Medicare Enrolled

Dr. Kara Kvilekval, MD

Optician · East Setauket, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
4 TECHNOLOGY DR, East Setauket, NY 11733
6312468289
In practice since 2005 (21 years)
NPI: 1205832383 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Kvilekval from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Kvilekval

Dr. Kara Kvilekval is an optician specialist in East Setauket, NY, with 21 years of NPI registration. Based on federal Medicare data, Dr. Kvilekval performed 2,219 Medicare services across 1,672 unique beneficiaries.

Between the years covered by Open Payments, Dr. Kvilekval received a total of $793 from 4 pharmaceutical and/or device companies across 27 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Kvilekval is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 21 years in practice ▲ Top 33% volume in NY $793 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,219
Medicare services
Top 33% in NY for optician
1,672
Unique beneficiaries
$122
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~106 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
461 $115 $467
Ultrasound of head and neck blood flow, bilateral
An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck.
278 $176 $746
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
264 $82 $331
Ultrasound of arm and leg arteries
A non-invasive imaging test that uses sound waves to examine the blood vessels in the arms and legs. It evaluates blood flow and checks for blockages or other vascular issues.
243 $108 $498
Ultrasound of arm or leg veins
An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers.
192 $171 $733
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
154 $72 $275
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts
A complete ultrasound exam of the aorta, vena cava, groin vessels, or bypass grafts. This imaging test uses sound waves to visualize these blood vessels.
102 $164 $712
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
93 $120 $492
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
90 $101 $411
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
89 $153 $611
Skin and tissue removal, 20 sq cm or less
This procedure involves the surgical excision of skin and underlying tissue from an area measuring 20 square centimeters or smaller.
60 $122 $817
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
55 $50 $326
Ultrasound of hemodialysis access
An ultrasound imaging test used to evaluate the blood flow and structure of a hemodialysis access site.
51 $122 $578
Ultrasound of leg arteries or grafts
An ultrasound exam that uses sound waves to create images of the arteries in one leg or any grafts present in that leg.
41 $113 $597
Vein wound compression bandage application, lower leg, ankle, and foot
Application of compression bandages to the lower leg, ankle, and foot to manage vein-related wounds.
26 $64 $2,354
Ultrasound of leg arteries or grafts
An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present.
20 $196 $953
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
4.6% high complexity
37.2% medium
58.2% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$793
Total received (2019-2024)
Avg $198/year across 4 years
Bottom 48% in NY for optician
4
Companies
27
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$793 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$111
2023
$382
2022
$196
2019
$105

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$111
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2019-2024) ›
Medtronic, Inc.
$513
ShockWave Medical, Inc
$175
Biocompatibles, Inc.
$82
Penumbra, Inc.
$23
Top 3 companies account for 97.1% of all-time payments
Associated products mentioned in payments ›
ABRE · CHOCOLATE PTA BALLOON CATHETER · HAWKONE · IN.PACT ADMIRAL · IN.PACT AV · Indigo · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · VARITHENA
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an optician specialist in East Setauket?
Compare opticians in the East Setauket area by procedure volume, costs, and industry payment transparency.
Browse opticians nearby

Geographic Context

Opticians within 10 mi
3,034
Per 100K population
198.9
County median income
$128,329
Nearest hospital
SUNY/STONY BROOK UNIVERSITY HOSPITAL
1.6 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Kvilekval is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 21 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Kvilekval experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Kvilekval performed 461 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Kvilekval receive payments from pharmaceutical companies?
Yes. Dr. Kvilekval received a total of $793 from 4 companies across 27 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Kvilekval's costs compare to other opticians in East Setauket?
Dr. Kvilekval's average Medicare payment per service is $122. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Kvilekval) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →