Kevin Michael Simmons, O.D.
NPI 1407101892ActiveIndividual· Optometrist· Bellevue, WA
Optometrist (O.D.) in Bellevue, Washington, trained at Pacific University - College of Optometry (class of 2012). Mostly services rather than prescriptions: Medicare paid $2,585 for 17 patients in 2024, with only 13 Part D claims. Coopervision Inc. reported $18.60 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1407101892 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | No |
| NPI issued | Jul 20, 2012 |
| Last updated in NPPES | May 9, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | MN3454 | MN |
| Optometrist, Vision Therapy | 152WV0400X | MN3454 | MN |
| Optometrist, Pediatrics | 152WP0200X | MN3454 | MN |
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 (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 125 across 16 procedure codes |
| Paid by Medicare | $2,585 |
Part D prescriptions in 2024
| Prescriptions (claims) | 13 · 23 30-day fills |
|---|---|
| Total drug cost | $2,841 |
Education and affiliations
| Medical school | Pacific University - College of Optometry |
|---|---|
| Graduation year | 2012 |
| Medicare specialty | Optometry |
Medical group
- Pinecone Vision Center, PASartell, MN · 8 clinicians
Industry payments (Open Payments)
- 2025$18.60 · 1 payment from 1 company
- 2024$33.12 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Coopervision Inc. | $18.60 | 1 |
What the 2025 payments were for
- Food and Beverage$18.60 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 100 optometrists in Bellevue · All optometrists in Washington