KEVIN A BUDMAN MD
NPI 1265693204
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Atlanta, GA

Active since June 23, 2008PECOS Enrolled
83.38/100
CMS Quality Rating
5445 MERIDIAN MARKS RD, ATLANTA, GA 30342(404) 255-2419(404) 591-2939 Get Directions Write a Review

NPPES record last updated: March 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2019, Feb 28, 2019 (2 updates tracked since 2019).

About Kevin A Budman Md NPPES

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

KEVIN A BUDMAN MD (NPI 1265693204) is an individual pediatric ophthalmology and strabismus specialist in Atlanta, Georgia, licensed in Georgia (067396) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265693204
Entity TypeIndividualMale
Primary Taxonomy207WX0110X
Provider Legal NameKEVIN A BUDMANCredential: MD
Location Address5445 MERIDIAN MARKS RDAtlanta, GA 30342-4763
Mailing Address5445 Meridian Marks Rd NeAtlanta, GA 30342-4763 · (404) 255-2419 · Fax (404) 591-2939
Fax(404) 591-2939
Sole ProprietorNo
Enumeration DateJune 23, 2008
Last NPPES UpdateMarch 5, 20192 updates tracked since enumeration
NPI 1265693204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0110X
License Licensed in GA · 067396
Definition
An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.
Also ListedOphthalmologyTaxonomy 207W00000X · License 067396 (GA)
5445 MERIDIAN MARKS RD, Atlanta, GA 30342

Other Identifiers 1

Other202I188093GA · Medicare Ptan

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 (PECOS)

Kevin A Budman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

83.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Urology (Pediatric Urology)
5445 MERIDIAN MARKS RD, STE 420
ATLANTA, GA 30342
Pediatrics (Pediatric Gastroenterology)
5445 MERIDIAN MARKS RD, SUITE 490
ATLANTA, GA 30342
Plastic Surgery
5445 MERIDIAN MARKS RD, SUITE 395
ATLANTA, GA 30342
Plastic Surgery
5445 MERIDIAN MARKS RD, SUITE 395
ATLANTA, GA 30342
Colon & Rectal Surgery
5445 MERIDIAN MARKS RD, SUITE 180
ATLANTA, GA 30342

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 Budman's NPI number?

The NPI number for Kevin Budman is 1265693204. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is Kevin Budman located?

Kevin Budman practices at 5445 Meridian Marks Rd, Atlanta, GA 30342. The listed phone number is (404) 255-2419.

What is Kevin Budman's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Is Kevin Budman enrolled in Medicare?

Yes. Kevin Budman is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Budman accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Kevin Budman 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 Kevin Budman was last updated on March 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.