HAROLD MILTON CALVERT MD
NPI 1396737219
Ophthalmology in Hopkinsville, KY

Q: What is Harold Calvert's NPI number?

The NPI number for Harold Calvert is 1396737219. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Q: What is Harold Calvert's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Harold Calvert was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment

79.37/100

CMS Quality Rating

100 KEETON DR, HOPKINSVILLE, KY 42240(270) 886-2050(270) 886-2007 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Harold Milton Calvert Md NPPES

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

HAROLD MILTON CALVERT MD (NPI 1396737219) is an individual ophthalmology provider in Hopkinsville, Kentucky, licensed in Kentucky (36511) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Jennie Stuart Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1396737219

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameHAROLD MILTON CALVERTCredential: MD

Location Address100 KEETON DRHopkinsville, KY 42240

Mailing Address100 Keeton Dr.Hopkinsville, KY 42240 · (270) 886-2050 · Fax (270) 886-2007

Phone(270) 886-2050

Fax(270) 886-2007

Sole ProprietorYes

Medical School CMSOtherGraduated 1995

Enumeration DateAugust 17, 2005

Last NPPES UpdateJuly 6, 2020

NPPES CertifiedJuly 6, 2020

✔ NPI 1396737219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in KY · 36511✔ Licensed in AR · E-0195✔ Licensed in KS · 04-28667✔ Licensed in TN · MD0000035976

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.

100 KEETON DR, Hopkinsville, KY 42240

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Other Identifiers 2

Medicaid64031669KY

Medicaid3879308TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Harold Milton Calvert 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 ID2264457027

PECOS Enrollment IDI20090729000636

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.

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.

918 services896 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.

693 services674 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.

547 services377 patients

Ultrasound scan to determine eye length and lens power 76519

An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.

323 services111 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.

323 services284 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.

194 services106 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.

167 services167 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

148 services147 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

109 services102 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).

104 services93 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.

91 services61 patients

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.

24 services24 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

19 services19 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.

18 services18 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.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Jennie Stuart Medical Center

Acute Care Hospitals · Hopkinsville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180051

Location320 West 18th StreetHopkinsville, KY 42240 · Christian County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42240 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.

79.37/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Cost

31.26

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination

98%57 patients4/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

95%76 patients5/55-star benchmark: 87%

Diabetes: Eye Exam

100%345 patients5/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

31%345 patients4/55-star benchmark: 91%

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

95%59 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%1,286 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

100%663 patients5/55-star benchmark: 100%

Glaucoma Intraocular Pressure Reduction

92%49 patients

Overuse of Imaging for the Evaluation of Primary Headache

Lower rates are better for this measure.

0%115 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 210 patients

Patients screened: 100% · 210 patients

100%37 patients5/55-star benchmark: 100%

Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation

97%115 patients

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

100%107 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 685 patients

Patients totalRate: 0% · 685 patients

0%685 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020

Other-Vision, Hearing, and Speech Services · category OC000N

5 suppliers14 claims14 services$47.69 avg. paid by Medicare

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203

Other-Vision, Hearing, and Speech Services · category OC000N

2 suppliers11 claims19 services$22.62 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Harold Calvert's NPI number?

The NPI number for Harold Calvert is 1396737219. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Harold Calvert located?

Harold Calvert practices at 100 Keeton Dr, Hopkinsville, KY 42240. The listed phone number is (270) 886-2050.

What is Harold Calvert's specialty?

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

Is Harold Calvert enrolled in Medicare?

Yes. Harold Calvert 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 Harold Calvert accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross and Blue Shield of Louisiana and 3 other insurers list Harold Calvert 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 Harold Calvert affiliated with any hospitals?

According to CMS data, Harold Calvert is affiliated with Jennie Stuart Medical Center.

When was this NPI record last updated?

The NPPES record for Harold Calvert was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.