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DR. KEITHA ANN COVALLA O.D.
NPI 1124023221
Optometrist in New Bern, NC

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment
90.56/100
CMS Quality Rating
2001 S GLENBURNIE RD, NEW BERN, NC 28562(252) 633-6900(252) 633-6754 Get Directions Write a Review

NPPES record last updated: July 30, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Keitha Ann Covalla O.d. NPPES

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

DR. KEITHA ANN COVALLA O.D. (NPI 1124023221) is an individual optometrist in New Bern, North Carolina, licensed in North Carolina (1829) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2001).

NPPES Registry Identity

NPI1124023221
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KEITHA ANN COVALLACredential: O.D.
Location Address2001 S GLENBURNIE RDNew Bern, NC 28562-5228
Mailing Address2001 S Glenburnie RdNew Bern, NC 28562-5228 · (252) 633-6900 · Fax (252) 633-6754
Phone(252) 633-6900
Fax(252) 633-6754
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2001
Enumeration DateJune 15, 2005
Last NPPES UpdateJuly 30, 2008
✔ NPI 1124023221 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 NC · 1829
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.
2001 S GLENBURNIE RD, New Bern, NC 28562
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Other Identifiers 5

Medicare PIN410048747NC
Medicare UPINU87855NC
Medicaid89093HKNC
Medicare PIN2468510NC
Other093HKNC · Bcbsnc Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana 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

Dr. Keitha Ann Covalla 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 ID3173651908
PECOS Enrollment IDI20100514000288
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

3

Medicare enrollment records show Keitha Covalla reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Singleton Vision Center
0.6 mi
Ophthalmology
3515 TRENT RD, SUITE 9
New Bern, NC 28562
  • Reassigned Medicare billing, North Carolina enrollment
  • 2 clinicians in this Medicare group
NPI 1407830540 (252) 514-2155
C & S Optometric Services, PLLC
2.0 mi
Optometrist
2805 VILLAGE WAY
New Bern, NC 28562
  • Reassigned Medicare billing, North Carolina enrollment
  • 7 clinicians in this Medicare group
NPI 1336280544 (252) 633-0016
Lane Optometry, PLLC
28 mi
Optometrist
1345 WESTERN BLVD STE 120B
Jacksonville, NC 28546
  • Reassigned Medicare billing, North Carolina enrollment
  • 6 clinicians in this Medicare group
NPI 1356628283 (910) 376-8229

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 10

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.
539 services537 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.
196 services193 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.
132 services127 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.
128 services115 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).
92 services86 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.
85 services85 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28562 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.

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.

90.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.85
Improvement Activities40
Cost91.4

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers19 claims19 services$61.92 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier13 claims24 services$57.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

DR. NIRVIGHNA N. KANJIYA O.D.
Optometrist
2001 S GLENBURNIE RD
NEW BERN, NC 28562
Craven County (252) 633-6900
EYECARECENTER OD PA
Optometrist
2001 S GLENBURNIE RD
NEW BERN, NC 28562
Craven County (636) 200-4393

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 Keitha Covalla's NPI number?

The NPI number for Keitha Covalla is 1124023221. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Keitha Covalla located?

Keitha Covalla practices at 2001 S Glenburnie Rd, New Bern, NC 28562. The listed phone number is (252) 633-6900.

What is Keitha Covalla's specialty?

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

Is Keitha Covalla enrolled in Medicare?

Yes. Keitha Covalla 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 Keitha Covalla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keitha Covalla reassigns Medicare benefits to 3 organizations: Singleton Vision Center (New Bern, NC), C & S Optometric Services, PLLC (New Bern, NC) and Lane Optometry, PLLC (Jacksonville, NC). 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 Keitha Covalla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keitha Covalla accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 4 other insurers list Keitha Covalla 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 Keitha Covalla was last updated on July 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.