Active NPI 1780693747 Individual Practitioner Female Practitioner

Dr. Ronnie Kim , OD

Optometrist • Dallas, TX

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Ronnie Kim, OD is a registered Optometrist practitioner in Dallas, TX. With approximately 25 years of clinical practice since graduating from Pennsylvania College Of Optometry in 2001, Dr. Kim provides healthcare services at the registered practice location at 3662 WEST CAMP WISDOM ROAD.

Dr. Kim is affiliated with Med Southwest Pllc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

3662 West Camp Wisdom Road

Dallas, TX 752372564

Telephone 9727094686

Fax 9722988459

Medicare Profile & Education

Medical School

Pennsylvania College Of Optometry

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Dallas, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +6.2 yrs vs City Avg

City Avg: 18.8 Yrs

State Avg: 19.5 Yrs

Regional Practice Density

225 Specialists

Practicing in Dallas, TX (5156 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

35.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (25 Years) 25 Yrs

Dallas Specialty Average (18.8 Years) 18.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	57	$145.00	$125.87
92083 Exam of visual field with extended testing	47	34	$120.00	$59.46
92134 Imaging of retina	46	35	$70.00	$37.03
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	25	23	$180.00	$123.06
92133 Imaging of optic nerve	13	11	$70.00	$33.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	60	$144.86	$125.92
92134 Imaging of retina	47	38	$70.00	$37.58
92083 Exam of visual field with extended testing	44	36	$120.00	$59.71
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	16	14	$180.00	$125.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	52	$145.00	$127.52
92083 Exam of visual field with extended testing	42	33	$120.00	$61.82
92133 Imaging of optic nerve	17	16	$70.00	$34.06
92134 Imaging of retina	16	12	$70.00	$37.77
92014 Established patient complete exam of visual system	12	11	$142.00	$117.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	43	$145.00	$129.72
92083 Exam of visual field with extended testing	60	35	$120.00	$63.08
92133 Imaging of optic nerve	32	27	$70.00	$34.77
92014 Established patient complete exam of visual system	16	16	$109.00	$109.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	41	$145.00	$108.91
92083 Exam of visual field with extended testing	46	27	$120.00	$62.78
92250 Photography of the retina	32	30	$70.00	$42.48
92014 Established patient complete exam of visual system	22	22	$109.00	$108.42
92133 Imaging of optic nerve	20	18	$70.00	$34.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	42	$145.00	$107.56
92083 Exam of visual field with extended testing	42	28	$120.00	$62.58
99213 Established patient office or other outpatient visit, typically 15 minutes	36	23	$115.00	$73.28
92250 Photography of the retina	34	30	$70.00	$47.60
92133 Imaging of optic nerve	33	30	$70.00	$34.32
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	17	15	$122.35	$71.99
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	15	12	$180.00	$132.66
92014 Established patient complete exam of visual system	13	13	$109.00	$107.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	45	$145.00	$100.64
92083 Exam of visual field with extended testing	53	32	$120.00	$59.77
92250 Photography of the retina	40	35	$70.00	$50.93
92014 Established patient complete exam of visual system	19	18	$109.00	$106.73
92132 Imaging of front third of eye	17	14	$70.00	$27.18
92004 New patient complete exam of visual system	11	11	$120.00	$117.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	39	$145.00	$99.51
92250 Photography of the retina	44	39	$70.00	$61.00
92083 Exam of visual field with extended testing	36	27	$120.00	$56.74
92014 Established patient complete exam of visual system	20	20	$109.00	$105.55
92132 Imaging of front third of eye	17	14	$70.00	$26.76
92004 New patient complete exam of visual system	15	15	$120.00	$117.06

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 6177T

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Hospital & Practice Group Affiliations

Med Southwest Pllc

5421 Basswood Blvd, Fort Worth, TX 761374483

Phone: 8174282020

Med Southwest Pllc

2703 Richmond Rd, Texarkana, TX 755032328

Phone: 9038380783

Med Southwest Pllc

8329 Whitley Rd, Watauga, TX 761482483

Phone: 8174312020

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 3662 WEST CAMP WISDOM ROAD, DALLAS, TX 752372564 (Tel: 9727094686)

📍

Updated Business Mailing Address July 08, 2007

Registered at 3662 WEST CAMP WISDOM ROAD, DALLAS, TX 752372564 (Tel: 9727094686)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as RONNIE KIM, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #6177T in TX)

🟢

Initial NPI Registration & Enumeration August 07, 2006

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: 1780693747

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 07, 2006

Last Update: July 08, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3662 West Camp Wisdom Road

Dallas, TX 752372564

Phone: 9727094686

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.