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DR. ADITYA VERMA MD
NPI 1255054698
Ophthalmology - Retina Specialist in Louisville, KY

Active since September 21, 2022PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
301 E MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202(502) 588-0550(502) 588-0553 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2022, Sep 21, 2022 (2 updates tracked since 2022).

About Dr. Aditya Verma Md NPPES

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

DR. ADITYA VERMA MD (NPI 1255054698) is an individual retina specialist in Louisville, Kentucky, licensed in Kentucky (FL069) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, is affiliated with University Of Louisville Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1255054698
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. ADITYA VERMACredential: MD
Location Address301 E MUHAMMAD ALI BLVDLouisville, KY 40202-1511
Mailing Address301 E Muhammad Ali BlvdLouisville, KY 40202-1511 · (502) 588-0550 · Fax (502) 588-0553
Phone(502) 588-0550
Fax(502) 588-0553
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 21, 2022
Last NPPES UpdateOctober 4, 20222 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
✔ NPI 1255054698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in KY · FL069
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
301 E MUHAMMAD ALI BLVD, Louisville, KY 40202
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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. Aditya Verma 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 ID6002292695
PECOS Enrollment IDI20221005001865
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 6

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.

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.
266 services134 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.
249 services145 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.
77 services61 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.
73 services48 patients
Injection of drug into eye 67028
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.
53 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

University Of Louisville Hospital

Acute Care Hospitals · Louisville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180141
Location530 South Jackson StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

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.

CAITLYN T MULCAHEY MD
Student in an Organized Health Care Education/Training Program
301 E MUHAMMAD ALI BLVD, UNIV. OF LOUISVILLE - DEPT. OF OPHTHALMOLOGY
LOUISVILLE, KY 40202
Jefferson County (502) 852-0710
CHRISTOPHER J COMPTON M.D.
Ophthalmology
301 E MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202
Jefferson County (502) 852-1665
MOHAMED MAGDY KHODEIRY MD, MSC
Ophthalmology
301 E MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202
Jefferson County (502) 588-0330
WESLEY WANG MD, PHD
Student in an Organized Health Care Education/Training Program
301 E MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202
Jefferson County (502) 852-0710
JEFFREY DANIEL KUZIEL
Student in an Organized Health Care Education/Training Program
301 E MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202
Jefferson County (502) 852-0710
LILLY GONZALEZ
Student in an Organized Health Care Education/Training Program
301 E MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202
Jefferson County (502) 852-0710
DOUGLAS SIGFORD MD
Ophthalmology
301 E MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202
Jefferson County (502) 852-7665
DR. JEREMY DUSTIN CLARK M.D.
Ophthalmology
301 E MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202
Jefferson County (502) 588-0550

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 Aditya Verma's NPI number?

The NPI number for Aditya Verma is 1255054698. It was assigned to this individual provider in the NPPES registry on September 21, 2022.

Where is Aditya Verma located?

Aditya Verma practices at 301 E Muhammad Ali Blvd, Louisville, KY 40202. The listed phone number is (502) 588-0550.

What is Aditya Verma's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Aditya Verma enrolled in Medicare?

Yes. Aditya Verma 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 Aditya Verma accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Aditya Verma 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 Aditya Verma affiliated with any hospitals?

According to CMS data, Aditya Verma is affiliated with University Of Louisville Hospital.

When was this NPI record last updated?

The NPPES record for Aditya Verma was last updated on October 4, 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.