DR. KALLA ALEXIS GERVASIO MD
NPI 1619409364
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Concord, NH
About Dr. Kalla Alexis Gervasio Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KALLA ALEXIS GERVASIO MD (NPI 1619409364) is an individual ophthalmic plastic and reconstructive surgery provider in Concord, New Hampshire, licensed in New Hampshire (25190) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Concord Hospital, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kalla Alexis Gervasio Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kalla Gervasio reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Manchester, NH 03104
- Reassigned Medicare billing, New Hampshire enrollment
- Medicare enrollment name: The Medical Eye Center PC
- 16 clinicians in this Medicare group
Iselin, NJ 08830
- Reassigned Medicare billing, New Jersey enrollment
- 61 clinicians in this Medicare group
King Of Prussia, PA 19406
- Reassigned Medicare billing, Pennsylvania enrollment
- 24 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Concord Hospital
Acute Care Hospitals · Concord, NHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 03301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kalla Gervasio's NPI number?
The NPI number for Kalla Gervasio is 1619409364. It was assigned to this individual provider in the NPPES registry on March 31, 2017.
Where is Kalla Gervasio located?
Kalla Gervasio practices at 248 Pleasant St Ste 1600, Concord, NH 03301. The listed phone number is (603) 224-2020.
What is Kalla Gervasio's specialty?
The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.
Is Kalla Gervasio enrolled in Medicare?
Yes. Kalla Gervasio 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.
Which organizations bill Medicare for Kalla Gervasio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kalla Gervasio reassigns Medicare benefits to 3 organizations: The Medical Eye Center, P.C. (Manchester, NH), Omni Eye Specialists P A (Iselin, NJ) and Delaware Valley Vision Associates Group Practice, LLC (King Of Prussia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kalla Gervasio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kalla Gervasio affiliated with any hospitals?
According to CMS data, Kalla Gervasio is affiliated with Concord Hospital.
When was this NPI record last updated?
The NPPES record for Kalla Gervasio was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Kalla Alexis Gervasio, MD · NPI 1619409364
Ophthalmic Plastic and Reconstructive Surgery physician in Concord, New Hampshire. Individual provider, active in the CMS NPPES registry since March 31, 2017.
## Identity
- **NPI:** 1619409364 (Entity type: Individual)
- **Enumerated:** March 31, 2017
- **Primary specialty:** Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery · taxonomy 207WX0200X
- **State license:** 25190 (New Hampshire)
- **Sole proprietor:** No
## Practice location
- **Address:** 248 PLEASANT ST STE 1600, Concord, NH 03301-2588
- **Phone:** (603) 224-2020 · **Fax:** (603) 228-0248
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Medical Eye Center, P.C. (NPI 1225004955, Manchester, NH); Omni Eye Specialists P A (NPI 1376593863, Iselin, NJ); Delaware Valley Vision Associates Group Practice, LLC (NPI 1902907371, King Of Prussia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619409364) · Data from the CMS NPPES public registry.