KEVIN LAVERY (MD) – Ophthalmology Physician, NPI 1629073036
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
844 OPHTHALMOLOGY in MI
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Provider Addresses for KEVIN LAVERY (MD)
West North Street, Carbondale, Jackson County, Illinois, 62901, United States
JACKSON, MI 492023196
Phone: (877) 852-8463
Fax: (517) 817-0144
Type: Mailing
West Ganson Street, Jackson, Jackson County, Michigan, 49202, United States
JACKSON, MI 492024240
Phone: (517) 782-9436
Fax: (517) 782-5166
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $523.
Total Amount is formed as General ($523) + Research ($0) + Ownership ($0) = $523.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Alcon Vision LLC ($333).
Total Amount
$523
General + Research + Ownership
Payments
6
Total payment records
General Amount
$523
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $333 |
| Johnson & Johnson Surgical Vision, Inc. | $190 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-02-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100202000280 | I | Ophthalmology | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 66821 | Removal of recurring cataract in lens capsule using a laser | 99 | 74 | $0 |
| 92004 | New patient complete exam of visual system | 45 | 45 | $0 |
| 92012 | Established patient problem focused exam of visual system | 28 | 27 | $0 |
| 92014 | Established patient complete exam of visual system | 22 | 22 | $0 |
| 92083 | Exam of visual field with extended testing | 21 | 21 | $0 |
Insurance plans in this area (ZIP 49202)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | MI | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 336 | 274 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MI | |
| O P H T H A L M O L O G Y | MI | |
| O P H T H A L M O L O G Y | MI | |
| O P H T H A L M O L O G Y | KY | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MI | |
| O P H T H A L M O L O G Y | MI | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MI | |
| O P H T H A L M O L O G Y | MI |
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