JUSTIN HARVEY MD
NPI 1235633769
Ophthalmology in Salem, VA

Q: What is Justin Harvey's NPI number?

The NPI number for Justin Harvey is 1235633769. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Q: What is Justin Harvey's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Justin Harvey was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 20, 2018PECOS EnrolledAccepts Medicare Assignment

72.34/100

CMS Quality Rating

426 W MAIN ST, SALEM, VA 24153(540) 855-5100(403) 424-3735 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 18, 2022, Mar 20, 2018 (2 updates tracked since 2018).

On this page

About Justin Harvey Md NPPES

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

JUSTIN HARVEY MD (NPI 1235633769) is an individual ophthalmology provider in Salem, Virginia, licensed in Virginia (0101274250) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (2018).

NPPES Registry Identity

NPI1235633769

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameJUSTIN HARVEYCredential: MD

Location Address426 W MAIN STSalem, VA 24153-3610

Mailing Address1337 Riddle Ave Apt 3Morgantown, WV 26505-2879 · (394) 646-6054

Phone(540) 855-5100

Fax(403) 424-3735

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 2018

Enumeration DateMarch 20, 2018

Last NPPES UpdateAugust 18, 20222 updates tracked since enumeration

NPPES CertifiedAugust 18, 2022

✔ NPI 1235633769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in VA · 0101274250✔ Licensed in WV · 31147

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

426 W MAIN ST, Salem, VA 24153

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Health, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Harvey 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 ID8022360932

PECOS Enrollment IDI20220606000603, I20220620000144

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.

Medicare Billing Reassignment

Medicare enrollment records show Justin Harvey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vistar Eye Center, Inc

7.1 mi

Specialist

707 S JEFFERSON ST
Roanoke, VA 24016

Reassigned Medicare billing, Virginia and West Virginia enrollments
31 clinicians in this Medicare group

NPI 1457323545 (540) 855-5139

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 17

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.

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.

687 services337 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.

600 services393 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.

463 services436 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.

443 services341 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).

226 services213 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.

219 services219 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.

218 services202 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.

172 services135 patients

Insertion of drug delivery implant into tear duct of eye 68841

This procedure involves placing a small implant into your tear duct. The implant slowly releases medication to your eye, helping manage conditions like dry eyes or glaucoma. It's a simple, quick procedure typically performed under local anesthesia.

146 services102 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.

127 services117 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

87 services85 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

44 services44 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

39 services27 patients

Incision to improve eye fluid flow 65820

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

36 services22 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.

20 services19 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

17 services16 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24153 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.

72.34/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

95.33

Promoting Interoperability

Improvement Activities

Cost

19.14

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.

DR. DAVID A KINSLER M.D.

Ophthalmology

426 W MAIN ST
SALEM, VA 24153

Salem City (540) 344-4000

VISTAR EYE CENTER, INC

Eyewear Supplier

426 W MAIN ST
SALEM, VA 24153

Salem City (540) 344-4000

WILL DICKSON GRIFFETH MD

Ophthalmology

426 W MAIN ST
SALEM, VA 24153

Salem City (540) 855-3554

MEGAN M ANDREWS O.D.

Optometrist

426 W MAIN ST
SALEM, VA 24153

Salem City (403) 444-4000

JOHN MARCUS FACCIANI MD

Ophthalmology

426 W MAIN ST
SALEM, VA 24153

Salem City (540) 855-5100

DR. ERIC LEE PETERSON

Ophthalmology

426 W MAIN ST
SALEM, VA 24153

Salem City (540) 855-5100

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 Justin Harvey's NPI number?

The NPI number for Justin Harvey is 1235633769. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Justin Harvey located?

Justin Harvey practices at 426 W Main St, Salem, VA 24153. The listed phone number is (540) 855-5100.

What is Justin Harvey's specialty?

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

Is Justin Harvey enrolled in Medicare?

Yes. Justin Harvey 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.

Which organization bills Medicare for Justin Harvey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Harvey reassigns Medicare benefits to Vistar Eye Center, Inc (Roanoke, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Harvey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Harvey accept?

Health plans from Anthem Blue Cross and Blue Shield, Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Health Plan of North Carolina, Inc and 4 other insurers list Justin Harvey 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 Justin Harvey was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.