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DR. KATHY DIANE HALVERSON OD
NPI 1083669956
Optometrist in Charlotte, NC

Active since May 22, 2006PECOS EnrolledAccepts Medicare Assignment
3506 W TYVOLA RD, CHARLOTTE, NC 28208(704) 329-1300(704) 357-7539 Get Directions Write a Review

NPPES record last updated: May 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kathy Diane Halverson Od NPPES

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

DR. KATHY DIANE HALVERSON OD (NPI 1083669956) is an individual optometrist in Charlotte, North Carolina, licensed in New Mexico (2457) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1083669956
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KATHY DIANE HALVERSONCredential: OD
Location Address3506 W TYVOLA RDCharlotte, NC 28208-7201
Mailing Address805 Hawthorne LnCharlotte, NC 28204-2109 · (505) 414-0592
Phone(704) 329-1300
Fax(704) 357-7539
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateMay 22, 2006
Last NPPES UpdateMay 18, 2020
NPPES CertifiedMay 18, 2020
✔ NPI 1083669956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NM · 2457✔ Licensed in NC · 2194✔ Licensed in SC · 2152
Definition
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.
3506 W TYVOLA RD, Charlotte, NC 28208
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Dr. Kathy Diane Halverson Od 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 ID7719151166
PECOS Enrollment IDI20201030000110
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 3

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.

New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
44 services44 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
30 services30 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28208 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID AARON RUDD D.O.
Internal Medicine (Infectious Disease)
3506 W TYVOLA RD
CHARLOTTE, NC 28208
Mecklenburg County (704) 329-1300
AVIANNA JHANE MARCELIN
Social Worker (Clinical)
3506 W TYVOLA RD
CHARLOTTE, NC 28208
Mecklenburg County (704) 329-1300
JERICA RACHEL TEELUCKSINGH
Physical Therapy Assistant
3506 W TYVOLA RD
CHARLOTTE, NC 28208
Mecklenburg County (704) 329-1300
MS. EMILY ANNE LUPSOR MSW, LCSW
Social Worker (Clinical)
3506 W TYVOLA RD
CHARLOTTE, NC 28208
Mecklenburg County (704) 329-1300
MR. DAVID E ELLIS III
Technician, Pathology (Phlebotomy)
3506 W TYVOLA RD
CHARLOTTE, NC 28208
Mecklenburg County (704) 329-1300
JENNIFER L MERRITT NURSE PRACTITIONER
Nurse Practitioner (Psychiatric/Mental Health)
3506 W TYVOLA RD
CHARLOTTE, NC 28208
Mecklenburg County (704) 884-1986
KAREN PRISCILLA CORREA RDN
Dietitian, Registered
3506 W TYVOLA RD
CHARLOTTE, NC 28208
Mecklenburg County (704) 329-1300
JENEE B THORSELL LCSW
Social Worker (Clinical)
3506 W TYVOLA RD
CHARLOTTE, NC 28208
Mecklenburg County (704) 329-1300

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 Kathy Halverson's NPI number?

The NPI number for Kathy Halverson is 1083669956. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Kathy Halverson located?

Kathy Halverson practices at 3506 W Tyvola Rd, Charlotte, NC 28208. The listed phone number is (704) 329-1300.

What is Kathy Halverson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kathy Halverson enrolled in Medicare?

Yes. Kathy Halverson 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 Kathy Halverson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 2 other insurers list Kathy Halverson 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.

When was this NPI record last updated?

The NPPES record for Kathy Halverson was last updated on May 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.