KEVIN LOWDER
NPI 1619330586
Ophthalmology in Forest, VA

Active since March 29, 2016PECOS EnrolledAccepts Medicare Assignment
74.95/100
CMS Quality Rating
1825 GRAVES MILL RD, FOREST, VA 24551(434) 385-5600 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2021, Apr 13, 2020, Mar 11, 2020 and 1 more (4 updates tracked since 2016).

About Kevin Lowder NPPES

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

KEVIN LOWDER (NPI 1619330586) is an individual ophthalmology provider in Forest, Virginia, licensed in Virginia (0101269195) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Centra Health - Lynchburg Gen Hospital, and maintains 12 additional practice locations.

NPPES Registry Identity

NPI1619330586
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKEVIN LOWDER
Location Address1825 GRAVES MILL RDForest, VA 24551-3967
Mailing AddressPo Box 45923Baltimore, MD 21297-5923 · (877) 969-0392
Sole ProprietorYes
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2016
Enumeration DateMarch 29, 2016
Last NPPES UpdateDecember 13, 20214 updates tracked since enumeration
NPPES CertifiedDecember 13, 2021
NPI 1619330586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in VA · 0101269195
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.
1825 GRAVES MILL RD, Forest, VA 24551

Secondary Practice Locations 12

Location 1204 Ambriar PlazaAmherst, VA 24521-2452 · Phone (434) 385-5600
Location 2530 S Jackson StLouisville, KY 40202-1675 · Phone (502) 562-3000
Location 31503 Enterprise DrLynchburg, VA 24502-5751 · Phone (434) 385-5600
Location 42047 Hamilton BlvdSouth Boston, VA 24592-2141 · Phone (434) 385-5600
Location 52108 Langhorne RdLynchburg, VA 24501-1424 · Phone (434) 385-5600
Location 6356 Front StLovingston, VA 22949-2294 · Phone (434) 385-5600
Location 71835 Graves Mill Rd Ste 1Forest, VA 24551-3967 · Phone (434) 385-5600
Location 8800 Memorial Dr Ste ADanville, VA 24541-1680 · Phone (434) 799-3232
Location 94244 Virginia AveCollinsville, VA 24078-1935 · Phone (434) 385-5600
Location 10191 Old Courthouse RdAppomattox, VA 24522-9853 · Phone (434) 385-5600
Location 111049 Brookdale St Ste CMartinsville, VA 24112-3972 · Phone (434) 799-3232
Location 121332A Lowry StBedford, VA 24523-3312 · Phone (434) 385-5600

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Kevin Lowder 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 ID9638443062
PECOS Enrollment IDI20200727000639
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 17

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.
701 services562 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.
418 services238 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.
394 services218 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
381 services291 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.
232 services188 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).
183 services147 patients

Hospital Affiliations CMS Care Compare

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

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490021
Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24551 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.

74.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability93
Improvement Activities40
Cost22.35

Other Providers at the Same Location NPPES 9

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

Optometrist
1825 GRAVES MILL RD
FOREST, VA 24551
Optometrist
1825 GRAVES MILL RD
FOREST, VA 24551
Optometrist
1825 GRAVES MILL RD
FOREST, VA 24551
Optometrist
1825 GRAVES MILL RD
FOREST, VA 24551
Ophthalmology
1825 GRAVES MILL RD
FOREST, VA 24551
Eyewear Supplier
1825 GRAVES MILL RD
FOREST, VA 24551
Ophthalmology
1825 GRAVES MILL RD
FOREST, VA 24551
Physician Assistant
1825 GRAVES MILL RD
FOREST, VA 24551

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 Kevin Lowder's NPI number?

The NPI number for Kevin Lowder is 1619330586. It was assigned to this individual provider in the NPPES registry on March 29, 2016.

Where is Kevin Lowder located?

Kevin Lowder practices at 1825 Graves Mill Rd, Forest, VA 24551. The listed phone number is (434) 385-5600.

What is Kevin Lowder's specialty?

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

Is Kevin Lowder enrolled in Medicare?

Yes. Kevin Lowder 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 Kevin Lowder 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 Kevin Lowder 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 Kevin Lowder affiliated with any hospitals?

According to CMS data, Kevin Lowder is affiliated with Centra Health - Lynchburg Gen Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Lowder was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.