DR. VADREVU K RAJU M.D.
NPI 1346248127
Ophthalmology in Morgantown, WV

Active since July 14, 2005PECOS Enrolled
76.45/100
CMS Quality Rating
1255 PINEVIEW DR, MORGANTOWN, WV 26505(304) 598-3301(304) 225-0516 Get Directions Write a Review

NPPES record last updated: June 14, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Vadrevu K Raju M.d. NPPES

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

DR. VADREVU K RAJU M.D. (NPI 1346248127) is an individual ophthalmology provider in Morgantown, West Virginia, licensed in West Virginia (11294) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346248127
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. VADREVU K RAJUCredential: M.D.
Location Address1255 PINEVIEW DRMorgantown, WV 26505-2738
Mailing Address1255 Pineview DrMorgantown, WV 26505-2738 · (304) 598-3301 · Fax (304) 225-0516
Fax(304) 225-0516
Sole ProprietorYes
Enumeration DateJuly 14, 2005
Last NPPES UpdateJune 14, 2019
NPI 1346248127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in WV · 11294
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.

1255 PINEVIEW DR, Morgantown, WV 26505

Other Identifiers 2

Medicaid0007123000WV
Medicaid0096681000WV

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)

Dr. Vadrevu K Raju M.d. 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.

Areas of Expertise CMS Part B claims 7

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.

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.
69 services64 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.
45 services36 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).
41 services41 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.
41 services36 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.
30 services25 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26505 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.

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.

76.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost21.5

Other Providers at the Same Location NPPES 12

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

Ophthalmology
1255 PINEVIEW DR
MORGANTOWN, WV 26505
Nurse Anesthetist, Certified Registered
1255 PINEVIEW DR, REGIONAL EYE ASSOCIATES
MORGANTOWN, WV 26505
Ophthalmology
1255 PINEVIEW DR
MORGANTOWN, WV 26505
Ophthalmology
1255 PINEVIEW DR
MORGANTOWN, WV 26505
Ophthalmology
1255 PINEVIEW DR
MORGANTOWN, WV 26505
Ophthalmology
1255 PINEVIEW DR
MORGANTOWN, WV 26505
Ophthalmology
1255 PINEVIEW DR
MORGANTOWN, WV 26505
Ophthalmology
1255 PINEVIEW DR
MORGANTOWN, WV 26505

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 Vadrevu Raju's NPI number?

The NPI number for Vadrevu Raju is 1346248127. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Vadrevu Raju located?

Vadrevu Raju practices at 1255 Pineview Dr, Morgantown, WV 26505. The listed phone number is (304) 598-3301.

What is Vadrevu Raju's specialty?

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

Is Vadrevu Raju enrolled in Medicare?

Yes. Vadrevu Raju is registered in the Medicare PECOS enrollment system.

What insurance does Vadrevu Raju accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Highmark Blue Cross Blue Shield West Virginia list Vadrevu Raju 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 Vadrevu Raju was last updated on June 14, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.