DR. MONICA KALIA OD
NPI 1598076895
Optometrist in Evansville, IN

Active since July 01, 2010PECOS EnrolledAccepts Medicare Assignment
85.19/100
CMS Quality Rating
6149 E COLUMBIA ST, EVANSVILLE, IN 47715(812) 424-2020(812) 424-3000 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 30, 2025, Apr 11, 2019, Mar 4, 2019 (3 updates tracked since 2019).

About Dr. Monica Kalia Od NPPES

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

DR. MONICA KALIA OD (NPI 1598076895) is an individual optometrist in Evansville, Indiana, licensed in Indiana (18003636A) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2010).

NPPES Registry Identity

NPI1598076895
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MONICA KALIACredential: OD
Location Address6149 E COLUMBIA STEvansville, IN 47715-9134
Mailing Address6149 E Columbia StEvansville, IN 47715-9134 · (812) 424-2020 · Fax (812) 424-3000
Fax(812) 424-3000
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2010
Enumeration DateJuly 1, 2010
Last NPPES UpdateMay 30, 20253 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
NPI 1598076895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in IN · 18003636A Licensed in IL · 046010477
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
6149 E COLUMBIA ST, Evansville, IN 47715

Other Identifiers 3

Medicaid200998220IN
Medicaid7100305010KY
Medicaid046010477IL

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

Dr. Monica Kalia Od 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 ID7416144977
PECOS Enrollment IDI20110718000790
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 9

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 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.
153 services122 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.
125 services123 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.
97 services86 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.
71 services66 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).
55 services52 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.
52 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47715 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

85.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.76
Improvement Activities40
Cost77.63

Other Providers at the Same Location NPPES 8

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

Ophthalmology
6149 E COLUMBIA ST
EVANSVILLE, IN 47715
Ophthalmology
6149 E COLUMBIA ST
EVANSVILLE, IN 47715
Ophthalmology
6149 E COLUMBIA ST
EVANSVILLE, IN 47715
Ophthalmology
6149 E COLUMBIA ST
EVANSVILLE, IN 47715
Ophthalmology
6149 E COLUMBIA ST
EVANSVILLE, IN 47715
Ophthalmology
6149 E COLUMBIA ST
EVANSVILLE, IN 47715
Ophthalmology
6149 E COLUMBIA ST
EVANSVILLE, IN 47715
Optometrist
6149 E COLUMBIA ST
EVANSVILLE, IN 47715

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 Monica Kalia's NPI number?

The NPI number for Monica Kalia is 1598076895. It was assigned to this individual provider in the NPPES registry on July 1, 2010.

Where is Monica Kalia located?

Monica Kalia practices at 6149 E Columbia St, Evansville, IN 47715. The listed phone number is (812) 424-2020.

What is Monica Kalia's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Monica Kalia enrolled in Medicare?

Yes. Monica Kalia 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 Monica Kalia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter from Meridian and 1 other insurer list Monica Kalia 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 Monica Kalia was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.