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DR. KEVIN M BOWMAN M.D.
NPI 1225299829
Ophthalmology in Raleigh, NC

Active since June 17, 2008PECOS EnrolledAccepts Medicare Assignment
83.08/100
CMS Quality Rating
2709 BLUE RIDGE RD, SUITE 100, RALEIGH, NC 27607(919) 782-5400(919) 881-7746 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 29, 2021, Apr 22, 2020 (2 updates tracked since 2020).

About Dr. Kevin M Bowman M.d. NPPES

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

DR. KEVIN M BOWMAN M.D. (NPI 1225299829) is an individual ophthalmology provider in Raleigh, North Carolina, licensed in North Carolina (2013-01256) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Johnston Health, and is a graduate of Wake Forest University School Of Medicine (2008).

NPPES Registry Identity

NPI1225299829
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. KEVIN M BOWMANCredential: M.D.
Location Address2709 BLUE RIDGE RD, SUITE 100Raleigh, NC 27607-6462
Mailing Address2709 Blue Ridge Rd, Suite 100Raleigh, NC 27607-6462 · (919) 782-5400 · Fax (919) 881-7746
Phone(919) 782-5400
Fax(919) 881-7746
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2008
Enumeration DateJune 17, 2008
Last NPPES UpdateMarch 29, 20212 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
✔ NPI 1225299829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NC · 2013-01256
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.
2709 BLUE RIDGE RD, Raleigh, NC 27607
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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. Kevin M Bowman M.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 ID9638333818
PECOS Enrollment IDI20130828000519
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 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.
484 services411 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.
276 services230 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.
268 services163 patients
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.
249 services221 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.
167 services167 patients
Imaging of retina 92134
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.
135 services127 patients

Hospital Affiliations CMS Care Compare 2

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

Johnston Health

Acute Care Hospitals · Smithfield, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340090
Location509 Bright Leaf BlvdSmithfield, NC 27577 · Johnston County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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.

83.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability93
Improvement Activities40
Cost49.46

Referred Medical Equipment & Supplies CMS DME claims

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
3 suppliers14 claims14 services$61.95 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 20

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

ASHLEY BRASFIELD M.S., CCC-SLP
Speech-Language Pathologist
2709 BLUE RIDGE RD
RALEIGH, NC 27607
Wake County (919) 784-4696
MR. JOHN ALLEN HOOD PT
Physical Therapist
2709 BLUE RIDGE RD, SUITE 200
RALEIGH, NC 27607
Wake County (919) 784-4696
TIMOTHY D. JORDAN, MD, PLLC
Ophthalmology
2709 BLUE RIDGE RD, SUITE 100
RALEIGH, NC 27607
Wake County (919) 782-5400
RALEIGH OPHTHALMIC CONSULTANTS, PC
Ophthalmology
2709 BLUE RIDGE RD, SUITE 100
RALEIGH, NC 27607
Wake County (919) 782-5400
WOMEN'S HEALTHCARE OF RALEIGH
Specialist
2709 BLUE RIDGE RD, SUITE 290
RALEIGH, NC 27607
Wake County (919) 782-5678
WILBUR BARDON P.A.
Physician Assistant (Medical)
2709 BLUE RIDGE RD, SUITE 320
RALEIGH, NC 27607
Wake County (919) 235-0689
EDWARD JOSEPH MCGRORY JR. MD
Ophthalmology
2709 BLUE RIDGE RD, SUITE 100
RALEIGH, NC 27607
Wake County (919) 782-5400
MICHAEL GORMAN PT
Physical Therapist
2709 BLUE RIDGE RD, SUITE 200
RALEIGH, NC 27607
Wake County (919) 784-4696

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 Bowman's NPI number?

The NPI number for Kevin Bowman is 1225299829. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Where is Kevin Bowman located?

Kevin Bowman practices at 2709 Blue Ridge Rd Suite 100, Raleigh, NC 27607. The listed phone number is (919) 782-5400.

What is Kevin Bowman's specialty?

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

Is Kevin Bowman enrolled in Medicare?

Yes. Kevin Bowman 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 Bowman accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kevin Bowman 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 Bowman affiliated with any hospitals?

According to CMS data, Kevin Bowman is affiliated with Johnston Health and Rex Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Bowman was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.