DR. JEFFREY C KALT MD
NPI 1225015191
Ophthalmology in Royal Oak, MI

Active since December 30, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
30301 WOODWARD AVE STE 101, ROYAL OAK, MI 48073(248) 398-2525(248) 398-9286 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Jeffrey C Kalt Md NPPES

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

DR. JEFFREY C KALT MD (NPI 1225015191) is an individual ophthalmology provider in Royal Oak, Michigan, licensed in Michigan (4301051524) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1987).

NPPES Registry Identity

NPI1225015191
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JEFFREY C KALTCredential: MD
Location Address30301 WOODWARD AVE STE 101Royal Oak, MI 48073-0981
Mailing Address30301 Woodward Ave Ste 101Royal Oak, MI 48073-0981 · (248) 398-2525 · Fax (248) 398-9286
Fax(248) 398-9286
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1987
Enumeration DateDecember 30, 2005
Last NPPES UpdateApril 21, 2025
NPPES CertifiedApril 21, 2025
NPI 1225015191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MI · 4301051524
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.
30301 WOODWARD AVE STE 101, Royal Oak, MI 48073

Other Identifiers 10

Other0308390001Adminastar
Other180023697Railroad Medicare
Other180F375320Blue Care Network
Other180F375320MI · Blue Cross Blue Shield Of Michigan
Other0004237942Aetna
Medicaid3117704MI
Other4237942Detroit Medical Center
OtherC3069Mcare
Other101836Great Lakes
OtherE89376Hap

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. Jeffrey C Kalt Md 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 ID2365512654
PECOS Enrollment IDI20080529000175
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 19

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 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.
598 services542 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.
590 services555 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
480 services455 patients
Established patient problem focused exam of visual system 92012
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.
283 services191 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.
194 services143 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.
155 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 as part of a group practice

Other Providers at the Same Location NPPES 3

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

Ophthalmology
30301 WOODWARD AVE STE 101
ROYAL OAK, MI 48073
Ophthalmology
30301 WOODWARD AVE STE 101
ROYAL OAK, MI 48073
Ophthalmology
30301 WOODWARD AVE STE 101
ROYAL OAK, MI 48073

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 Jeffrey Kalt's NPI number?

The NPI number for Jeffrey Kalt is 1225015191. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is Jeffrey Kalt located?

Jeffrey Kalt practices at 30301 Woodward Ave Ste 101, Royal Oak, MI 48073. The listed phone number is (248) 398-2525.

What is Jeffrey Kalt's specialty?

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

Is Jeffrey Kalt enrolled in Medicare?

Yes. Jeffrey Kalt 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 Jeffrey Kalt accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and Providence Health Plan list Jeffrey Kalt 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 Jeffrey Kalt was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.