MICHAEL KOVAL M.D.
NPI 1710246772
Ophthalmology in Farmington, CT

Q: What is Michael Koval's NPI number?

The NPI number for Michael Koval is 1710246772. It was assigned to this individual provider in the NPPES registry on May 11, 2012.

Q: What is Michael Koval's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Koval was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 11, 2012PECOS EnrolledAccepts Medicare Assignment

93.93/100

CMS Quality Rating

499 FARMINGTON AVE, SUITE 100, FARMINGTON, CT 06032(860) 678-0202 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2020, Oct 9, 2019, Feb 2, 2016 (3 updates tracked since 2016).

On this page

About Michael Koval M.d. NPPES

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

MICHAEL KOVAL M.D. (NPI 1710246772) is an individual ophthalmology provider in Farmington, Connecticut, licensed in Pennsylvania (MD445310) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (2008).

NPPES Registry Identity

NPI1710246772

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameMICHAEL KOVALCredential: M.D.

Location Address499 FARMINGTON AVE, SUITE 100Farmington, CT 06032-1943

Mailing Address499 Farmington Ave, Suite 100Farmington, CT 06032-1943 · (860) 678-0202

Phone(860) 678-0202

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2008

Enumeration DateMay 11, 2012

Last NPPES UpdateAugust 3, 20203 updates tracked since enumeration

NPPES CertifiedAugust 3, 2020

✔ NPI 1710246772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in PA · MD445310

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.

499 FARMINGTON AVE, Farmington, CT 06032

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Other Identifiers 1

MedicaidAVRS 004001624CT

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

Michael Koval M.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 ID840447298

PECOS Enrollment IDI20130410000382

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 19

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.

823 services655 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).

586 services572 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.

392 services375 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

319 services251 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.

133 services84 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.

92 services56 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.

81 services79 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

63 services62 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

60 services50 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.

55 services46 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.

51 services50 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

48 services48 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.

47 services45 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

42 services26 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.

42 services41 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

32 services32 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.

30 services30 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

16 services16 patients

Insertion of eye fluid drainage device 66183

The insertion of an eye fluid drainage device is a procedure to manage eye pressure. A small device is placed in the eye to help drain excess fluid, reducing pressure that can damage the optic nerve and lead to vision loss. This procedure is often used for glaucoma treatment.

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06032 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

$138.84 typical visit price

range $60.82 – $183.10

Typical copayment $34.71 (range $15.20 – $45.77)

Most-billed visit code 99204

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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.

93.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

79.77

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020

Other-Vision, Hearing, and Speech Services · category OC000N

3 suppliers11 claims11 services$47.22 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

DANIEL J CATUCCIO RPT

Physical Therapist

499 FARMINGTON AVE, 3RD FLOOR
FARMINGTON, CT 06032

Capitol Planning Region (860) 667-5494

SEEMA SHETH M.D.

Urology

499 FARMINGTON AVE, SUITE 220
FARMINGTON, CT 06032

Capitol Planning Region (860) 678-7300

ALEXANDRA GUNTER

Nurse Practitioner (Family)

499 FARMINGTON AVE
FARMINGTON, CT 06032

Capitol Planning Region (860) 678-7300

C. MITCHELL GILBERT M.D.

Ophthalmology

499 FARMINGTON AVE, SUITE 100
FARMINGTON, CT 06032

Capitol Planning Region (860) 678-0202

DR. KIMBERLY A DITOLLA O.D.

Optometrist

499 FARMINGTON AVE, SUITE 100
FARMINGTON, CT 06032

Capitol Planning Region (860) 678-0202

ORTHOPEDIC ASSOCIATES OF HARTFORD,PC

Durable Medical Equipment & Medical Supplies

499 FARMINGTON AVE, SUITE 300
FARMINGTON, CT 06032

Capitol Planning Region (860) 549-3210

MICHAEL P GINGOLD M.D.

Ophthalmology

499 FARMINGTON AVE, SUITE 100
FARMINGTON, CT 06032

Capitol Planning Region (860) 678-0202

CRAIG A MEHLDAU M.D.

Ophthalmology

499 FARMINGTON AVE, SUITE 100
FARMINGTON, CT 06032

Capitol Planning Region (860) 678-0202

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 Michael Koval's NPI number?

The NPI number for Michael Koval is 1710246772. It was assigned to this individual provider in the NPPES registry on May 11, 2012.

Where is Michael Koval located?

Michael Koval practices at 499 Farmington Ave Suite 100, Farmington, CT 06032. The listed phone number is (860) 678-0202.

What is Michael Koval's specialty?

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

Is Michael Koval enrolled in Medicare?

Yes. Michael Koval 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 Michael Koval 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 Michael Koval 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 Michael Koval was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.