MICHAEL LEON KAY M.D.
NPI 1467441972
Ophthalmology in Philadelphia, PA

Active since October 18, 2005PECOS EnrolledAccepts Medicare Assignment
98.14/100
CMS Quality Rating
601 WALNUT ST STE 210W, PHILADELPHIA, PA 19106(215) 925-6402(215) 925-0262 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 2, 2020, Dec 18, 2018 (2 updates tracked since 2018).

About Michael Leon Kay M.d. NPPES

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

MICHAEL LEON KAY M.D. (NPI 1467441972) is an individual ophthalmology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD012768E) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bala Cynwyd, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1968).

NPPES Registry Identity

NPI1467441972
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMICHAEL LEON KAYCredential: M.D.
Location Address601 WALNUT ST STE 210WPhiladelphia, PA 19106-3323
Mailing Address601 Walnut St Ste 210wPhiladelphia, PA 19106-3323 · (215) 925-6402 · Fax (215) 925-0262
Fax(215) 925-0262
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1968
Enumeration DateOctober 18, 2005
Last NPPES UpdateSeptember 2, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2020
NPI 1467441972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MD012768E
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.

601 WALNUT ST STE 210W, Philadelphia, PA 19106

Secondary Practice Location 1

Location 150 Monument Rd Ste 110Bala Cynwyd, PA 19004-1706 · Phone (610) 667-6760 · Fax (610) 667-7206

Other Identifiers 1

Medicaid0718845/01PA

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

Michael Leon Kay 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 ID7012818602
PECOS Enrollment IDI20110224000235
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 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.
274 services260 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.
169 services166 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.
66 services63 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).
45 services45 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.
26 services24 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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19106 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

98.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost93.81

Other Providers at the Same Location NPPES 4

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

Ophthalmology
601 WALNUT ST STE 210W
PHILADELPHIA, PA 19106
Ophthalmology
601 WALNUT ST STE 210W
PHILADELPHIA, PA 19106
Optometrist
601 WALNUT ST STE 210W
PHILADELPHIA, PA 19106
Ophthalmology
601 WALNUT ST STE 210W
PHILADELPHIA, PA 19106

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 Michael Kay's NPI number?

The NPI number for Michael Kay is 1467441972. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Michael Kay located?

Michael Kay practices at 601 Walnut St Ste 210W, Philadelphia, PA 19106. The listed phone number is (215) 925-6402.

What is Michael Kay's specialty?

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

Is Michael Kay enrolled in Medicare?

Yes. Michael Kay 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 Michael Kay accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers list Michael Kay 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 Michael Kay was last updated on September 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.