PAUL M GRIFFEY M.D.
NPI 1528027976
Ophthalmology in Chesapeake, VA

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
75.9/100
CMS Quality Rating
560 KEMPSVILLE RD, SUITE 100, CHESAPEAKE, VA 23320(757) 410-9500(757) 410-9507 Get Directions Write a Review

NPPES record last updated: April 24, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul M Griffey M.d. NPPES

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

PAUL M GRIFFEY M.D. (NPI 1528027976) is an individual ophthalmology provider in Chesapeake, Virginia, licensed in Virginia (0101056178) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Eastern Virginia Medical School (1995).

NPPES Registry Identity

NPI1528027976
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NamePAUL M GRIFFEYCredential: M.D.
Location Address560 KEMPSVILLE RD, SUITE 100Chesapeake, VA 23320-3621
Mailing Address560 Kempsville Rd, Suite 100Chesapeake, VA 23320-3621 · (757) 410-9500 · Fax (757) 410-9507
Fax(757) 410-9507
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 1995
Enumeration DateMarch 22, 2006
Last NPPES UpdateApril 24, 2013
NPI 1528027976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in VA · 0101056178
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.
560 KEMPSVILLE RD, Chesapeake, VA 23320

Other Identifiers 5

Medicare UPINH20373VA
Medicaid89063C2NC
Medicare PIN002482C83VA
Medicaid010050561VA
Medicare NSC5199830001VA

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

Paul M Griffey 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 ID941289797
PECOS Enrollment IDI20101027000580
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 14

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.
2,327 services2,287 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.
1,555 services1,323 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).
658 services654 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
577 services334 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.
565 services312 patients
Insertion of drug delivery implant into tear duct of eye 68841
This procedure involves placing a small implant into your tear duct. The implant slowly releases medication to your eye, helping manage conditions like dry eyes or glaucoma. It's a simple, quick procedure typically performed under local anesthesia.
535 services295 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23320 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

75.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost19.68

Other Providers at the Same Location NPPES 6

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

Technician/Technologist (Optician)
560 KEMPSVILLE RD, SUITE 100
CHESAPEAKE, VA 23320
Student in an Organized Health Care Education/Training Program
560 KEMPSVILLE RD
CHESAPEAKE, VA 23320
Ophthalmology
560 KEMPSVILLE RD, SUITE 100
CHESAPEAKE, VA 23320
Oral & Maxillofacial Surgery
560 KEMPSVILLE RD, SUITE 201
CHESAPEAKE, VA 23320
Optometrist
560 KEMPSVILLE RD, SUITE 100
CHESAPEAKE, VA 23320
Ophthalmology
560 KEMPSVILLE RD, SUITE 100
CHESAPEAKE, VA 23320

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 Paul Griffey's NPI number?

The NPI number for Paul Griffey is 1528027976. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Paul Griffey located?

Paul Griffey practices at 560 Kempsville Rd Suite 100, Chesapeake, VA 23320. The listed phone number is (757) 410-9500.

What is Paul Griffey's specialty?

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

Is Paul Griffey enrolled in Medicare?

Yes. Paul Griffey 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 Paul Griffey accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Paul Griffey 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 Paul Griffey was last updated on April 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.