DR. KIMBERLY P. COCKERHAM MD NPI 1366493629

NPI Information

  • NPI: 1366493629
  • Provider Name: DR. KIMBERLY P. COCKERHAM, MD
  • Classification: Ophthalmology - 207WX0109X
  • Specialization: Neuro-ophthalmology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3636 CAMINO DEL RIO N STE 200
    SAN DIEGO, CA
    ZIP 92108
  • Phone: (619) 655-3705

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NPI Details

DR. Kimberly P. Cockerham, MD is a neuro-ophthalmology ophthalmology in San Diego, CA with 39 years of experience. The provider is a neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders. DR. Kimberly P. Cockerham, MD NPI is 1366493629. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

3636 CAMINO DEL RIO N STE 200
SAN DIEGO, CA
ZIP 92108-702
Phone: (619) 655-3705

The NPI 1366493629 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, onabotulinumtoxina, 1 unit (HCPCS:J0585)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Photography of content of eyes (HCPCS:92285)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Exam to measure eye deviation and range of motion (HCPCS:92060)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Imaging of retina (HCPCS:92134)
  • Imaging of optic nerve (HCPCS:92133)
  • Injection of chemical for paralysis of nerve muscles on side of face (HCPCS:64612)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Exam of visual field with intermediate testing (HCPCS:92082)
  • Exam of visual field with limited testing (HCPCS:92081)
  • Temporary closure of eyelids by suture (HCPCS:67875)
  • Shortening or advancement of upper eyelid muscle to correct drooping or paralysis (HCPCS:67903)
  • Reconstruction of eyelid margin (HCPCS:67950)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 5/12/2006 and was last updated on 11/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyG86885CALIFORNIANo
2207WX0109XOphthalmologyNeuro-ophthalmologyG86885CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100G868850MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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