Active NPI
Michael Raymond Keverline, MD
- Ophthalmology Physician
- Chesapeake, VA
National Provider Identifier
1962401612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0101230614
- Practice address
- 3206 Churchland Blvd
Chesapeake, VA 23321-5206 - Phone
- (757) 484-0101
- Fax
- (757) 484-0515
- NPI assigned
- Jul 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 0101230614 | VA | Primary |
| Eyewear Supplier | 332H00000X | 7010360 | VA |
Addresses
Primary practice location
3206 Churchland Blvd
Chesapeake, VA 23321-5206
Mailing address
3206 Churchland Blvd
Chesapeake, VA 23321-5206
Phone (757) 484-0101
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8906674 | Medicaid | NC | |
| 010080371 | Medicaid | VA | |
| 4773409 | Other | VA | CIGNA |
| 29717 | Other | VA | OPTIMA |
| 102064 | Other | VA | ANTHEM BCBS |
| 2174956 | Other | VA | UNITED HEALTH CARE |
| 399105 | Other | VA | MAMSI |
| 7827286 | Other | VA | AETNA |
Other names 1
- Mr. Michael Raymond Keverline
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Pittsburgh School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3206 Churchland Blvd
Chesapeake, VA 23321-5206
Phone (757) 484-0101
Hospital & facility affiliations
- Bon Secours Maryview Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.52 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 75.07
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 290 |
| Removal of skin lesions | 30 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101230614 | VA | MD | Ophthalmology Physician |
| 7010360 | VA | MD | Eyewear Supplier |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Eye Care PLLC | Ophthalmology | Current | Accepting new patients |
| Optical Shoppe PLLC | Eyewear Supplier | Past | Accepting new patients |
Locations
3206 Churchland Blvd
Chesapeake, VA 23321
Phone (757) 484-0101
Interoperability endpoints
- mkeverline@southsideeye.intellechartdirect.net
Organizations & group practices 2
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.
-
- Eyewear Supplier
- Chesapeake, VA
- NPI 1487660221
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210204800000",
"number": "1962401612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3206 CHURCHLAND BLVD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233215206",
"telephone_number": "757-484-0101",
"fax_number": "757-484-0515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3206 CHURCHLAND BLVD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233215206",
"telephone_number": "757-484-0101",
"fax_number": "757-484-0515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEVERLINE",
"first_name": "MICHAEL",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2008-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "VA",
"license": "0101230614",
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "VA",
"license": "7010360",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8906674",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010080371",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4773409",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "29717",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "102064",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2174956",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "399105",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7827286",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "KEVERLINE",
"middle_name": "RAYMOND",
"prefix": "MR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.