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KEVIN DANIEL ONEAL M.D., PH.D
NPI 1154329456
Ophthalmology in Cary, NC

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment
98.5/100
CMS Quality Rating
100 PARKWAY OFFICE CT, SUITE 200, CARY, NC 27518(919) 322-1995(919) 827-1321 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2023, Mar 30, 2016 (2 updates tracked since 2016).

About Kevin Daniel Oneal M.d., Ph.d NPPES

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

KEVIN DANIEL ONEAL M.D., PH.D (NPI 1154329456) is an individual ophthalmology provider in Cary, North Carolina, licensed in North Carolina (79456) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Wakemed, Cary Hospital, and is a graduate of Baylor College Of Medicine (1997).

NPPES Registry Identity

NPI1154329456
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKEVIN DANIEL ONEALCredential: M.D., PH.D
Location Address100 PARKWAY OFFICE CT, SUITE 200Cary, NC 27518-7437
Mailing Address100 Parkway Office Ct, Suite 200Cary, NC 27518-7437 · (919) 322-1995 · Fax (919) 827-1321
Phone(919) 322-1995
Fax(919) 827-1321
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1997
Enumeration DateJuly 11, 2005
Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
✔ NPI 1154329456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NC · 79456
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
100 PARKWAY OFFICE CT, Cary, NC 27518
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Other Identifiers 5

Other180042203NC · Medicare Rr
Other7083038Aetna
Other129MKBcbs
OtherA6882Medcost
Other6919203Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of Tennessee, Providence Health Plan 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

Kevin Daniel Oneal M.d., Ph.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 ID1557497096
PECOS Enrollment IDI20100410000127
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 12

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.
392 services278 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.
158 services151 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
156 services71 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.
153 services134 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.
97 services96 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
76 services69 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340173
Location1900 Kildare Farm RoadCary, NC 27518 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27518 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.

98.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability95
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%622 patients5/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%33 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
6%83 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%1,720 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%273 patients
Provide Patients Electronic Access to Their Health Information
95%1,390 patients4/55-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.

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.

KAREN TORRES DDS PA
Dentist
100 PARKWAY OFFICE CT, STE 206
CARY, NC 27518
Wake County (919) 469-2225
ROBERT HENDERSON
Home Health
100 PARKWAY OFFICE CT, SUITE 202
CARY, NC 27518
Wake County (919) 239-4805

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 Kevin Oneal's NPI number?

The NPI number for Kevin Oneal is 1154329456. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Kevin Oneal located?

Kevin Oneal practices at 100 Parkway Office Ct Suite 200, Cary, NC 27518. The listed phone number is (919) 322-1995.

What is Kevin Oneal's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kevin Oneal enrolled in Medicare?

Yes. Kevin Oneal 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 Kevin Oneal accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of Tennessee, Providence Health Plan and UnitedHealthcare list Kevin Oneal 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.

Is Kevin Oneal affiliated with any hospitals?

According to CMS data, Kevin Oneal is affiliated with Wakemed, Cary Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Oneal was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.