JUSTIN HARVEY MD
NPI 1235633769
Ophthalmology in Salem, VA

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: August 09, 2026.

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

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, is affiliated with Carilion Medical Center, 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
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.
426 W MAIN ST, Salem, VA 24153

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

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.

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

Hospital Affiliations CMS Care Compare

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

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
Quality95.33
Promoting Interoperability92
Improvement Activities40
Cost19.14

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.

Ophthalmology
426 W MAIN ST
SALEM, VA 24153
Eyewear Supplier
426 W MAIN ST
SALEM, VA 24153
Ophthalmology
426 W MAIN ST
SALEM, VA 24153
Optometrist
426 W MAIN ST
SALEM, VA 24153
Ophthalmology
426 W MAIN ST
SALEM, VA 24153
Ophthalmology
426 W MAIN ST
SALEM, VA 24153

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.

What insurance does Justin Harvey accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia and Providence Health Plan 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.

Is Justin Harvey affiliated with any hospitals?

According to CMS data, Justin Harvey is affiliated with Carilion Medical Center.

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 3 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.