Kevin Semma, OD
NPI 1396272555 · Optometrist · Bloomfield Hills, MI
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Semma, OD is a Optometrist provider in Bloomfield Hills, MI (NPI 1396272555).
Provider details
- NPI number
- 1396272555
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4901005043 (MI)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
58 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 25 | $87 |
| New Patient Complete Exam of Visual System92004 | 18 | $139 |
| Established Patient Complete Exam of Visual System92014 | 15 | $117 |
Typical Medicare-allowed amounts for these services range $87–$139 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,022 across 15 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-05-18
- Last updated
- 2022-04-21
- Certified
- 2022-04-21
Frequently asked questions
- What is Kevin Semma's NPI number?
- Kevin Semma's National Provider Identifier (NPI) is 1396272555, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Semma's specialty?
- Kevin Semma is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Kevin Semma located?
- Kevin Semma's practice location on file with NPPES is 3683 W Maple Rd, Bloomfield Hills, MI 48301-3376.
- What is Kevin Semma's phone number?
- The practice phone number listed in the NPPES registry for Kevin Semma is (248) 246-4466.
- Does Kevin Semma accept Medicare?
- Kevin Semma is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Semma's NPI active?
- Yes — Kevin Semma's NPI (1396272555) is active in the NPPES registry as of the last update on 2022-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.