JAMES ROY KNOWLES M.D.
NPI 1053306001
Ophthalmology in Beavercreek, OH

Q: What is James Knowles's NPI number?

The NPI number for James Knowles is 1053306001. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Q: What is James Knowles'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 James Knowles was last updated on February 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 September 15, 2005PECOS EnrolledAccepts Medicare Assignment

42.77/100

CMS Quality Rating

4235 INDIAN RIPPLE RD, STE 100, BEAVERCREEK, OH 45440(937) 427-2020(937) 429-1144 Get Directions Write a Review

NPPES record last updated: February 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About James Roy Knowles M.d. NPPES

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

JAMES ROY KNOWLES M.D. (NPI 1053306001) is an individual ophthalmology provider in Beavercreek, Ohio, licensed in Ohio (35-08-5811-K) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Mayo Medical School (1984).

NPPES Registry Identity

NPI1053306001

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameJAMES ROY KNOWLESCredential: M.D.

Location Address4235 INDIAN RIPPLE RD, STE 100Beavercreek, OH 45440-3247

Mailing Address4235 Indian Ripple Rd, Ste 100Beavercreek, OH 45440-3247 · (937) 427-2020 · Fax (937) 429-1144

Phone(937) 427-2020

Fax(937) 429-1144

Sole ProprietorNo

Medical School CMSMayo Medical SchoolGraduated 1984

Enumeration DateSeptember 15, 2005

Last NPPES UpdateFebruary 8, 2008

✔ NPI 1053306001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in OH · 35-08-5811-K✔ Licensed in TN · 42080

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.

4235 INDIAN RIPPLE RD, Beavercreek, OH 45440

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Other Identifiers 5

Medicaid3000265TN

Medicare PINKN4163121OH

Medicare PIN3000265TN

Medicare UPINI33728

Medicaid2574478OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

James Roy Knowles 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 ID7719914704

PECOS Enrollment IDI20050721000193

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 12

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.

498 services358 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

357 services215 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

301 services188 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.

228 services149 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

215 services215 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).

180 services144 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

142 services89 patients

Microfluid analysis of tears 83861

Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.

98 services49 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

43 services31 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

35 services26 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.

31 services31 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

15 services11 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.

42.77/100

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

Individually scored

Quality

Improvement Activities

Cost

42.56

Other Providers at the Same Location NPPES 8

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

JOSEPH S. LEITHOLD, M.D., LLC

Family Medicine

4235 INDIAN RIPPLE RD, SUITE 210
DAYTON, OH 45440

Montgomery County (937) 427-9202

MVHE INC

Family Medicine

4235 INDIAN RIPPLE RD, SUITE 210
BEAVERCREEK, OH 45440

Montgomery County (937) 427-9671

DR. KELLEY MELISSA BASINGER O.D.

Optometrist

4235 INDIAN RIPPLE RD, STE 100
BEAVERCREEK, OH 45440

Montgomery County (937) 427-2020

ANESTHESIA SERVICES OF GREATER DAYTON, LLC

Nurse Anesthetist, Certified Registered

4235 INDIAN RIPPLE RD
BEAVERCREEK, OH 45440

Montgomery County (937) 427-2020

EYE LASER AND SURGERY CENTER LLC

Clinic/Center (Ambulatory Surgical)

4235 INDIAN RIPPLE RD, STE 110
BEAVERCREEK, OH 45440

Montgomery County (937) 427-7800

DAYTON DENTAL SPECIALTIES

Dentist (Orthodontics and Dentofacial Orthopedics)

4235 INDIAN RIPPLE RD, SUITE 200A
BEAVERCREEK, OH 45440

Montgomery County (937) 802-0901

DR. BRIAN RAY STAHL M.D.

Ophthalmology

4235 INDIAN RIPPLE RD, STE 100
BEAVERCREEK, OH 45440

Montgomery County (937) 427-2020

STAHL VISION INC

Ophthalmology

4235 INDIAN RIPPLE RD, STE 100
BEAVERCREEK, OH 45440

Montgomery County (937) 427-2020

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 James Knowles's NPI number?

The NPI number for James Knowles is 1053306001. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is James Knowles located?

James Knowles practices at 4235 Indian Ripple Rd Ste 100, Beavercreek, OH 45440. The listed phone number is (937) 427-2020.

What is James Knowles's specialty?

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

Is James Knowles enrolled in Medicare?

Yes. James Knowles 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 James Knowles accept?

Health plans from CareSource list James Knowles 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 James Knowles was last updated on February 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.