Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053750794 Individual Practitioner Male Practitioner

Dr. Kenzo James Paul Koike , MD

Ophthalmology • Jacksonville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenzo Koike, MD is a certified Ophthalmology practicing in Jacksonville, FL. With approximately 13 years of clinical experience since graduating from University Of South Florida College Of Medicine in 2013, Dr. Koike delivers high-quality medical care to the local community at 11512 LAKE MEAD AVE UNIT 534.

Dr. Koike is affiliated with North Florida Surgeons Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include exam of visual field with extended testing, imaging of optic nerve, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11512 Lake Mead Ave Unit 534

Jacksonville, FL 32256

Telephone 9045642020

Medicare Profile & Education

Medical School

University Of South Florida College Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Jacksonville, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -14.4 yrs vs City Avg
City Avg: 27.4 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
89 Specialists

Practicing in Jacksonville, FL (1686 Statewide)

Telehealth Adoption Rate
3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Koike (13 Years) 13 Yrs
Jacksonville Specialty Average (27.4 Years) 27.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92083 Exam of visual field with extended testing
788 578 $263.00 $61.20
92133 Imaging of optic nerve
750 640 $133.00 $33.39
92014 Established patient complete exam of visual system
596 511 $355.00 $122.20
99213 Established patient office or other outpatient visit, typically 15 minutes
570 442 $210.00 $90.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
315 263 $310.00 $127.78
92136 Measurement of corneal curvature and depth of eye
254 147 $255.00 $29.48
66984 Removal of cataract with insertion of lens
245 142 $2319.00 $494.24
92020 Examination of cornea and iris using lens device and slit lamp
184 183 $79.00 $26.44
76514 Ultrasound scan of cornea to determine thickness
177 177 $44.00 $10.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
170 170 $483.00 $167.37
92136 Measurement of corneal curvature and depth of eye
157 153 $255.00 $16.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
135 131 $126.00 $55.97
92134 Imaging of retina
134 129 $133.00 $38.97
65855 Laser repair to improve eye fluid flow
125 101 $1120.11 $253.27
92004 New patient complete exam of visual system
109 109 $429.00 $144.88
92012 Established patient problem focused exam of visual system
102 96 $245.00 $86.30
66821 Removal of recurring cataract in lens capsule using a laser
91 74 $1026.21 $328.97
92250 Photography of the retina
91 91 $224.00 $34.47
66183 Insertion of eye fluid drainage device
51 48 $3314.00 $1005.98
66250 Revision or repair of operative wound of eye
27 25 $2271.00 $615.12
66174 Dilation of fluid outflow drainage within eye
25 15 $2987.00 $601.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
20 20 $315.00 $111.62
66180 Creation of shunt to improve eye fluid flow using tissue graft
14 12 $3482.00 $1099.00

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License FL ME135382

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology - Glaucoma Specialist

NUCC Taxonomy Code: 207WX0009X

State License FL ME135382

An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.

Ophthalmology - Glaucoma Specialist

NUCC Taxonomy Code: 207WX0009X

State License TX R2382

An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.

Hospital & Practice Group Affiliations

North Florida Surgeons Pa

11512 Lake Mead Ave, Jacksonville, FL 322565835

Phone: 9046422222

Secondary Practice Locations

1977 Butler Blvd

Houston, TX 770304101

Phone: 7137986100

3780 Us Highway 1 S

St Augustine, FL 320867150

Phone: 9042683937

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1063165108

Doctor of Optometry

NPI 1093898538

Doctor of Medicine (M.D.)

NPI 1134334105

Doctor of Medicine (M.D.)

NPI 1326263310

Doctor of Medicine (M.D.)

NPI 1356072219

Doctor of Medicine (M.D.), Master of Business Administration

NPI 1427048271

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2018

Ophthalmology (License #ME135382 in FL)

📍
Updated Practice Location June 07, 2018

Registered at 11512 LAKE MEAD AVE UNIT 534, JACKSONVILLE, FL 32256 (Tel: 9045642020)

📍
Updated Business Mailing Address June 07, 2018

Registered at 11512 LAKE MEAD AVE UNIT 534, JACKSONVILLE, FL 322565835 (Tel: 9042741819)

NPI Profile Active July 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2017

Registered at 1977 BUTLER BLVD, HOUSTON, TX 770304101 (Tel: 7137986100)

📍
Updated Business Mailing Address July 19, 2017

Registered at 1977 BUTLER BLVD # 633, HOUSTON, TX 770304101 (Tel: (713) 798-6100)

👤
Provider Name / Credentials Updated July 19, 2017

Recorded as KENZO KOIKE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2017

Ophthalmology (License #R2382 in TX)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2017

Ophthalmology (License #R2382 in TX)

NPI Profile Active June 16, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 16, 2013

Registered at 169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC 333, CHARLESTON, SC 294258905 (Tel: 8437923072)

📍
Updated Business Mailing Address June 16, 2013

Registered at 169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC 333, CHARLESTON, SC 294258905 (Tel: 8437923072)

👤
Provider Name / Credentials Updated June 16, 2013

Recorded as KENZO KOIKE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2013

Surgery (License #35908 in SC)

🟢
Initial NPI Registration & Enumeration June 16, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053750794
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2013
Last Update: October 05, 2018
Sole Proprietor: Yes

Mailing Address

11512 Lake Mead Ave Unit 534

Jacksonville, FL 322565835

Phone: 9042741819

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.