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DR. NIRVIGHNA N. KANJIYA O.D.
NPI 1376876227
Optometrist in New Bern, NC

Active since September 10, 2009PECOS EnrolledAccepts Medicare Assignment
81.45/100
CMS Quality Rating
2001 S GLENBURNIE RD, NEW BERN, NC 28562(252) 633-6900(252) 633-6754 Get Directions Write a Review

NPPES record last updated: July 20, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Nirvighna N. Kanjiya O.d. NPPES

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

DR. NIRVIGHNA N. KANJIYA O.D. (NPI 1376876227) is an individual optometrist in New Bern, North Carolina, licensed in North Carolina (2508) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of Houston - College Of Optometry (2009).

NPPES Registry Identity

NPI1376876227
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. NIRVIGHNA N. KANJIYACredential: O.D.
Location Address2001 S GLENBURNIE RDNew Bern, NC 28562-5228
Mailing Address9200 Milliken Ave, #9215Rancho Cucamonga, CA 91730-5484 · (248) 736-2138
Phone(252) 633-6900
Fax(252) 633-6754
Sole ProprietorYes
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2009
Enumeration DateSeptember 10, 2009
Last NPPES UpdateJuly 20, 2018
✔ NPI 1376876227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NC · 2508✔ Licensed in PA · OEG002286✔ Licensed in CA · 14589
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2001 S GLENBURNIE RD, New Bern, NC 28562
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1315 Western BlvdJacksonville, NC 28546-6338 · Phone (910) 353-1011 · Fax (910) 353-4433
Location 2775 W Corbett AveSwansboro, NC 28584-8562 · Phone (910) 326-3050 · Fax (910) 326-7088
Location 34130 Western BlvdJacksonville, NC 28546-6740 · Phone (910) 353-9200 · Fax (910) 353-5459
Location 49200 Milliken Ave, #9215Rancho Cucamonga, CA 91730-5484 · Phone (717) 272-7059

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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. Nirvighna N. Kanjiya O.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 ID7517092497
PECOS Enrollment IDI20181015002711
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 9

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.
172 services170 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.
95 services85 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
87 services87 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.
87 services81 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.
75 services71 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.
63 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28562 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

81.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.58
Improvement Activities40
Cost42.73

Other Providers at the Same Location NPPES 2

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

DR. KEITHA ANN COVALLA O.D.
Optometrist
2001 S GLENBURNIE RD
NEW BERN, NC 28562
Craven County (252) 633-6900
EYECARECENTER OD PA
Optometrist
2001 S GLENBURNIE RD
NEW BERN, NC 28562
Craven County (636) 200-4393

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 Nirvighna Kanjiya's NPI number?

The NPI number for Nirvighna Kanjiya is 1376876227. It was assigned to this individual provider in the NPPES registry on September 10, 2009.

Where is Nirvighna Kanjiya located?

Nirvighna Kanjiya practices at 2001 S Glenburnie Rd, New Bern, NC 28562. The listed phone number is (252) 633-6900.

What is Nirvighna Kanjiya's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Nirvighna Kanjiya enrolled in Medicare?

Yes. Nirvighna Kanjiya 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 Nirvighna Kanjiya accept?

Health plans from Blue Cross and Blue Shield of NC list Nirvighna Kanjiya 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 Nirvighna Kanjiya was last updated on July 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.