DR. NATHANIEL A CLEAVELAND D.O.
NPI 1205122173
Ophthalmology in Danville, VA

Active since June 20, 2011PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
800 MEMORIAL DR, DANVILLE, VA 24541(434) 799-3232(434) 792-5125 Get Directions Write a Review

NPPES record last updated: October 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nathaniel A Cleaveland D.o. NPPES

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

DR. NATHANIEL A CLEAVELAND D.O. (NPI 1205122173) is an individual ophthalmology provider in Danville, Virginia, licensed in Virginia (0102204508) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Harris Regional Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1205122173
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. NATHANIEL A CLEAVELANDCredential: D.O.
Location Address800 MEMORIAL DRDanville, VA 24541-1679
Mailing Address800 Memorial DrDanville, VA 24541-1679 · (434) 799-3232 · Fax (434) 792-5125
Fax(434) 792-5125
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 20, 2011
Last NPPES UpdateOctober 14, 2017
NPI 1205122173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in VA · 0102204508 Licensed in NC · 2015-00459 Licensed in MI · 5101019254
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.
800 MEMORIAL DR, Danville, VA 24541

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

Dr. Nathaniel A Cleaveland D.o. 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 ID9133362312
PECOS Enrollment IDI20150727000661
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 18

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.
480 services260 patients
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.
205 services199 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
190 services108 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
157 services91 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).
151 services146 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.
150 services121 patients

Hospital Affiliations CMS Care Compare 2

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

Harris Regional Hospital

Acute Care Hospitals · Sylva, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340016
Location68 Hospital RdSylva, NC 28779 · Jackson County
Emergency services Birthing friendly

Haywood Regional Medical Center

Acute Care Hospitals · Clyde, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340184
Location262 Leroy George DriveClyde, NC 28721 · Haywood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24541 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model

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
2 suppliers23 claims23 services$57.06 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers13 claims23 services$36.11 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 6

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

Internal Medicine (Nephrology)
800 MEMORIAL DR, SUITE C
DANVILLE, VA 24541
Optometrist
800 MEMORIAL DR, SUITE A
DANVILLE, VA 24541
Optometrist
800 MEMORIAL DR, SUITE A
DANVILLE, VA 24541
Optometrist
800 MEMORIAL DR, SUITE A
DANVILLE, VA 24541
Ophthalmology
800 MEMORIAL DR
DANVILLE, VA 24541
Ophthalmology
800 MEMORIAL DR, SUITE A
DANVILLE, VA 24541

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 Nathaniel Cleaveland's NPI number?

The NPI number for Nathaniel Cleaveland is 1205122173. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is Nathaniel Cleaveland located?

Nathaniel Cleaveland practices at 800 Memorial Dr, Danville, VA 24541. The listed phone number is (434) 799-3232.

What is Nathaniel Cleaveland's specialty?

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

Is Nathaniel Cleaveland enrolled in Medicare?

Yes. Nathaniel Cleaveland 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 Nathaniel Cleaveland accept?

Health plans from Blue Cross and Blue Shield of NC list Nathaniel Cleaveland 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 Nathaniel Cleaveland affiliated with any hospitals?

According to CMS data, Nathaniel Cleaveland is affiliated with Harris Regional Hospital and Haywood Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nathaniel Cleaveland was last updated on October 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.