MARSHA KAVANAGH MD
NPI 1467403659
Ophthalmology in Portsmouth, NH

Active since May 13, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
155 BORTHWICK AVE, SUITE 200 EAST, PORTSMOUTH, NH 03801(603) 436-1773(603) 433-6244 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2022, May 11, 2020 (2 updates tracked since 2020).

About Marsha Kavanagh Md NPPES

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

MARSHA KAVANAGH MD (NPI 1467403659) is an individual ophthalmology provider in Portsmouth, New Hampshire, licensed in New Hampshire (13969) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Wentworth-douglass Hospital, and is a graduate of Harvard Medical School (2001).

NPPES Registry Identity

NPI1467403659
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameMARSHA KAVANAGHCredential: MD
Location Address155 BORTHWICK AVE, SUITE 200 EASTPortsmouth, NH 03801-7156
Mailing Address155 Borthwick Ave, Suite 200 EastPortsmouth, NH 03801-7156 · (603) 436-1773 · Fax (603) 433-6244
Fax(603) 433-6244
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2001
Enumeration DateMay 13, 2006
Last NPPES UpdateNovember 29, 20232 updates tracked since enumeration
NPPES CertifiedMay 11, 2020
NPI 1467403659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NH · 13969
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.

155 BORTHWICK AVE, Portsmouth, NH 03801

Other Identifiers 2

Medicaid30207892NH
Medicaid00A835900CA

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

Marsha Kavanagh 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 ID143263434
PECOS Enrollment IDI20090209000547
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 21

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
2,350 services14 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
516 services467 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
457 services374 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.
433 services400 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.
225 services202 patients
Exam of visual field with limited testing 92081
An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.
206 services187 patients

Hospital Affiliations CMS Care Compare

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

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300018
Location789 Central AveDover, NH 03820 · Strafford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03801 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
88%49 patients4/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
88%49 patients3/55-star benchmark: 100%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
5%369 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
62%210 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
2%3,984 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%1,035 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
14%950 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
56%2,638 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
4%369 patients1/55-star benchmark: 95%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
6%210 patients1/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
87%23 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
54%2,638 patients3/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
56%55 patients
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.

Other Providers at the Same Location NPPES 20

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

Dietitian, Registered
155 BORTHWICK AVE
PORTSMOUTH, NH 03801
Internal Medicine
155 BORTHWICK AVE, SUITE 202W
PORTSMOUTH, NH 03801
Naturopath
155 BORTHWICK AVE, WEST #102
PORTSMOUTH, NH 03801
Naturopath
155 BORTHWICK AVE
PORTSMOUTH, NH 03801
Optometrist
155 BORTHWICK AVE, SUITE 200 EAST
PORTSMOUTH, NH 03801
Dermatology (Dermatopathology)
155 BORTHWICK AVE, SUITE 201 WEST
PORTSMOUTH, NH 03801
Optometrist
155 BORTHWICK AVE
PORTSMOUTH, NH 03801
Naturopath
155 BORTHWICK AVE, WEST SUITE 102
PORTSMOUTH, NH 03801

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 Marsha Kavanagh's NPI number?

The NPI number for Marsha Kavanagh is 1467403659. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Where is Marsha Kavanagh located?

Marsha Kavanagh practices at 155 Borthwick Ave Suite 200 East, Portsmouth, NH 03801. The listed phone number is (603) 436-1773.

What is Marsha Kavanagh's specialty?

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

Is Marsha Kavanagh enrolled in Medicare?

Yes. Marsha Kavanagh 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 Marsha Kavanagh accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan list Marsha Kavanagh 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 Marsha Kavanagh affiliated with any hospitals?

According to CMS data, Marsha Kavanagh is affiliated with Wentworth-Douglass Hospital.

When was this NPI record last updated?

The NPPES record for Marsha Kavanagh was last updated on November 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.