Individual provider Active NPI

Khin Pyaesone Kilgore, MD

  • Ophthalmology Physician
  • Tucson, AZ
National Provider Identifier
1497119093
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2020019646 Issued in MO
Practice address
6422 E Speedway Blvd Ste 100
Tucson, AZ 85710-1151
Phone
(520) 327-3487
NPI assigned
Apr 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 63096 AZ
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 63096 AZ
Ophthalmology Physician 207W00000X 2020019646 MO Primary

Addresses

Primary practice location

6422 E Speedway Blvd Ste 100
Tucson, AZ 85710-1151

Mailing address

660 S Euclid Ave
CB 8096
Saint Louis, MO 63110-1010
Phone (314) 362-3937

Other practice location 1

2177 W Orange Grove Rd
Tucson, AZ 85741-3118
Phone (520) 327-3487

Other practice location 2

517 S Euclid Ave
1st Fl, Dept Opthalmology
Saint Louis, MO 63110-1007
Phone (314) 362-3431

Other practice location 3

395 N Silverbell Rd Ste 355
Tucson, AZ 85745-2981
Phone (520) 327-3487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AZ2 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

Enrollment IDStateProvider typePAC IDDetails
I20200706001832 MO Practitioner - Ophthalmology 3274823489 Reassigns benefits to 1 organization
I20210520001331 AZ Practitioner - Ophthalmology 3274823489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Mayo Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sean J McCafferty MD PCGroup PAC ID 9931187325, 17 clinicians

Practice addresses (Care Compare)

6422 E Speedway Blvd
Suite 100
Tucson, AZ 85710-1151
Phone (520) 327-3487

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63096AZMDOphthalmology Physician
2020019646MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Jul 1, 2020 Accepting new patients
Sean J. McCafferty, MD, PC Ophthalmology CurrentSince Jul 1, 2021 Accepting new patients
Cornea Associates, PLLC Ophthalmology CurrentSince May 16, 2021 Accepting new patients
Washington University CurrentSince Jul 1, 2020 Accepting new patients
Christopher M Seniw MD PC Ophthalmology PastSince Nov 11, 2002 Accepting new patients

Locations

2177 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 797-2020

395 N Silverbell Rd
Tucson, AZ 85745
Phone (520) 622-5912

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

6422 E Speedway Blvd
Ste 100
Tucson, AZ 85710
Phone (520) 325-9400

6422 E Speedway Blvd
Tucson, AZ 85710

395 N Silverbell Rd
Ste 255
Tucson, AZ 85745

517 S Euclid Ave
Fl 1
Saint Louis, MO 63110
Phone (314) 362-3431

517 S Euclid Ave
Saint Louis, MO 63110
Phone (314) 362-3431

4901 Forest Park Ave
Fl 6
Saint Louis, MO 63108

660 S Euclid Ave
#8096
Saint Louis, MO 63110
Phone (314) 362-3935

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1497119093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "CB 8096",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-3937",
            "fax_number": "314-362-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6422 E SPEEDWAY BLVD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101151",
            "telephone_number": "520-327-3487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2177 W Orange Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857413118",
            "country_code": "US",
            "telephone_number": "520-327-3487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "517 S Euclid Ave",
            "address_2": "1st Fl, Dept Opthalmology",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101007",
            "country_code": "US",
            "telephone_number": "314-362-3431",
            "fax_number": "314-362-6564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "395 N Silverbell Rd Ste 355",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452981",
            "country_code": "US",
            "telephone_number": "520-327-3487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "KHIN",
        "middle_name": "PYAESONE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-09",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "63096",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "AZ",
            "license": "63096",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2020019646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.