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DR. KEVIN THOMAS WILLEFORD O.D., M.S.
NPI 1922413558
Optometrist in Davie, FL

Active since June 23, 2014PECOS EnrolledAccepts Medicare Assignment
76.76/100
CMS Quality Rating
3200 S UNIVERSITY DR, DAVIE, FL 33328(954) 262-4200(954) 262-3217 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kevin Thomas Willeford O.d., M.s. NPPES

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

DR. KEVIN THOMAS WILLEFORD O.D., M.S. (NPI 1922413558) is an individual optometrist in Davie, Florida, licensed in Florida (OPFC96) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2014).

NPPES Registry Identity

NPI1922413558
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KEVIN THOMAS WILLEFORDCredential: O.D., M.S.
Location Address3200 S UNIVERSITY DRDavie, FL 33328-2018
Mailing AddressPo Box 290370Davie, FL 33329-0370 · (954) 262-4200 · Fax (954) 262-3217
Phone(954) 262-4200
Fax(954) 262-3217
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2014
Enumeration DateJune 23, 2014
Last NPPES UpdateFebruary 27, 2020
✔ NPI 1922413558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in FL · OPFC96✔ Licensed in NY · TUV008192-1
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.
3200 S UNIVERSITY DR, Davie, FL 33328
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, AvMed, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin Thomas Willeford O.d., M.s. 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 ID547506925
PECOS Enrollment IDI20200316001280
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kevin Willeford reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nova Southeastern University, Inc
Same address
Family Medicine
3200 S UNIVERSITY DR
Davie, FL 33328
  • Reassigned Medicare billing, Florida enrollment
  • 264 clinicians in this Medicare group
NPI 1447345517 (954) 262-4100
State Of New York Comptrollers Office
1,073 mi
Optometrist
33 WEST 42ND STREET, CLINICAL ADMINISTRATION
New York, NY 10036
  • Reassigned Medicare billing, New York enrollment
  • 216 clinicians in this Medicare group
NPI 1407829856 (212) 938-4030

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33328 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

76.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.13
Improvement Activities40
Cost65.98

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.

DR. NADINE M GIRGIS - HANNA O.D.
Optometrist
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-1728
MOBILEDERM, INC.
Dermatology
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 970-5824
ROJIN FATIRKHORANI DO
Student in an Organized Health Care Education/Training Program
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-1300
DR. MICHAEL NICOLAE GEORGESCU D.M.D.
Dentist (General Practice)
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-1835
JOEL MELVIN HAUPTMAN DDS
Dentist (Prosthodontics)
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-1909
DR. ANTONIO GODOY DDS., MS.
Dentist (Prosthodontics)
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-1908
SHIVA KHATAMI D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-7500
MS. KAREN S. BASEDOW RD
Dietitian, Registered
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-4100

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 Willeford's NPI number?

The NPI number for Kevin Willeford is 1922413558. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Kevin Willeford located?

Kevin Willeford practices at 3200 S University Dr, Davie, FL 33328. The listed phone number is (954) 262-4200.

What is Kevin Willeford's specialty?

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

Is Kevin Willeford enrolled in Medicare?

Yes. Kevin Willeford 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.

Which organizations bill Medicare for Kevin Willeford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Willeford reassigns Medicare benefits to 2 organizations: Nova Southeastern University, Inc (Davie, FL) and State Of New York Comptrollers Office (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Willeford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Willeford accept?

Health plans from Anthem Blue Cross and Blue Shield, AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health and 8 other insurers list Kevin Willeford 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 Willeford was last updated on February 27, 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.