DR. VISHAL VERMA M.D.
NPI 1316131865
Ophthalmology in Huntington, WV

Active since August 28, 2007PECOS EnrolledAccepts Medicare Assignment
5187 US ROUTE 60, SUITE 6, HUNTINGTON, WV 25705(304) 691-8800(304) 302-0221 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Vishal Verma M.d. NPPES

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

DR. VISHAL VERMA M.D. (NPI 1316131865) is an individual ophthalmology provider in Huntington, West Virginia, licensed in West Virginia (26563) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Cabell Huntington Hospital, Inc, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1316131865
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. VISHAL VERMACredential: M.D.
Location Address5187 US ROUTE 60, SUITE 6Huntington, WV 25705-2076
Mailing Address5187 Us Route 60, Suite 6Huntington, WV 25705-2076 · (304) 691-8800 · Fax (304) 302-0221
Fax(304) 302-0221
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 28, 2007
Last NPPES UpdateDecember 1, 2021
NPPES CertifiedDecember 1, 2021
NPI 1316131865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in WV · 26563
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.
5187 US ROUTE 60, Huntington, WV 25705

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

Dr. Vishal Verma 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 ID1850562190
PECOS Enrollment IDI20151014000314
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 15

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.

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.
748 services395 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.
686 services382 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.
427 services401 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.
399 services399 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.
215 services174 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.
183 services183 patients

Hospital Affiliations CMS Care Compare

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

Cabell Huntington Hospital, Inc

Acute Care Hospitals · Huntington, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510055
Location1340 Hal Greer BoulevardHuntington, WV 25701 · Cabell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25705 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner
5187 US ROUTE 60, SUITE 13
HUNTINGTON, WV 25705
Chiropractor
5187 US ROUTE 60, SUITE 9A
HUNTINGTON, WV 25705
Physical Therapist
5187 US ROUTE 60
HUNTINGTON, WV 25705
Occupational Therapy Assistant
5187 US ROUTE 60, SUITE13
HUNTINGTON, WV 25705
Physical Therapy Assistant
5187 US ROUTE 60
HUNTINGTON, WV 25705
Registered Nurse
5187 US ROUTE 60, SUITE 13
HUNTINGTON, WV 25705
Social Worker (Clinical)
5187 US ROUTE 60
HUNTINGTON, WV 25705
Physical Therapist
5187 US ROUTE 60, SUITE 28
HUNTINGTON, WV 25705

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 Vishal Verma's NPI number?

The NPI number for Vishal Verma is 1316131865. It was assigned to this individual provider in the NPPES registry on August 28, 2007.

Where is Vishal Verma located?

Vishal Verma practices at 5187 Us Route 60 Suite 6, Huntington, WV 25705. The listed phone number is (304) 691-8800.

What is Vishal Verma's specialty?

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

Is Vishal Verma enrolled in Medicare?

Yes. Vishal 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 Vishal Verma accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Vishal 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 Vishal Verma affiliated with any hospitals?

According to CMS data, Vishal Verma is affiliated with Cabell Huntington Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Vishal Verma was last updated on December 1, 2021. 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.