MR. KENNETH N DARVIN M.D.
NPI 1992786800
Ophthalmology in Perth Amboy, NJ

Active since November 08, 2005PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
104 MARKET ST, PERTH AMBOY, NJ 08861(732) 826-5159(732) 826-2107 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kenneth N Darvin M.d. NPPES

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

MR. KENNETH N DARVIN M.D. (NPI 1992786800) is an individual ophthalmology provider in Perth Amboy, New Jersey, licensed in New Jersey (MA062718) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1990).

NPPES Registry Identity

NPI1992786800
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMR. KENNETH N DARVINCredential: M.D.
Location Address104 MARKET STPerth Amboy, NJ 08861-4412
Mailing Address104 Market StPerth Amboy, NJ 08861-4412 · (732) 826-5159 · Fax (732) 826-2107
Fax(732) 826-2107
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1990
Enumeration DateNovember 8, 2005
Last NPPES UpdateSeptember 4, 2019
NPI 1992786800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NJ · MA062718
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 25MA06271800 (NJ)
104 MARKET ST, Perth Amboy, NJ 08861

Other Identifiers 1

Medicaid8940908NJ

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

Mr. Kenneth N Darvin 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 ID4183655178
PECOS Enrollment IDI20050830000357
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 16

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.

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.
1,440 services582 patients
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.
1,291 services827 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.
832 services164 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.
674 services76 patients
Injection, ranibizumab, 0.1 mg J2778
Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.
660 services24 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.
531 services469 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08861 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost90.08

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%316 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 6

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

Ophthalmology
104 MARKET ST
PERTH AMBOY, NJ 08861
Ophthalmology
104 MARKET ST
PERTH AMBOY, NJ 08861
Optometrist
104 MARKET ST
PERTH AMBOY, NJ 08861
Ophthalmology
104 MARKET ST
PERTH AMBOY, NJ 08861
Ophthalmology
104 MARKET ST
PERTH AMBOY, NJ 08861
Ophthalmology
104 MARKET ST
PERTH AMBOY, NJ 08861

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 Kenneth Darvin's NPI number?

The NPI number for Kenneth Darvin is 1992786800. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Kenneth Darvin located?

Kenneth Darvin practices at 104 Market St, Perth Amboy, NJ 08861. The listed phone number is (732) 826-5159.

What is Kenneth Darvin's specialty?

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

Is Kenneth Darvin enrolled in Medicare?

Yes. Kenneth Darvin 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 Kenneth Darvin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Kenneth Darvin 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 Kenneth Darvin was last updated on September 4, 2019. 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.