DR. KIMBERLY MARK DOUGLAS OD
NPI 1942533153
Optometrist in Wake Forest, NC

Q: What is Kimberly Douglas's NPI number?

The NPI number for Kimberly Douglas is 1942533153. It was assigned to this individual provider in the NPPES registry on September 8, 2009.

Q: What is Kimberly Douglas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Douglas was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since September 08, 2009PECOS EnrolledAccepts Medicare Assignment

86.66/100

CMS Quality Rating

3150 ROGERS RD STE 110, WAKE FOREST, NC 27587(919) 263-9163(919) 263-9408 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2024, Mar 7, 2023, Jul 16, 2019 (3 updates tracked since 2019).

On this page

About Dr. Kimberly Mark Douglas Od NPPES

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

DR. KIMBERLY MARK DOUGLAS OD (NPI 1942533153) is an individual optometrist in Wake Forest, North Carolina, licensed in North Carolina (2257) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Missouri St Louis - School Of Optometry (2009).

NPPES Registry Identity

NPI1942533153

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. KIMBERLY MARK DOUGLASCredential: OD

Location Address3150 ROGERS RD STE 110Wake Forest, NC 27587-4196

Mailing Address1004 Kennison CtRolesville, NC 27571-9009 · (919) 368-4668 · Fax (919) 263-9408

Phone(919) 263-9163

Fax(919) 263-9408

Sole ProprietorNo

Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2009

Enumeration DateSeptember 8, 2009

Last NPPES UpdateOctober 3, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2024

✔ NPI 1942533153 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 NC · 2257

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.

3150 ROGERS RD STE 110, Wake Forest, NC 27587

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Secondary Practice Locations 2

Location 115640 Don Lochman Ln Ste CCharlotte, NC 28277-4442 · Phone (704) 943-5110 · Fax (704) 943-4449

Location 211030 Golf Links Dr Ste 204Charlotte, NC 28277-8047 · Phone (704) 943-5110 · Fax (704) 943-4449

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Dr. Kimberly Mark Douglas Od 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 ID9436288693

PECOS Enrollment IDI20121016000287

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 11

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.

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.

376 services315 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.

205 services194 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

161 services161 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

143 services118 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.

97 services85 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

92 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27587 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

86.66/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.33

Improvement Activities

Other Providers at the Same Location NPPES 5

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

DR. JENNIFER L. H. MURPHY O.D.

Optometrist