Kimberly P. Cockerham, MD

Primary specialty

Neuro-ophthalmology PhysicianTaxonomy code 207WX0109X

License

G86885 Issued in CA

Practice address

3636 Camino del Rio N Ste 200
San Diego, CA 92108-1702

Phone

(619) 655-3705

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kimberly Peele Other name

Medicare fee-for-service enrollment

Enrolled in CA, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Lukes at the Villages PAGroup PAC ID 5294987905, 16 clinicians

Castillejos Eye Institute Medical GroupGroup PAC ID 8729023478, 6 clinicians

Alvarado Eye Associates Med Clinic IncGroup PAC ID 0749382042, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grossmont Hospital Hospital, La Mesa, CA, CCN 050026
• Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234

Merit-based Incentive Payment System (MIPS)

Final score

91 of 100Reported as group

Quality

97.94

Improvement activities

40

Cost

72.73

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

98.83

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles (20 of 21)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: kcockerham@ceye.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alvarado Eye Associates Med Clinic Inc

  • Multi-Specialty Clinic/Center
  • La Mesa, CA
  • NPI 1619973591

  CA, Ophthalmology

  Medicare reassignment Care Compare group NPD
• Castillejos Eye Institute Medical Group

  • Ophthalmology Physician
  • Chula Vista, CA
  • NPI 1841377660

  CA, Ophthalmology

  Medicare reassignment Care Compare group NPD
• Cockerham Eye Consultants Professional Corporation

  • Ophthalmology Physician
  • San Diego, CA
  • NPI 1912043605

  CA, Ophthalmology

  Medicare reassignment NPD Authorized official
• St . Lukes at the Villages, PA

  • Ophthalmology Physician
  • The Villages, FL
  • NPI 1801144217

  FL, Ophthalmology

  Medicare reassignment Care Compare group NPD
• Emergency and Acute Care Medical Corporation

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1437103942

  CA

  Medicare reassignment NPD
• Foster and Garff Surgical Associates Inc

  • Ophthalmologic Surgery Clinic/Center
  • Oceanside, CA
  • NPI 1700664844

  CA

  Medicare reassignment NPD
• On Call Specialists Medical Group of San Diego, Inc.

  • Specialist
  • San Diego, CA
  • NPI 1962175836

  CA

  Medicare reassignment NPD
• Tory Prestera MD Inc.

  • Ophthalmology Physician
  • San Marcos, CA
  • NPI 1073970687

  CA, Ophthalmology

  Medicare reassignment NPD
• Central Valley Eye Medical Group Inc.

  • Ophthalmology Physician
  • Stockton, CA
  • NPI 1609975366

  CA

  Medicare reassignment
• Perry Mansfield, M.D.

  • Otolaryngology Physician
  • San Diego, CA
  • NPI 1265463194

  CA

  Medicare reassignment
• Castillejos Eye Institute Medical Group

  • Ophthalmology Physician
  • Chula Vista, CA
  • NPI 1982775672

  Ophthalmology

  NPD
• San Diego Urology, Inc

  • Medical Specialty Clinic/Center
  • San Diego, CA
  • NPI 1316713332
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Grossmont Hospital Corporation

  • General Acute Care Hospital
  • La Mesa, CA
  • NPI 1528041811

  Hospital

  Care Compare affiliation
• Sharp Coronado Hospital and Healthcare Center

  • General Acute Care Hospital
  • Coronado, CA
  • NPI 1154304475

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1366493629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503148",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921503148",
            "telephone_number": "650-804-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 CAMINO DEL RIO N STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081702",
            "telephone_number": "619-655-3705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3969 4th Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921033165",
            "country_code": "US",
            "telephone_number": "619-655-3705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5555 Grossmont Center Dr",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919423019",
            "country_code": "US",
            "telephone_number": "619-655-3705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCKERHAM",
        "first_name": "KIMBERLY",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G86885",
            "primary": false
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "CA",
            "license": "G86885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G868850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "PEELE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Catherine Marie Cochrane
• Matthew Donald Cochrane, IDC
• Steve K. Cochrane, M.D.
• Daniellle B Cockburn
• Cockerham Eye Consultants Professional Corporation
• Kristin Cockrell, MOT, OTR/L
• Connie Cocolan
• Coconut Kids Dentistry & Orthodontics
• Amtheh Coda, FNP
• Brianna Codallos

• Neuro-ophthalmology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Neuro-ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.