DR. KIMBERLEY ANNE BUGAJSKI O.D.
NPI 1962503524
Optometrist in Plymouth, MN

Q: What is Kimberley Bugajski's NPI number?

The NPI number for Kimberley Bugajski is 1962503524. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Q: What is Kimberley Bugajski's specialty?

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

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment

10600 OLD COUNTY ROAD 15, PLYMOUTH, MN 55441(763) 545-8850(763) 544-1257 Get Directions Write a Review

NPPES record last updated: December 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kimberley Anne Bugajski O.d. NPPES

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

DR. KIMBERLEY ANNE BUGAJSKI O.D. (NPI 1962503524) is an individual optometrist in Plymouth, Minnesota, licensed in Minnesota (LD2371000) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1991).

NPPES Registry Identity

NPI1962503524

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. KIMBERLEY ANNE BUGAJSKICredential: O.D.

Location Address10600 OLD COUNTY ROAD 15Plymouth, MN 55441-6210

Mailing Address10600 Old County Road 15Plymouth, MN 55441-6210 · (763) 545-8850 · Fax (763) 544-1257

Phone(763) 545-8850

Fax(763) 544-1257

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1991

Enumeration DateSeptember 26, 2006

Last NPPES UpdateDecember 10, 2008

✔ NPI 1962503524 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 MN · LD2371000

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.

10600 OLD COUNTY ROAD 15, Plymouth, MN 55441

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Other Identifiers 6

Medicare UPINU21145MN

Other417R5BUMN · Bcbs

Medicaid751525100MN

Medicare ID-Type Unspecified410002131MN

Other2200102MN · Medica

Other977521015898MN · Preferred One

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Providence Health Plan.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. Kimberley Anne Bugajski 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 ID4587658281

PECOS Enrollment IDI20040414000871

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 8

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 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.

85 services85 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.

37 services35 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

35 services33 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.

34 services34 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

21 services21 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).

21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55441 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

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.

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