KEVIN HALENDA
NPI 1053768374
Ophthalmology in Cleveland, OH

Active since May 17, 2016PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
CLEVELAND CLINIC COLE EYE INSTITUTE 9500 EUCLID AVE I30, CLEVELAND, OH 44195(216) 444-2020 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2022, Apr 14, 2020, May 17, 2016 (3 updates tracked since 2016).

About Kevin Halenda NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN HALENDA (NPI 1053768374) is an individual ophthalmology provider in Cleveland, Ohio, licensed in Ohio (35.138589) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of Emory University School Of Medicine (2016).

NPPES Registry Identity

NPI1053768374
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKEVIN HALENDA
Location AddressCLEVELAND CLINIC COLE EYE INSTITUTE 9500 EUCLID AVE I30Cleveland, OH 44195-2536
Mailing AddressCleveland Clinic Cole Eye Institute 9500 Euclid Ave I30Cleveland, OH 44195-2536 · (216) 444-2020
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2016
Enumeration DateMay 17, 2016
Last NPPES UpdateApril 12, 20223 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
NPI 1053768374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in OH · 35.138589
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
CLEVELAND CLINIC COLE EYE INSTITUTE 9500 EUCLID AVE I30, Cleveland, OH 44195

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kevin Halenda is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183999634
PECOS Enrollment IDI20210805000827
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
350 services196 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
225 services191 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
191 services181 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
150 services116 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
99 services95 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
55 services31 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44195 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Halenda's NPI number?

The NPI number for Kevin Halenda is 1053768374. It was assigned to this individual provider in the NPPES registry on May 17, 2016.

Where is Kevin Halenda located?

Kevin Halenda practices at Cleveland Clinic Cole Eye Institute 9500 Euclid Ave I30, Cleveland, OH 44195. The listed phone number is (216) 444-2020.

What is Kevin Halenda's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kevin Halenda enrolled in Medicare?

Yes. Kevin Halenda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kevin Halenda accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Kevin Halenda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kevin Halenda affiliated with any hospitals?

According to CMS data, Kevin Halenda is affiliated with West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Kevin Halenda was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.