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DR. KEVIN LOFLIN O.D.
NPI 1649241399
Optometrist in Zebulon, NC

Active since January 31, 2006PECOS EnrolledAccepts Medicare Assignment
89.9/100
CMS Quality Rating
817 E GANNON AVE, SUITE 101, ZEBULON, NC 27597(919) 269-9700 Get Directions Write a Review

NPPES record last updated: April 3, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Kevin Loflin O.d. NPPES

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

DR. KEVIN LOFLIN O.D. (NPI 1649241399) is an individual optometrist in Zebulon, North Carolina, licensed in North Carolina (1684) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1997).

NPPES Registry Identity

NPI1649241399
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KEVIN LOFLINCredential: O.D.
Location Address817 E GANNON AVE, SUITE 101Zebulon, NC 27597-9309
Mailing Address817 E Gannon Ave Ste 101Zebulon, NC 27597-8940 · (919) 269-9700
Phone(919) 269-9700
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1997
Enumeration DateJanuary 31, 2006
Last NPPES UpdateApril 3, 2017
✔ NPI 1649241399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NC · 1684
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.
817 E GANNON AVE, Zebulon, NC 27597
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Other Identifiers 5

Medicare PIN410047172NC
Other0916RNC · Bcbsnc Pin
Medicaid890916RNC
Medicare PIN2470922ANC
Medicare UPINU74535NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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. Kevin Loflin O.d. 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 ID3971639782
PECOS Enrollment IDI20100331000805
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.
271 services212 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
88 services88 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.
36 services23 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.
23 services21 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.
23 services23 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).
21 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27597 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

89.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality79.81
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
60%202 patients3/55-star benchmark: 87%
Diabetes: Eye Exam
100%355 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
30%46 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
96%2,863 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
94%86 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%730 patients5/55-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 3

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

DR. CHRISTOPHER MICHAEL WOZNIAK D.O.
Family Medicine
817 E GANNON AVE
ZEBULON, NC 27597
Wake County (193) 751-9759
KEVIN S LOFLIN OD PLLC
Optometrist
817 E GANNON AVE, SUITE 101
ZEBULON, NC 27597
Wake County (919) 269-9700
ANAIS OLIVERO PA-C
Physician Assistant
817 E GANNON AVE
ZEBULON, NC 27597
Wake County (919) 375-1975

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 Loflin's NPI number?

The NPI number for Kevin Loflin is 1649241399. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Kevin Loflin located?

Kevin Loflin practices at 817 E Gannon Ave Suite 101, Zebulon, NC 27597. The listed phone number is (919) 269-9700.

What is Kevin Loflin's specialty?

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

Is Kevin Loflin enrolled in Medicare?

Yes. Kevin Loflin 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 Loflin accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of Tennessee and 2 other insurers list Kevin Loflin 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 Kevin Loflin was last updated on April 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.