DR. KAREN E MCPHERSON O.D.
NPI 1023169638
Optometrist in Beavercreek, OH

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
89 SYLVANIA DR, BEAVERCREEK, OH 45440(937) 320-2020(937) 320-0504 Get Directions Write a Review

NPPES record last updated: February 10, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Karen E Mcpherson O.d. NPPES

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

DR. KAREN E MCPHERSON O.D. (NPI 1023169638) is an individual optometrist in Beavercreek, Ohio, licensed in Ohio (4813-T1678) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1995).

NPPES Registry Identity

NPI1023169638
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KAREN E MCPHERSONCredential: O.D.
Location Address89 SYLVANIA DRBeavercreek, OH 45440-3281
Mailing Address89 Sylvania DrBeavercreek, OH 45440-3281 · (937) 320-2020 · Fax (937) 320-0504
Fax(937) 320-0504
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1995
Enumeration DateJanuary 12, 2007
Last NPPES UpdateFebruary 10, 2016
NPI 1023169638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in OH · 4813-T1678 Licensed in MI · 4901004088 Licensed in CT · 002713
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

89 SYLVANIA DR, Beavercreek, OH 45440

Other Identifiers 2

Medicare PIN410001211CT
Medicare UPINU62122

Accepted 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. Karen E Mcpherson O.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 ID1456459619
PECOS Enrollment IDI20150521000544
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 10

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 office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
360 services267 patients
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.
131 services131 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 services99 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).
88 services67 patients
Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
80 services76 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.
78 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45440 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Specialist
89 SYLVANIA DR
DAYTON, OH 45440
Optometrist
89 SYLVANIA DR
DAYTON, OH 45440
Specialist
89 SYLVANIA DR
DAYTON, OH 45440
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
89 SYLVANIA DR
DAYTON, OH 45440
Specialist
89 SYLVANIA DR
BEAVERCREEK, OH 45440
Optometrist
89 SYLVANIA DR
DAYTON, OH 45440
Specialist
89 SYLVANIA DR
DAYTON, OH 45440
Optometrist
89 SYLVANIA DR
DAYTON, OH 45440

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 Karen Mcpherson's NPI number?

The NPI number for Karen Mcpherson is 1023169638. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Karen Mcpherson located?

Karen Mcpherson practices at 89 Sylvania Dr, Beavercreek, OH 45440. The listed phone number is (937) 320-2020.

What is Karen Mcpherson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Karen Mcpherson enrolled in Medicare?

Yes. Karen Mcpherson 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 Karen Mcpherson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Karen Mcpherson 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 Karen Mcpherson was last updated on February 10, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.