DR. KIMBERLY ANNE DEUGWILLO OPTOMETRIST
NPI 1750391579
Optometrist - Low Vision Rehabilitation in Towson, MD

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
51.3/100
CMS Quality Rating
901 DULANEY VALLEY RD, SUITE 200, TOWSON, MD 21204(410) 337-4500(410) 339-7326 Get Directions Write a Review

NPPES record last updated: March 21, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1750391579
Entity TypeIndividualFemale
Primary Taxonomy152WL0500X
Provider Legal NameDR. KIMBERLY ANNE DEUGWILLOCredential: OPTOMETRIST
Location Address901 DULANEY VALLEY RD, SUITE 200Towson, MD 21204-2600
Mailing Address901 Dulaney Valley Rd, Suite 200Towson, MD 21204-2600 · (410) 337-4500 · Fax (410) 339-7326
Fax(410) 339-7326
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2007
Enumeration DateAugust 8, 2006
Last NPPES UpdateMarch 21, 2008
NPI 1750391579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometrist · Low Vision RehabilitationEye and Vision Services Providers
Taxonomy Code152WL0500X
Licenses Licensed in MD · TA2051 Licensed in VA · 0618001696 Licensed in PA · OEG001814
Definition
Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.
901 DULANEY VALLEY RD, Towson, MD 21204

Other Identifiers 4

Medicare PIN863LR125MD
Medicare PIN016125B26VA
Medicare PIN022282B51DC
Medicare UPINV10729

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

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.

PECOS PAC ID6103825724
PECOS Enrollment IDI20071012000130
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.

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.

New Patient
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

51.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability0
Improvement Activities40
Cost21.02

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.

Psychiatry & Neurology (Psychiatry)
901 DULANEY VALLEY RD, SUITE 129
TOWSON, MD 21204
Psychologist (Clinical)
901 DULANEY VALLEY RD, SUITE 129
TOWSON, MD 21204
Legal Medicine
901 DULANEY VALLEY RD, DULANEY CENTER 2 SUITE101
TOWSON, MD 21204
Social Worker
901 DULANEY VALLEY RD, SUITE 129
TOWSON, MD 21204
Urology
901 DULANEY VALLEY RD
TOWSON, MD 21204
Nurse Practitioner (Psychiatric/Mental Health)
901 DULANEY VALLEY RD, SUITE 129
TOWSON, MD 21204
Psychologist
901 DULANEY VALLEY RD, STE 129
TOWSON, MD 21204
Psychologist
901 DULANEY VALLEY RD, STE 129
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.

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.