KIM A CASTLEBERRY O.D.
NPI 1841213576
Optometrist in Plano, TX

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5900 COIT RD, PLANO, TX 75023(972) 985-1412(972) 964-5758 Get Directions Write a Review

NPPES record last updated: February 18, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kim A Castleberry O.d. NPPES

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

KIM A CASTLEBERRY O.D. (NPI 1841213576) is an individual optometrist in Plano, Texas, licensed in Texas (3161TG) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1983).

NPPES Registry Identity

NPI1841213576
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKIM A CASTLEBERRYCredential: O.D.
Location Address5900 COIT RDPlano, TX 75023-5959
Mailing Address5900 Coit RdPlano, TX 75023-5959 · (972) 985-1412 · Fax (972) 964-5758
Fax(972) 964-5758
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1983
Enumeration DateJuly 25, 2006
Last NPPES UpdateFebruary 18, 2013
NPI 1841213576 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 TX · 3161TG
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.
5900 COIT RD, Plano, TX 75023

Other Identifiers 4

Medicare UPINT12577TX
Medicaid100613202TX
Medicare NSC5181590001TX
Medicare PIN80199ETX

Accepted 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

Kim A Castleberry 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 ID7810035664
PECOS Enrollment IDI20100914000887
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 22

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 office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
402 services379 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.
382 services373 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.
378 services314 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.
368 services291 patients
Measurement of retinal and optic nerve function 92273
This procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.
350 services279 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.
215 services105 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75023 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
100%200 patients5/55-star benchmark: 87%
Controlling High Blood Pressure
59%246 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
100%201 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
25%143 patients4/55-star benchmark: 91%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
96%53 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
99%2,338 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
34%1,284 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
38%1,991 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 91% · 601 patients
90%601 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
99%102 patients
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 9

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

Optometrist
5900 COIT RD
PLANO, TX 75023
Optometrist
5900 COIT RD
PLANO, TX 75023
Optometrist
5900 COIT RD
PLANO, TX 75023
Optometrist
5900 COIT RD
PLANO, TX 75023
Optometrist
5900 COIT RD
PLANO, TX 75023
Optometrist
5900 COIT RD
PLANO, TX 75023
Specialist
5900 COIT RD, SUITE B
PLANO, TX 75023
Optometrist
5900 COIT RD
PLANO, TX 75023

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 Kim Castleberry's NPI number?

The NPI number for Kim Castleberry is 1841213576. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Kim Castleberry located?

Kim Castleberry practices at 5900 Coit Rd, Plano, TX 75023. The listed phone number is (972) 985-1412.

What is Kim Castleberry's specialty?

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

Is Kim Castleberry enrolled in Medicare?

Yes. Kim Castleberry 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 Kim Castleberry accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Kim Castleberry 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 Kim Castleberry was last updated on February 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.