Kenneth Kisamore, OD
NPI 1154364800ActiveIndividual· Optometrist· Rockville, MD
Optometrist (OD) in Rockville, Maryland, trained at Pennsylvania State University College of Medicine (class of 1985). Medicare paid $1,893 for services to 20 patients in 2024. Coopervision Inc. was the largest of 3 companies reporting payments in 2025, $225.35 in all, mostly food and beverage.
Overview
| NPI | 1154364800 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | No |
| NPI issued | Jun 13, 2006 |
| Last updated in NPPES | Jul 24, 2024 |
| Certified by provider | Jul 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | TA0917 | MD |
| Optometrist | 152W00000X | 0618001710 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (DC); Practitioner - Optometry (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 20 across 3 procedure codes |
| Paid by Medicare | $1,893 |
Education and affiliations
| Medical school | Pennsylvania State University College of Medicine |
|---|---|
| Graduation year | 1985 |
| Medicare specialty | Optometry |
Medical group
- Rockville Optometry, LLCRockville, MD · 4 clinicians
Industry payments (Open Payments)
- 2025$225.35 · 6 payments from 3 companies
- 2024$217.01 · 4 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Coopervision Inc. | $172.09 | 3 |
| Alcon Vision LLC | $33.96 | 2 |
| Bausch & Lomb Americas Inc. | $19.30 | 1 |
What the 2025 payments were for
- Food and Beverage$225.35 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 56 optometrists in Rockville · All optometrists in Maryland