JAYA BADHWAR KUMAR MD
NPI 1871855049
Ophthalmology in Orlando, FL

Active since June 13, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
95 COLUMBIA ST, ORLANDO, FL 32806(407) 849-9621(407) 420-4056 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2022, Sep 11, 2018, Aug 13, 2018 and 2 more (5 updates tracked since 2018).

About Jaya Badhwar Kumar Md NPPES

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

JAYA BADHWAR KUMAR MD (NPI 1871855049) is an individual ophthalmology provider in Orlando, Florida, licensed in Florida (ME134614) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1871855049
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameJAYA BADHWAR KUMARCredential: MD
Location Address95 COLUMBIA STOrlando, FL 32806-1101
Mailing Address95 Columbia StOrlando, FL 32806-1101 · (407) 849-9621 · Fax (904) 996-1446
Fax(407) 420-4056
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2012
Enumeration DateJune 13, 2012
Last NPPES UpdateApril 20, 20235 updates tracked since enumeration
NPPES CertifiedApril 20, 2023
NPI 1871855049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in FL · ME134614
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.
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License ME134614 (FL)
95 COLUMBIA ST, Orlando, FL 32806

Other Names 1

Former Name (1)Jaya Badhwar Md

Secondary Practice Locations 4

Location 1790 South Highway 27 / 441Lady Lake, FL 32159-4540 · Phone (352) 259-9944 · Fax (352) 259-9926
Location 21025 Primera BlvdLake Mary, FL 32746-2175 · Phone (407) 333-1570 · Fax (407) 333-1381
Location 3564 Health BlvdDaytona Beach, FL 32114-1492 · Phone (386) 258-5777 · Fax (386) 239-8984
Location 4424 Treemonte DrOrange City, FL 32763-7978 · Phone (386) 775-9909 · Fax (386) 775-7344

Other Identifiers 1

Medicaid023791300FL

Accepted 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

Jaya Badhwar Kumar 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 ID2466747993
PECOS Enrollment IDI20180622000395
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 21

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
15,780 services65 patients
Unclassified drugs J3490
Unclassified drugs are medications that don't fit into an existing category or class due to their unique properties or uses. They may be used for various conditions and their effects may differ widely. Always ask your healthcare provider for more information about these drugs.
5,143 services72 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,909 services514 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
1,784 services244 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.
1,687 services691 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.
1,644 services1,348 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100017
Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32806 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Ophthalmology
95 COLUMBIA ST
ORLANDO, FL 32806
Ophthalmology
95 COLUMBIA ST
ORLANDO, FL 32806
Ophthalmology
95 COLUMBIA ST
ORLANDO, FL 32806
Ophthalmology
95 COLUMBIA ST
ORLANDO, FL 32806
Ophthalmology
95 COLUMBIA ST
ORLANDO, FL 32806
Ophthalmology
95 COLUMBIA ST
ORLANDO, FL 32806
Ophthalmology
95 COLUMBIA ST
ORLANDO, FL 32806
Ophthalmology
95 COLUMBIA ST
ORLANDO, FL 32806

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 Jaya Kumar's NPI number?

The NPI number for Jaya Kumar is 1871855049. It was assigned to this individual provider in the NPPES registry on June 13, 2012. The provider is also known as Jaya Badhwar MD.

Where is Jaya Kumar located?

Jaya Kumar practices at 95 Columbia St, Orlando, FL 32806. The listed phone number is (407) 849-9621.

What is Jaya Kumar's specialty?

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

Is Jaya Kumar enrolled in Medicare?

Yes. Jaya Kumar 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 Jaya Kumar accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Blue Cross Blue Shield of Wyoming and 6 other insurers list Jaya Kumar 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 Jaya Kumar affiliated with any hospitals?

According to CMS data, Jaya Kumar is affiliated with Adventhealth Orlando and Halifax Health Medical Center.

When was this NPI record last updated?

The NPPES record for Jaya Kumar was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.