1. Home
  2. Directory
  3. New Hampshire
  4. Concord
  5. Ophthalmology
  6. NPI Profile

DR. KALLA ALEXIS GERVASIO MD
NPI 1619409364
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Concord, NH

Active since March 31, 2017PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
248 PLEASANT ST STE 1600, CONCORD, NH 03301(603) 224-2020(603) 228-0248 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2024, Apr 25, 2024, Apr 10, 2024 and 5 more (8 updates tracked since 2017).

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

NPI1619409364
Entity TypeIndividualFemale
Primary Taxonomy207WX0200X
Provider Legal NameDR. KALLA ALEXIS GERVASIOCredential: MD
Location Address248 PLEASANT ST STE 1600Concord, NH 03301-2588
Mailing Address248 Pleasant St Ste 1600Concord, NH 03301-2588 · (603) 224-2020 · Fax (603) 228-0248
Phone(603) 224-2020
Fax(603) 228-0248
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 31, 2017
Last NPPES UpdateJuly 9, 20248 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1619409364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License✔ Licensed in NH · 25190
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
248 PLEASANT ST STE 1600, Concord, NH 03301
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and more.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. 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.

PECOS PAC ID1850642380
PECOS Enrollment IDI20260225000409
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 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.

Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
95 services74 patients
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.
43 services36 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.
28 services28 patients
Exam of visual field with intermediate testing 92082
An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.
24 services24 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.
16 services13 patients
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less 11440
This procedure involves the removal of a noncancerous skin growth on the face, ears, eyelids, nose, lips, or mouth that is 0.5 cm or less in size. It is a safe, routine treatment that helps maintain skin health and appearance.
13 services12 patients

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, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300001
Location250 Pleasant StConcord, NH 03301 · Merrimack County
Birthing friendly

Physician 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.

New Patient
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Other Providers at the Same Location NPPES 3

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

DAVID ALAN WEINBERG MD
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
248 PLEASANT ST STE 1600, CONCORD EYE CARE
CONCORD, NH 03301
Merrimack County (603) 224-2020
CATHERINE MARANDO MD
Ophthalmology
248 PLEASANT ST STE 1600
CONCORD, NH 03301
Merrimack County (603) 224-2020
JEROME C RAMOS ESTEBAN MD
Ophthalmology
248 PLEASANT ST STE 1600
CONCORD, NH 03301
Merrimack County (603) 224-2020

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.

What insurance does Kalla Gervasio accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Kalla Gervasio 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 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.