity

NPI1609997337
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameHEECHUNG KOCredential: O.D.
Location Address535 WELLINGTON WAY, SUITE 160Lexington, KY 40503-1385
Mailing Address535 Wellington Way, Suite 160Lexington, KY 40503-1385 · (859) 275-2030 · Fax (859) 275-2130
Phone(859) 275-2030
Fax(859) 275-2130
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2001
Enumeration DateApril 2, 2007
Last NPPES UpdateJune 30, 2014
✔ NPI 1609997337 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 KY · 1514DT
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.
535 WELLINGTON WAY, Lexington, KY 40503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Heechung Ko 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 ID1052584893
PECOS Enrollment IDI20111024000330
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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,601 services12 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
160 services156 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.
158 services149 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.
78 services53 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.
49 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

WELLINGTON FAMILY CHIROPRACTIC LLC
Chiropractor
535 WELLINGTON WAY, SUITE 180
LEXINGTON, KY 40503
Fayette County (859) 309-1996
DAWN C. STRATTON O.D.
Optometrist
535 WELLINGTON WAY, SUITE 160
LEXINGTON, KY 40503
Fayette County (859) 275-2030
DAWN C STRATTON OD PSC
Optometrist
535 WELLINGTON WAY, SUITE 160
LEXINGTON, KY 40503
Fayette County (859) 275-2030
CORNERSTONE PEDIATRIC SURGERY, PSC
Surgery (Pediatric Surgery)
535 WELLINGTON WAY
LEXINGTON, KY 40503
Fayette County (859) 224-0801
IAN MARCUS PUNTNEY D.C.
Chiropractor
535 WELLINGTON WAY, SUITE 270
LEXINGTON, KY 40503
Fayette County (859) 309-1996
VISION THERAPY SOLUTIONS, LLC
Optometrist
535 WELLINGTON WAY, SUITE 160
LEXINGTON, KY 40503
Fayette County (859) 245-2020

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 Heechung Ko's NPI number?

The NPI number for Heechung Ko is 1609997337. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Heechung Ko located?

Heechung Ko practices at 535 Wellington Way Suite 160, Lexington, KY 40503. The listed phone number is (859) 275-2030.

What is Heechung Ko's specialty?

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

Is Heechung Ko enrolled in Medicare?

Yes. Heechung Ko 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 Heechung Ko accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross and Blue Shield of Montana and 3 other insurers list Heechung Ko 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 Heechung Ko was last updated on June 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.