DR. KIMBERLY ANNE DEUGWILLO OPTOMETRIST
NPI 1750391579
Optometrist - Low Vision Rehabilitation in Towson, MD
About Dr. Kimberly Anne Deugwillo Optometrist NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIMBERLY ANNE DEUGWILLO OPTOMETRIST (NPI 1750391579) is an individual low vision rehabilitation provider in Towson, Maryland, licensed in Maryland (TA2051) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2007).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted 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. Kimberly Anne Deugwillo Optometrist 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 Reassignments
4Medicare enrollment records show Kimberly Deugwillo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21220
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 10 clinicians in this Medicare group
Annapolis, MD 21401
- Reassigned Medicare billing, Maryland enrollment
- 2 clinicians in this Medicare group
Dunkirk, MD 20754
- Reassigned Medicare billing, Maryland enrollment
- 3 clinicians in this Medicare group
Brooklyn, NY 11211
- Reassigned Medicare billing, District of Columbia enrollment
- 9 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21204 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.
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.
TOWSON, MD 21204
TOWSON, MD 21204
TOWSON, MD 21204
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 Kimberly Deugwillo's NPI number?
The NPI number for Kimberly Deugwillo is 1750391579. It was assigned to this individual provider in the NPPES registry on August 8, 2006.
Where is Kimberly Deugwillo located?
Kimberly Deugwillo practices at 901 Dulaney Valley Rd Suite 200, Towson, MD 21204. The listed phone number is (410) 337-4500.
What is Kimberly Deugwillo's specialty?
The primary specialty registered for this NPI is Optometrist, specializing in Low Vision Rehabilitation, with taxonomy code 152WL0500X.
Is Kimberly Deugwillo enrolled in Medicare?
Yes. Kimberly Deugwillo 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 Kimberly Deugwillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Deugwillo reassigns Medicare benefits to 4 organizations: Sightrite Medical MD LLC (Baltimore, MD), Samuel F Boles MD PC (Annapolis, MD), Eyes On You, LLC (Dunkirk, MD) and Sightrite Medical Dc PLLC (Brooklyn, NY). 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 Kimberly Deugwillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Deugwillo accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Kimberly Deugwillo 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 Kimberly Deugwillo was last updated on March 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Kimberly Anne Deugwillo, OPTOMETRIST · NPI 1750391579
Low Vision Rehabilitation provider in Towson, Maryland. Individual provider, active in the CMS NPPES registry since August 8, 2006.
## Identity
- **NPI:** 1750391579 (Entity type: Individual)
- **Enumerated:** August 8, 2006
- **Primary specialty:** Optometrist - Low Vision Rehabilitation · taxonomy 152WL0500X
- **State license:** TA2051 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 901 DULANEY VALLEY RD, SUITE 200, Towson, MD 21204-2600
- **Phone:** (410) 337-4500 · **Fax:** (410) 339-7326
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Sightrite Medical MD LLC (NPI 1649755851, Baltimore, MD); Samuel F Boles MD PC (NPI 1396898771, Annapolis, MD); Eyes On You, LLC (NPI 1770917783, Dunkirk, MD); Sightrite Medical Dc PLLC (NPI 1831676568, Brooklyn, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania College Of Optometry, class of 2007
## Record status
- **NPPES last updated:** March 21, 2008
- **Other identifiers:** Medicare PIN 863LR125 (MD); Medicare PIN 016125B26 (VA); Medicare PIN 022282B51 (DC); and 1 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1750391579) · Data from the CMS NPPES public registry.