DR. PAUL FREDERICK FRANCKE M.D.
NPI 1013910421
Ophthalmology in Charleston, WV

Q: What is Paul Francke's NPI number?

The NPI number for Paul Francke is 1013910421. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Q: What is Paul Francke's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Francke was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

1220 LEE ST E STE 203, CHARLESTON, WV 25301(304) 343-4124(304) 343-4167 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2021, Jan 9, 2020 (2 updates tracked since 2020).

On this page

About Dr. Paul Frederick Francke M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL FREDERICK FRANCKE M.D. (NPI 1013910421) is an individual ophthalmology provider in Charleston, West Virginia, licensed in West Virginia (12293) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (1979).

NPPES Registry Identity

NPI1013910421

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. PAUL FREDERICK FRANCKECredential: M.D.

Location Address1220 LEE ST E STE 203Charleston, WV 25301-1864

Mailing Address1220 Lee St E Ste 203Charleston, WV 25301-1864 · (304) 343-4124 · Fax (304) 343-4167

Phone(304) 343-4124

Fax(304) 343-4167

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 1979

Enumeration DateMay 31, 2005

Last NPPES UpdateOctober 19, 20212 updates tracked since enumeration

NPPES CertifiedOctober 19, 2021

✔ NPI 1013910421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in WV · 12293

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1220 LEE ST E STE 203, Charleston, WV 25301

Open in Google Maps ↗

Other Identifiers 1

Medicaid0096899000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul Frederick Francke M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527171958

PECOS Enrollment IDI20111221000198

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

614 services600 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

358 services210 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

210 services208 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

198 services191 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

142 services140 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

106 services106 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$66.84 typical visit price

range $16.47 – $133.29

Typical copayment $16.71 (range $4.11 – $33.32)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Leave this field empty

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANCKE AND NUNLEY M.D.'S P.L.L.C.

Eyewear Supplier

1220 LEE ST E STE 203
CHARLESTON, WV 25301

Kanawha County (304) 343-4124

FRANCKE & NUNLEY, LLC

Technician/Technologist

1220 LEE ST E STE 203
CHARLESTON, WV 25301

Kanawha County (304) 343-4124

MICHAEL GRAY NUNLEY M.D.

Ophthalmology

1220 LEE ST E STE 203
CHARLESTON, WV 25301

Kanawha County (304) 343-4124

FRANCKE AND NUNLEY, M.D.'S P.L.L.C.

Specialist

1220 LEE ST E STE 203
CHARLESTON, WV 25301

Kanawha County (304) 343-4124

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Francke's NPI number?

The NPI number for Paul Francke is 1013910421. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Paul Francke located?

Paul Francke practices at 1220 Lee St E Ste 203, Charleston, WV 25301. The listed phone number is (304) 343-4124.

What is Paul Francke's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Paul Francke enrolled in Medicare?

Yes. Paul Francke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Francke accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Providence Health Plan list Paul Francke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Francke was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.