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VIRGINIA CHETVERIKOV O.D.
NPI 1093745861
Optometrist in Prospect, OH

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
93.99/100
CMS Quality Rating
100 EAST WATER ST., PROSPECT, OH 43342(740) 494-2999(740) 494-2999 Get Directions Write a Review

NPPES record last updated: July 27, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Virginia Chetverikov O.d. NPPES

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

VIRGINIA CHETVERIKOV O.D. (NPI 1093745861) is an individual optometrist in Prospect, Ohio, licensed in Ohio (4919) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1998).

NPPES Registry Identity

NPI1093745861
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameVIRGINIA CHETVERIKOVCredential: O.D.
Location Address100 EAST WATER ST.Prospect, OH 43342
Mailing Address100 East Water St., Po Box 34Prospect, OH 43342 · (740) 494-2999 · Fax (740) 494-2999
Phone(740) 494-2999
Fax(740) 494-2999
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1998
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 27, 2009
✔ NPI 1093745861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OH · 4919
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.
100 EAST WATER ST., Prospect, OH 43342
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Other Identifiers 6

Medicare UPINU72774OH
Medicare ID-Type UnspecifiedCH0859781OH
Medicaid2067963OH
Medicare NSC1254480001OH
Medicare PIN0859781OH
Medicare PINCH0859781

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

Virginia Chetverikov O.d. 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 ID2365597416
PECOS Enrollment IDI20190122003557
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

2

Medicare enrollment records show Virginia Chetverikov reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mobile Vision Of South Carolina, LLC
197 mi
Optometrist
12910 SHELBYVILLE RD, SUITE 300
Louisville, KY 40243
  • Reassigned Medicare billing, South Carolina enrollment
  • 25 clinicians in this Medicare group
NPI 1659731560 (502) 244-2441
360care LLC
197 mi
Dentist
12910 SHELBYVILLE RD STE 300
Louisville, KY 40243
  • Reassigned Medicare billing, South Carolina enrollment
  • 26 clinicians in this Medicare group
NPI 1417592536 (502) 244-2441

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 6

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 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.
242 services237 patients
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.
150 services150 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
122 services111 patients
Measurement of retinal and optic nerve function 92273
This procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.
97 services87 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
32 services31 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43342 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.

93.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.89
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 Virginia Chetverikov's NPI number?

The NPI number for Virginia Chetverikov is 1093745861. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Virginia Chetverikov located?

Virginia Chetverikov practices at 100 East Water St., Prospect, OH 43342. The listed phone number is (740) 494-2999.

What is Virginia Chetverikov's specialty?

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

Is Virginia Chetverikov enrolled in Medicare?

Yes. Virginia Chetverikov 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 Virginia Chetverikov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Virginia Chetverikov reassigns Medicare benefits to 2 organizations: Mobile Vision Of South Carolina, LLC (Louisville, KY) and 360care LLC (Louisville, KY). 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 Virginia Chetverikov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Virginia Chetverikov was last updated on July 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.