Kimberly Heiligman, OD
NPI 1568717171 · Optometrist · Rochester, NY
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly Heiligman, OD is a Optometrist provider in Rochester, NY (NPI 1568717171).
Provider details
- NPI number
- 1568717171
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 007886 (NY)
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
13 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
126 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 Complete Exam of Visual System92014 | 55 | $123 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 16 | $90 |
| Exam of Visual Field With Extended Testing92083 | 15 | $63 |
| Imaging of Retina92134 | 15 | $40 |
| Photography of the Retina92250 | 13 | $36 |
| Imaging of Optic Nerve92133 | 12 | $32 |
Typical Medicare-allowed amounts for these services range $32–$123 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 260 | 105 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 74 | 28 |
| Timolol Maleate | 69 | 30 |
| Neomycin/Polymyxin B/Dexamethabrand: Neomycin-Polymyxin-Dexameth | 54 | 47 |
| Brimonidine Tartrate | 39 | 13 |
| Prednisolone Acetate | 28 | 26 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$242 across 7 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
- 2012-07-19
- Last updated
- 2023-10-05
- Certified
- 2023-10-05
Frequently asked questions
- What is Kimberly Heiligman's NPI number?
- Kimberly Heiligman's National Provider Identifier (NPI) is 1568717171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Heiligman's specialty?
- Kimberly Heiligman is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Kimberly Heiligman located?
- Kimberly Heiligman's practice location on file with NPPES is 2345 Ridgeway Ave, Rochester, NY 14626-4111.
- What is Kimberly Heiligman's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Heiligman is (585) 723-6070.
- Does Kimberly Heiligman accept Medicare?
- Kimberly Heiligman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimberly Heiligman's NPI active?
- Yes — Kimberly Heiligman's NPI (1568717171) is active in the NPPES registry as of the last update on 2023-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.