EVAN JOEL KAUFMAN O.D. NPI 1013090513
Optometrist in Charlottesville, VA

About EVAN JOEL KAUFMAN O.D.

Evan Kaufman is a provider established in Charlottesville, Virginia and his medical specialization is Optometrist with more than 17 years of experience. The NPI number of Evan Kaufman is 1013090513 and was assigned on October 2006. The practitioner's primary taxonomy code is 152W00000X with license number 0618001717 (VA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1013090513
Provider Name EVAN JOEL KAUFMAN O.D.
Location Address1300 JEFFERSON PARK AVE CHARLOTTESVILLE, VA 22903
Location Phone(434) 924-5485
Mailing AddressPO BOX 9007 CHARLOTTESVILLE, VA 22906
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2006
Is Sole Proprietor?No
Enumeration Date10-20-2006
Last Update Date09-28-2020

Evan Kaufman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Evan Kaufman is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with University Of Virginia Medical Center.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 82.6, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $33.75 for a new patient copayment and $18.37 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.0618001717
License StateVA
Taxonomy DescriptionDoctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Business Address

EVAN JOEL KAUFMAN O.D.
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA
ZIP 22903
Phone: (434) 924-5485
Fax: (434) 244-9436

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Mailing Address

EVAN JOEL KAUFMAN O.D.
PO BOX 9007
CHARLOTTESVILLE, VA
ZIP 22906
Phone:


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID5193899532
PECOS Enrollment IDI20080804000455
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 22903 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$58.76 $178.23 $135
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.69 $44.55 $33.75
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.32 $145.63 $73.51
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.58 $36.4 $18.37

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 91.3
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 55
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 71.3
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 82.6
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 78Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
  • 68Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 24Diagnostic imaging of retina (HCPCS:92134)
  • 13Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • 12Photography of the retina (HCPCS:92250)
  • 11Measurement of field of vision during daylight conditions (HCPCS:92083)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Evan Kaufman is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
UNIVERSITY OF VIRGINIA MEDICAL CENTER1215 LEE STREET
CHARLOTTESVILLE, VA 22908
(800) 251-3627Acute Care Hospitals490009

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1152W00000XEye and Vision Services ProvidersOptometrist7011TTXNo

Taxonomy Description: doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013090513
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202309052
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 9 + 0 + 5 + 2 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1013090513 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598191280DR. SALAH ZAYED MD
Individual
Orthopaedic Surgery (Sports Medicine)1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
(434) 243-6297
1275822561 SARAH E. LAFOND M.D.
Individual
Radiology (Diagnostic Radiology)1300 JEFFERSON PARK AVE STE 1101
CHARLOTTESVILLE, VA 22903
(434) 924-9391
1679548614 RUDOLPH B. RUSTIN III M.D.
Individual
Surgery1300 JEFFERSON PARK AVE 4TH FLOOR
CHARLOTTESVILLE, VA 22903
(434) 982-4411
1619902756 KAREN M WARBURTON MD
Individual
Internal Medicine (Nephrology)1300 JEFFERSON PARK AVE WEST COMPLEX, 5TH FLOOR
CHARLOTTESVILLE, VA 22903
(434) 924-1984
1881629921 ALDEN M DOYLE MD
Individual
Internal Medicine (Nephrology)1300 JEFFERSON PARK AVE 5TH FLOOR
CHARLOTTESVILLE, VA 22903
(434) 924-1984
1235635517 MALLORY FOSTER RD, CNSC
Individual
Dietitian, Registered1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
(434) 243-0871
1629320247 ELIZABETH GOCHENOUR ACNP
Individual
Nurse Practitioner (Acute Care)1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
(434) 924-5078
1801275490 NATHAN DEREK WILBANKS M.D.
Individual
Ophthalmology1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
(434) 924-5485
1770922825 ANNA N HAVEY M.D.
Individual
Radiology (Diagnostic Radiology)1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
(434) 924-9391
1497398994MISS REBECCA SHEA TURNER RD, CNSC
Individual
Dietitian, Registered1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
(434) 982-4359
1215558762 ALLISON GOSSEN
Individual
Genetic Counselor, MS1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
(434) 382-8328
1710266259DR. SAMUEL AARON LAZOFF DO
Individual
Internal Medicine (Nephrology)1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
(434) 924-1984
1689909145 SANA F. KHAN M.D.
Individual
Internal Medicine (Nephrology)1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
(434) 924-1984
1588270342 RACHEL K MURRAY MS RDN
Individual
Dietitian, Registered1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
(434) 924-0000
1477555399 BRUCE C CARTER MD
Individual
Ophthalmology1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
(434) 924-5485
1215905153 CARLENE A MUTO MD
Individual
Internal Medicine (Infectious Disease)1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
(434) 982-1700
1700843133 PETER A NETLAND MD
Individual
Ophthalmology1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
(434) 924-5485
1932139383 PHILIP W. SMITH M.D.
Individual
Surgery1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
(434) 924-2150
1972604882 SHAWN J. PELLETIER M.D.
Individual
Transplant Surgery1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
(800) 543-8814
1720157332 ERIC R. HOUPT
Individual
Internal Medicine (Infectious Disease)1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
(434) 982-1700

Frequently Asked Questions

What is Evan Kaufman O.D. NPI number?

The NPI number assigned to Evan Kaufman O.D. is 1013090513, registered as an "individual" on October 20, 2006

Where is Evan Kaufman O.D. located?

The provider is located at 1300 Jefferson Park Ave Charlottesville, Va 22903 and the phone number is (434) 924-5485

Which is Evan Kaufman O.D. specialty?

The provider's speciality is Optometrist

How many years of experience does Evan Kaufman O.D. have?

The provider has more than 17 years of experience.

Is Evan Kaufman O.D. registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

How much is a visit to Evan Kaufman O.D.?

Medicare beneficiaries should expect a typical cost of $135 with an average copayment of $33.75 for new patient appointments. Established patients should expect a typical charge of $73.51 and an average copayment of 18.37. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Evan Kaufman O.D.?

The most common procedures or services performed by this practitioner are: Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits, Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits, Diagnostic imaging of retina, Diagnostic imaging of optic nerve of eye, Photography of the retina and Measurement of field of vision during daylight conditions.

Is Evan Kaufman O.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: UNIVERSITY OF VIRGINIA MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Evan Kaufman O.D. was last updated on October 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]