1. Home
  2. Directory
  3. Virginia
  4. Reston
  5. Ophthalmology
  6. NPI Profile

KENNETH MICHAEL KARLIN M.D.
NPI 1528061074
Ophthalmology in Reston, VA

Active since May 27, 2005PECOS Enrolled
1800 TOWN CENTER DR, STE 317, RESTON, VA 20190(703) 437-3900(703) 437-9426 Get Directions Write a Review

NPPES record last updated: November 15, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth Michael Karlin M.d. NPPES

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

KENNETH MICHAEL KARLIN M.D. (NPI 1528061074) is an individual ophthalmology provider in Reston, Virginia, licensed in Virginia (0101037922) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528061074
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKENNETH MICHAEL KARLINCredential: M.D.
Location Address1800 TOWN CENTER DR, STE 317Reston, VA 20190-3239
Mailing Address1800 Town Center Dr, Ste 317Reston, VA 20190-3239 · (703) 437-3900 · Fax (703) 437-9426
Phone(703) 437-3900
Fax(703) 437-9426
Sole ProprietorNo
Enumeration DateMay 27, 2005
Last NPPES UpdateNovember 15, 2014
✔ NPI 1528061074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in VA · 0101037922
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.

1800 TOWN CENTER DR, Reston, VA 20190
Open in Google Maps ↗

Other Identifiers 6

Medicare UPINC61818VA
Medicaid6396143VA
Other0800026VA · United Healthcare
Other4086959VA · Aetna
Medicare ID-Type UnspecifiedKA88406-E91VA
Other027283VA · Anthem

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Michael Karlin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20190 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

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…
67%327 patients3/55-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…
51%327 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
100%221 patients5/55-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.
96%2,316 patients4/55-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.
72%2,001 patients3/55-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
100%754 patients5/55-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…
71%2,001 patients3/55-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.

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.

RESTON PSYCHOLOGICAL CENTER, P.C.
Counselor (Mental Health)
1800 TOWN CENTER DR, SUITE 411
RESTON, VA 20190
Fairfax County (703) 437-3236
DR. JUAN ALBERTO TRINIDAD M.D
Family Medicine
1800 TOWN CENTER DR, SUITE 310
RESTON, VA 20190
Fairfax County (703) 709-7225
DR. WENDY RUTH GOTTLIEB M.D.
Specialist
1800 TOWN CENTER DR, SUITE 418
RESTON, VA 20190
Fairfax County (703) 668-9499
DERMATOLOGY SPECIALISTS OF VIRGINIA PC
Dermatology
1800 TOWN CENTER DR, STE 415
RESTON, VA 20190
Fairfax County (703) 709-1492
MRS. MADELINE PETRIZZI JURICH LCSW
Social Worker
1800 TOWN CENTER DR, STE 411
RESTON, VA 20190
Fairfax County (703) 437-3236
DR. EDWARD DAVID FARBER PHD
Psychologist
1800 TOWN CENTER DR, #411
RESTON, VA 20190
Fairfax County (703) 437-3236
DR. ESTHER M. ISEMAN M.S., PH.D.
Specialist
1800 TOWN CENTER DR, SUITE 420
RESTON, VA 20190
Fairfax County (703) 860-6854
ELIZABETH ANN BRANTLEY MD
Pediatrics
1800 TOWN CENTER DR
RESTON, VA 20190
Fairfax County (703) 435-0808

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 Kenneth Karlin's NPI number?

The NPI number for Kenneth Karlin is 1528061074. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Kenneth Karlin located?

Kenneth Karlin practices at 1800 Town Center Dr Ste 317, Reston, VA 20190. The listed phone number is (703) 437-3900.

What is Kenneth Karlin's specialty?

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

Is Kenneth Karlin enrolled in Medicare?

Yes. Kenneth Karlin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Karlin was last updated on November 15, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.