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DR. JAMES M KERNODLE JR. OD PA
NPI 1154326528
Optometrist in Asheboro, NC

Active since June 14, 2005PECOS Enrolled
328 A N. FAYETTEVILLE STREET, ASHEBORO, NC 27203(336) 625-2020(336) 629-2030 Get Directions Write a Review

NPPES record last updated: September 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James M Kernodle Jr. Od Pa NPPES

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

DR. JAMES M KERNODLE JR. OD PA (NPI 1154326528) is an individual optometrist in Asheboro, North Carolina, licensed in North Carolina (1764) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1154326528
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAMES M KERNODLE JR.Credential: OD PA
Location Address328 A N. FAYETTEVILLE STREETAsheboro, NC 27203-5531
Mailing Address328 A N. Fayetteville StreetAsheboro, NC 27203-5531 · (336) 625-2020 · Fax (336) 629-2030
Phone(336) 625-2020
Fax(336) 629-2030
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 14, 2005
Last NPPES UpdateSeptember 24, 2014
✔ NPI 1154326528 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 · 1764
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.
328 A N. FAYETTEVILLE STREET, Asheboro, NC 27203
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Other Identifiers 7

Other0926ANC · Bcbsnc
Medicare UPINU77929NC
Medicare ID-Type Unspecified2471729BNC
Medicare UPINU77929
Medicare ID-Type Unspecified2471729CNC
Medicare ID-Type Unspecified890926ANC
Medicare ID-Type Unspecified2471729DNC

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 (PECOS)

Dr. James M Kernodle Jr. Od Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527021039
PECOS Enrollment IDI20041109000268
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 7

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.
148 services139 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.
71 services67 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.
41 services39 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.
38 services38 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.
25 services25 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).
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27203 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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%65 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 James Kernodle's NPI number?

The NPI number for James Kernodle is 1154326528. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is James Kernodle located?

James Kernodle practices at 328 A N. Fayetteville Street, Asheboro, NC 27203. The listed phone number is (336) 625-2020.

What is James Kernodle's specialty?

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

Is James Kernodle enrolled in Medicare?

Yes. James Kernodle is registered in the Medicare PECOS enrollment system.

What insurance does James Kernodle accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 7 other insurers list James Kernodle 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 James Kernodle was last updated on September 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.