Patrick A Hageman, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

2010-00023 Issued in NC

Practice address

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

Phone

(336) 992-9637

Fax

(336) 992-9638

NPI assigned

Nov 7, 2005

Last updated

Feb 12, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Ophthalmology

Education

University of Iowa, RJ & L Carver College of Medicine, 2002

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)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: phageman@kes.intellechartdirect.net
• Direct secure messaging: phageman144790@direct.novanthealth.org

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

• Kernersville Eye Surgeons, PC

  • Ophthalmology Physician
  • Kernersville, NC
  • NPI 1750601803
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1629059860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N MAIN ST STE 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 STE 144",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272844003",
            "telephone_number": "336-992-9637",
            "fax_number": "336-992-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEMAN",
        "first_name": "PATRICK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "29832",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2010-00023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phageman@kernersvilleeyesurgeons.imwdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "210 N Main St Ste 144",
            "city": "Kernersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272844003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Guardian Pharmacy of Eastern NC, LLC (Southern Pharmacy Services Winston-Salem)
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• April Gunter, MS, RD, CSG, LDN
• A'Leah N Gunthrope
• Emily S Gurley
• Ashley N Hairston, BT
• Latosha Hairston, LCMHC-A
• Fatema Haji
• Ashley Hall, PHARMD
• Scott Hall, PHARMD

• Ophthalmology Physician in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.