BARRY L KAVANAUGH JR. OD PA
NPI 1124076856
Optometrist in West End, NC

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1110 SEVEN LAKES DR, WEST END, NC 27376(910) 673-3937(910) 673-3266 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 7, 2020, Nov 30, 2018 (2 updates tracked since 2018).

About Barry L Kavanaugh Jr. Od Pa NPPES

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

BARRY L KAVANAUGH JR. OD PA (NPI 1124076856) is an individual optometrist in West End, North Carolina, licensed in North Carolina (1295) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (1988).

NPPES Registry Identity

NPI1124076856
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBARRY L KAVANAUGH JR.Credential: OD PA
Location Address1110 SEVEN LAKES DRWest End, NC 27376-9756
Mailing AddressPo Box 839West End, NC 27376-0839 · (910) 673-3937 · Fax (910) 673-3266
Fax(910) 673-3266
Sole ProprietorYes
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 1988
Enumeration DateMay 5, 2006
Last NPPES UpdateOctober 7, 20202 updates tracked since enumeration
NPPES CertifiedOctober 7, 2020
NPI 1124076856 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 · 1295
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.

1110 SEVEN LAKES DR, West End, NC 27376

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

Barry L Kavanaugh Jr. Od Pa 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 ID4688685852
PECOS Enrollment IDI20060601000231
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 11

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
547 services518 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.
533 services344 patients
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.
473 services455 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.
179 services161 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).
97 services77 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.
87 services87 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27376 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Closing the Referral Loop: Receipt of Specialist Report 99% 74
Diabetes: Eye Exam 97% 180
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care 2% 170
Documentation of Current Medications in the Medical Record 91% 2547
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100% 343
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100% 612
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100% 26
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100% 612
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation 97% 96
Use of High-Risk Medications in Older Adults 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
1196
Use of High-Risk Medications in Older Adults 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
1196
Use of High-Risk Medications in Older Adults 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
1196

Other Providers at the Same Location NPPES

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

Optometrist
1110 SEVEN LAKES DR
WEST END, NC 27376

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124076856, enumerated as an "individual" on May 05, 2006.

The provider is located at 1110 SEVEN LAKES DR WEST END, NC 27376 and the phone number is (910) 673-3937.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.