Nicole F. Koba, OD
NPI 1558461012ActiveIndividual· Optometrist· Washington, DC
Optometrist (OD) in Washington, District of Columbia, trained at Pennsylvania College of Optometry (class of 1988). 69 Medicare patients in 2024, $5,643 paid; nearly all of their 83 Part D prescriptions were generic (92%).
Overview
| NPI | 1558461012 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | No |
| NPI issued | Sep 25, 2006 |
| Last updated in NPPES | Jun 2, 2021 |
| Certified by provider | Jun 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 7621000632 | DC |
| Optometrist | 152W00000X | DA1177 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (DC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 69 |
|---|---|
| Services billed | 81 across 8 procedure codes |
| Paid by Medicare | $5,643 |
Part D prescriptions in 2024
| Prescriptions (claims) | 83 · 155 30-day fills |
|---|---|
| Patients | 37 |
| Total drug cost | $1,672 |
| Generic share | 92% of claims |
Education and affiliations
| Medical school | Pennsylvania College of Optometry |
|---|---|
| Graduation year | 1988 |
| Medicare specialty | Optometry |
Medical group
- Kaiser Foundation Health Plan of the Mid Atlantic States, IncLargo, MD · 1,899 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Optometrist providers in Washington
- 1568267847
- 1801691183
- 1578391454
- 1952067928
- 1447415377
- 1316061005
- 1346440252
- 1750654265
- 1598451825
- 1972790798
- 1548408974
- 1154751410