Kenneth Kisamore, OD
- Medicare patients, 2024
- 20
- Industry payments
- $143
- Affiliated sites
- 4
- Medical groups
- 4
- State licenses
- 2
- Practice address
- 8614 Westwood Center Dr, Vienna, VA 22182
- Practice phone
- Call (804) 864-2020
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Myeyedr
Eye care practice · Vienna, Virginia
Find Kenneth Kisamore's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Kenneth Kisamore is an optometrist in Vienna, Virginia
Kenneth Kisamore practices at Myeyedr in Vienna, Virginia.
Kenneth Kisamore's NPI, 1154364800, was assigned on June 13, 2006. Kenneth Kisamore graduated from Pennsylvania State University College of Medicine in 1985. Kenneth Kisamore holds Maryland license TA0917.
- NPI
- 1154364800NPI Registry (opens in a new tab)
- Medicare PAC ID
- 4082717475
- NPI enumeration date
- June 13, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (804) 864-2020
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 67
- Medical school graduation
- 1985
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Kenneth Kisamore practices at Myeyedr in Vienna, Virginia
Kenneth Kisamore's primary practice is Myeyedr, at 8614 Westwood Center Dr, Vienna, VA 22182. The practice phone is (804) 864-2020.
- Myeyedr8614 Westwood Center Dr, Vienna, VA 22182Phone(804) 864-2020
Source: Dmand AI Affiliation Data
Kenneth Kisamore is affiliated with 4 sites of care and 4 medical groups
Kenneth Kisamore's primary practice is Myeyedr in Vienna, Virginia. Dmand AI also links Kenneth Kisamore to 4 medical groups and 3 group practices and clinics, each named with a free account.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Kenneth Kisamore's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Kenneth Kisamore practices, 4 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Myeyedr | Available with a free account |
| +3 more sites and 4 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Kenneth Kisamore is one of 2,487 optometrists in Virginia
Optometrist is Kenneth Kisamore's primary specialty in the NPI Registry, under taxonomy code 152W00000X. Dmand AI has Kenneth Kisamore's licenses on file in 2 states: Maryland and Virginia.
Specialties and state licenses
- Optometrist, MarylandPrimary
- Virginia license
Optometrists near Kenneth Kisamore
Counts of optometrists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Kenneth Kisamore treated 20 Medicare patients in 2024, average age 73
CMS counts 20 Medicare patients who saw Kenneth Kisamore in 2024. 65% of them have high cholesterol. Their average risk score is 0.65, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Kenneth Kisamore's median patient age at 54, with 64% women.
Chronic conditions among Kenneth Kisamore's Medicare patients, 2024
- High cholesterol65%
Share of Medicare patients with each condition. A patient can have several.
Kenneth Kisamore's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 54
Patient panel by sex, all payers
- Women64%
- Men32%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
How Kenneth Kisamore takes part in Medicare
Kenneth Kisamore accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Kenneth Kisamore received $143 in industry payments in 2025
CMS Open Payments shows 2 general payments to Kenneth Kisamore from 2 drug and device companies in 2025. Food and beverage make up the largest share, 100% of the total. CooperVision Inc. paid the most, $128.
Companies that paid Kenneth Kisamore the most, 2025 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Kenneth Kisamore graduated from Pennsylvania State University College of Medicine
Kenneth Kisamore graduated from Pennsylvania State University College of Medicine in 1985.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Kenneth Kisamore's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Kenneth Kisamore
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Kenneth Kisamore's NPI number?
Kenneth Kisamore's NPI number is 1154364800. It was assigned on June 13, 2006, and it is active in the NPI Registry.
What does Kenneth Kisamore specialize in?
Kenneth Kisamore is an optometrist in Vienna, Virginia. The primary specialty in the NPI Registry is Optometrist (taxonomy code 152W00000X).
Where does Kenneth Kisamore practice?
Kenneth Kisamore practices at 8614 Westwood Center Dr, Vienna, VA 22182. Kenneth Kisamore's primary practice is Myeyedr in Vienna, Virginia. Dmand AI also links Kenneth Kisamore to 4 medical groups and 3 group practices and clinics.
What is Kenneth Kisamore's office phone number?
The practice phone on file for Kenneth Kisamore is (804) 864-2020.
What is Kenneth Kisamore's medical license number?
Kenneth Kisamore holds Maryland license TA0917, one of the licenses on file in 2 states.
Which states has Kenneth Kisamore been licensed in?
Dmand AI has state licenses on file for Kenneth Kisamore in Maryland and Virginia.
Does Kenneth Kisamore accept Medicare?
Yes. CMS lists Kenneth Kisamore as accepting Medicare assignment.
How many Medicare patients does Kenneth Kisamore see?
CMS counts 20 Medicare patients who saw Kenneth Kisamore in 2024, with an average age of 73.
Where did Kenneth Kisamore go to medical school?
Kenneth Kisamore graduated from Pennsylvania State University College of Medicine in 1985.
Has Kenneth Kisamore received payments from drug or device companies?
CMS Open Payments shows $143 in general payments to Kenneth Kisamore from 2 companies from 2025 to 2025. The largest total came from CooperVision Inc.
How long has Kenneth Kisamore been practicing?
Kenneth Kisamore graduated from medical school in 1985, 41 years ago.
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