Kimberly Ambrosino, O.D.
NPI 1720293566ActiveIndividual· Optometrist· Southaven, MS
Opted out of Medicare from March 2016 to March 2028. Optometrist (O.D.) in Southaven, Mississippi, licensed in MS, with an NPI issued in May 2007. Part D covered 16 prescriptions written in 2024. Biotissue Holdings Inc. reported $90.86 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1720293566 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | Yes |
| NPI issued | May 14, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 654 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Mar 7, 2016 – Mar 7, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 16 · 23 30-day fills |
|---|---|
| Total drug cost | $2,511 |
Industry payments (Open Payments)
- 2025$90.86 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Biotissue Holdings Inc. | $90.86 | 1 |
What the 2025 payments were for
- Food and Beverage$90.86 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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