KEVIN HALENDA
NPI 1053768374
Ophthalmology in Cleveland, OH

Q: 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.

Q: What is Kevin Halenda's specialty?

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

Q: 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.

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: November 01, 2026.

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

On this page

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

Phone(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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

CLEVELAND CLINIC COLE EYE INSTITUTE 9500 EUCLID AVE I30, Cleveland, OH 44195

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Highmark Blue Cross Blue Shield West Virginia and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Kevin Halenda reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wheeling Hospital, Inc.

112 mi

Family Medicine

1006 COMMERCE ST
Wellsburg, WV 26070

Reassigned Medicare billing, West Virginia and Ohio enrollments
Also billed through NPI 1548923923 (Ohio)
502 clinicians in this Medicare group

NPI 1750531984 (304) 737-4435

Wvu Medical Corporation

166 mi

Family Medicine

6040 UNIVERSITY TOWN CENTER DRIVE
Morgantown, WV 26501

Reassigned Medicare billing, West Virginia enrollment
Medicare enrollment name: West Virginia University Medical Corporation
2,471 clinicians in this Medicare group

NPI 1164828224 (304) 598-4800

United Hospital Center, Inc.

174 mi

Family Medicine

177 MIDDLETOWN RD STE 1
White Hall, WV 26554

Reassigned Medicare billing, West Virginia enrollment
441 clinicians in this Medicare group

NPI 1194269589 (304) 363-6600

St Josephs Hospital Of Buckhannon Inc

201 mi

Critical Access

1 AMALIA DR
Buckhannon, WV 26201

Reassigned Medicare billing, West Virginia enrollment
Medicare enrollment name: St Joseph's Hospital Of Buckhannon Inc
189 clinicians in this Medicare group

NPI 1124005061 (304) 473-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

55 services55 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

53 services53 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

47 services30 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

40 services26 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

34 services30 patients

Imaging of optic nerve 92133

23 services23 patients

Exam of visual field with extended testing 92083

21 services19 patients

Incision to improve eye fluid flow 65820

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

20 services12 patients

Creation of shunt to improve eye fluid flow using tissue graft 66180

This procedure involves creating a new pathway for fluid to flow out of your eye using a tissue graft. It helps to lower eye pressure and prevent damage to your optic nerve, improving eye health and vision.

19 services18 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

18 services17 patients

Destruction of lens tissue using laser 66710

Destruction of lens tissue using a laser is a medical procedure aimed at treating eye conditions like cataracts. A laser is employed to break down the affected lens tissue, which is then removed. This allows the insertion of an artificial lens to improve vision.

12 services11 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

Quality

78.46

Promoting Interoperability

100

Improvement Activities

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.

Which organizations bill Medicare for Kevin Halenda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Halenda reassigns Medicare benefits to 4 organizations: Wheeling Hospital, Inc. (Wellsburg, WV), Wvu Medical Corporation (Morgantown, WV), United Hospital Center, Inc. (White Hall, WV) and St Josephs Hospital Of Buckhannon Inc (Buckhannon, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Halenda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Halenda accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare 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.