Individual provider Active NPI

Kirk A Murdock, MD

  • Ophthalmology Physician
  • Kernersville, NC
National Provider Identifier
1164426730
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
9600125 Issued in NC
Practice address
210 N Main St
Suite 144
Kernersville, NC 27284-4003
Phone
(336) 992-9637
Fax
(336) 992-9638
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101054116 VA
Ophthalmology Physician 207W00000X 9600125 NC Primary

Addresses

Primary practice location

210 N Main St
Suite 144
Kernersville, NC 27284-4003

Mailing address

210 N Main St
Suite 144
Kernersville, NC 27284-4003
Phone (336) 992-9637

Other identifiers 11

IdentifierTypeStateIssuer
000123C79OtherVAVA MEDICARE PROVIDER #
14115OtherNCPARTNERS PROVIDER #
61278OtherNCMEDCOST PROVIDER #
006303382OtherVAVA MEDICAID PROVIDER #
11608OtherNCOPTICARE PROVIDER #
240691OtherVAANTHEM BCBS PROVIDER #
180029126OtherNCRR MEDICARE PROVIDER #
278833OtherNCMAMSI PROVIDER #
4310482OtherNCAETNA PROVIDER #
61401OtherNCNC BCBS PROVIDER #
8961401MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101105000423 NC Practitioner - Ophthalmology 0143414920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kernersville Eye Surgeons PCGroup PAC ID 0749304350, 2 clinicians

Practice addresses (Care Compare)

210 N Main St
Suite 144
Kernersville, NC 27284-4003
Phone (336) 992-9637

Merit-based Incentive Payment System (MIPS)

Final score
87.44 of 100Reported as group
Quality
84.95
Promoting interoperability
100
Improvement activities
40
Cost
73.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101054116VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Carolina Surgical Eye Associates, P.a. Ophthalmology Current Accepting new patients
Kernersville Eye Surgeons, PC Ophthalmology CurrentSince Nov 7, 2019 Accepting new patients
Graystone Eye Surgery Center LLC Current Accepting new patients
Carolina Eye Associates Inc Ophthalmology Current Accepting new patients
Southeastern Cataract Laser Center Ophthalmology Past Accepting new patients

Locations

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

2424 Century Pl SE
Hickory, NC 28602
Phone 82832220506722

210 N Main St
Ste 144
Kernersville, NC 27284
Phone (336) 992-9637

931 S Main St
Ste B
Kernersville, NC 27284
Phone (336) 993-1600

2170 Midland Rd
Southern Pnes, NC 28387
Phone (910) 295-1221

Interoperability endpoints

  • Direct secure messaging: kmurdock@kes.intellechartdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kmurdock@kernersvilleeyesurgeons.imwdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1164426730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N MAIN ST",
            "address_2": "SUITE 144",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272844003",
            "telephone_number": "336-992-9637",
            "fax_number": "336-992-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N MAIN ST",
            "address_2": "SUITE 144",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272844003",
            "telephone_number": "336-992-9637",
            "fax_number": "336-992-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDOCK",
        "first_name": "KIRK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101054116",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "9600125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA MEDICARE PROVIDER #",
            "identifier": "000123C79",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PROVIDER #",
            "identifier": "14115",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST PROVIDER #",
            "identifier": "61278",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA MEDICAID PROVIDER #",
            "identifier": "006303382",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICARE PROVIDER #",
            "identifier": "11608",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PROVIDER #",
            "identifier": "240691",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PROVIDER #",
            "identifier": "180029126",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI PROVIDER #",
            "identifier": "278833",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "4310482",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BCBS PROVIDER #",
            "identifier": "61401",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8961401",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.