DR. KENNETH P MOFFAT M.D.
NPI 1215926126
Ophthalmology - Retina Specialist in Nashville, TN


Quality Rating: 100 out of 100 score

NPI Status: Active since October 14, 2005

Contact Information

345 23RD AVE N
SUITE 350
NASHVILLE, TN
ZIP 37203
Phone: (615) 983-6000
Fax: (615) 983-6010

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  • Individual
  • Male
  • Ophthalmology
  • Retina Specialist

About KENNETH MOFFAT

This page provides the complete NPI Profile along with additional information for Kenneth Moffat, a provider established in Nashville, Tennessee with a medical specialization in Ophthalmology, focusing in retina specialist . The healthcare provider is registered in the NPI registry with number 1215926126 assigned on October 2005. The practitioner's primary taxonomy code is 207WX0107X with license number MD0000021088 (TN). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1215926126
Provider Name
DR. KENNETH P MOFFAT M.D.
Gender
Male
Entity Type
Individual
Location Address
345 23RD AVE N SUITE 350 NASHVILLE, TN 37203
Location Phone
(615) 983-6000
Location Fax
(615) 983-6010
Mailing Address
345 23RD AVE N SUITE 350 NASHVILLE, TN 37203
Mailing Phone
(615) 983-6000
Mailing Fax
(615) 983-6010
Is Sole Proprietor?
No
Enumeration Date
10-14-2005
Last Update Date
08-04-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ophthalmology Retina Specialist

Taxonomy Code
207WX0107X
Type
Allopathic & Osteopathic Physicians
License No.
MD0000021088
License State
TN
Taxonomy Description
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

MD0000021088 (TN)
2207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

28160 (KY)
3207WX0107XAllopathic & Osteopathic Physicians

Ophthalmology
Retina Specialist

28160 (KY)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3379053OTHER (01)TNMEDICARE/GROUP
00554OTHER (01)KYMEDICARE/GROUP
30559581MEDICARE PIN (08) 
3055957MEDICARE ID-TYPE UNSPECIFIED (04)TN 
3055958MEDICARE PIN (08)TN 
64798374MEDICAID (05)KY 
00554001MEDICARE PIN (08)KY 
E68142MEDICARE UPIN (02) 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

2d ultrasound scan of eye tissue and structures

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

This service was performed 29 times for 25 patients

Established patient complete exam of visual system

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.

This service was performed 2,012 times for 870 patients

Established patient problem focused exam of visual system

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

This service was performed 31 times for 28 patients

Exam of retinal blood vessels using a special camera after injection of a dye

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

This service was performed 109 times for 106 patients

Imaging of retina

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.

This service was performed 2,674 times for 863 patients

Injection of drug into eye

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

This service was performed 2,114 times for 425 patients

Injection, aflibercept, 1 mg

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

This service was performed 880 times for 90 patients

Injection, bevacizumab, 10 mg

Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.

This service was performed 265 times for 40 patients

Injection, ranibizumab, 0.1 mg

Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.

This service was performed 8,617 times for 269 patients

New patient office or other outpatient visit, 45-59 minutes

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.

This service was performed 193 times for 193 patients

Photocoagulation treatment to prevent detachment of retina

Photocoagulation is a procedure used to treat retinal disorders. A special laser is directed at the retina to create small burns. These burns form scar tissue which helps to secure the retina to the eye's wall, preventing detachment and preserving vision.

This service was performed 12 times for 12 patients

Photography of the retina

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.

This service was performed 384 times for 348 patients

Removal of membrane of retina with removal of internal limiting membrane of retina

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

This service was performed 13 times for 13 patients

Unclassified biologics

Unclassified biologics are a type of treatment derived from living organisms. They can include a wide range of substances, such as vaccines, blood components, or genes, used to prevent or treat diseases. Each is specifically designed to interact with the body's natural defenses to promote healing.

This service was performed 201 times for 32 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 100 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 100

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1215926126, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 2 + 5 + 1 + 8 + 2 + 1 + 2 + 1 + 4 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1215926126.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology (Reproductive Endocrinology)
345 23RD AVE N, SUITE 401
NASHVILLE, TN 37203
Obstetrics & Gynecology (Reproductive Endocrinology)
345 23RD AVE N, SUITE 401
NASHVILLE, TN 37203
Obstetrics & Gynecology (Reproductive Endocrinology)
345 23RD AVE N, SUITE 401
NASHVILLE, TN 37203
Obstetrics & Gynecology (Reproductive Endocrinology)
345 23RD AVE N, SUITE 401
NASHVILLE, TN 37203
Specialist
345 23RD AVE N, SUITE 416
NASHVILLE, TN 37203
Colon & Rectal Surgery
345 23RD AVE N, SUITE 300
NASHVILLE, TN 37203
Colon & Rectal Surgery
345 23RD AVE N, SUITE 300
NASHVILLE, TN 37203
Nurse Practitioner (Obstetrics & Gynecology)
345 23RD AVE N, SUITE 401
NASHVILLE, TN 37203
Orthopaedic Surgery (Orthopaedic Trauma)
345 23RD AVE N, SUITE 301
NASHVILLE, TN 37203
Physical Medicine & Rehabilitation
345 23RD AVE N, SUITE 301
NASHVILLE, TN 37203
Nurse Practitioner (Obstetrics & Gynecology)
345 23RD AVE N, SUITE 401
NASHVILLE, TN 37203
Clinic/Center
345 23RD AVE N, 212
NASHVILLE, TN 37203
Neurological Surgery
345 23RD AVE N, SUITE 320
NASHVILLE, TN 37203
Internal Medicine
345 23RD AVE N, SUITE 306
NASHVILLE, TN 37203
Ophthalmology
345 23RD AVE N, SUITE 350
NASHVILLE, TN 37203
Nurse Practitioner (Women's Health)
345 23RD AVE N, SUITE 401
NASHVILLE, TN 37203
Nurse Practitioner (Acute Care)
345 23RD AVE N, STE 301
NASHVILLE, TN 37203
Orthopaedic Surgery
345 23RD AVE N, SUITE 212
NASHVILLE, TN 37203
Obstetrics & Gynecology (Gynecology)
345 23RD AVE N, SUITE 209
NASHVILLE, TN 37203
Obstetrics & Gynecology
345 23RD AVE N, SUITE 209
NASHVILLE, TN 37203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215926126, enumerated as an "individual" on October 14, 2005.

The provider is located at 345 23RD AVE N SUITE 350 NASHVILLE, TN 37203 and the phone number is (615) 983-6000.

Ophthalmology with taxonomy code 207WX0107X and a focus in Retina Specialist.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.