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DR. KEVIN RAYMOND ADER JR. OD
NPI 1649708314
Optometrist in Lynchburg, VA

Active since May 25, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1912 GRAVES MILL RD, LYNCHBURG, VA 24502(434) 385-7898 Get Directions Write a Review

NPPES record last updated: November 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 22, 2020, May 25, 2017 (2 updates tracked since 2017).

About Dr. Kevin Raymond Ader Jr. Od NPPES

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

DR. KEVIN RAYMOND ADER JR. OD (NPI 1649708314) is an individual optometrist in Lynchburg, Virginia, licensed in Virginia (0618002564) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2017).

NPPES Registry Identity

NPI1649708314
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KEVIN RAYMOND ADER JR.Credential: OD
Location Address1912 GRAVES MILL RDLynchburg, VA 24502-4237
Mailing Address111 Red Maple CtLynchburg, VA 24501 · (443) 834-5177
Phone(434) 385-7898
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2017
Enumeration DateMay 25, 2017
Last NPPES UpdateNovember 22, 20202 updates tracked since enumeration
NPPES CertifiedNovember 22, 2020
✔ NPI 1649708314 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 VA · 0618002564
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.
1912 GRAVES MILL RD, Lynchburg, VA 24502
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 Raymond Ader Jr. 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 ID4587934427
PECOS Enrollment IDI20170725003482
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 10

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 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.
471 services450 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).
130 services98 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.
126 services102 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.
97 services91 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.
74 services72 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
54 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24502 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
100%51 patients5/55-star benchmark: 87%
Diabetes: Eye Exam
100%241 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
100%28 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
98%2,985 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 397 patients
Patients screened: 99% · 397 patients
94%33 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
100%65 patients
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.

O VICTOR WEATHERHOLT PC
Optometrist
1912 GRAVES MILL RD
LYNCHBURG, VA 24502
Lynchburg City (434) 385-7898
OTIS VICTOR WEATHERHOLT O.D.
Optometrist
1912 GRAVES MILL RD
LYNCHBURG, VA 24502
Lynchburg City (434) 385-7898
KRADEROD LLC
Optometrist
1912 GRAVES MILL RD
LYNCHBURG, VA 24502
Lynchburg City (434) 385-7898

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 Ader's NPI number?

The NPI number for Kevin Ader is 1649708314. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Where is Kevin Ader located?

Kevin Ader practices at 1912 Graves Mill Rd, Lynchburg, VA 24502. The listed phone number is (434) 385-7898.

What is Kevin Ader's specialty?

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

Is Kevin Ader enrolled in Medicare?

Yes. Kevin Ader 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 Ader accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Kevin Ader 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 Ader was last updated on November 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.