DR. EDMOND HARTLEY THALL M.D.
NPI 1063475358
Ophthalmology in Highland Heights, OH
About Dr. Edmond Hartley Thall M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDMOND HARTLEY THALL M.D. (NPI 1063475358) is an individual ophthalmology provider in Highland Heights, Ohio, licensed in North Dakota (LT23941) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bismarck, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1981).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Edmond Hartley Thall 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.
Medicare Billing Reassignments
4Medicare enrollment records show Edmond Thall reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 clinicians in this Medicare group
Erie, PA 16507
- Reassigned Medicare billing, Pennsylvania enrollment
- 11 clinicians in this Medicare group
York, PA 17408
- Reassigned Medicare billing, Pennsylvania enrollment
- 88 clinicians in this Medicare group
Bismarck, ND 58501
- Reassigned Medicare billing, North Dakota enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Edmond Thall's NPI number?
The NPI number for Edmond Thall is 1063475358. It was assigned to this individual provider in the NPPES registry on April 9, 2006.
Where is Edmond Thall located?
Edmond Thall practices at 223 Grappa Farms Dr, Highland Heights, OH 44143. The listed phone number is (231) 220-5369.
What is Edmond Thall's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Edmond Thall enrolled in Medicare?
Yes. Edmond Thall 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.
Which organizations bill Medicare for Edmond Thall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edmond Thall reassigns Medicare benefits to 4 organizations: University Hospitals Medical Group Inc (Cleveland, OH), Erie Retinal Surgery, Inc. (Erie, PA), Vision Innovation Centers Of Pennsylvania LLC (York, PA) and Eye Clinic Of Nd (Bismarck, ND). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edmond Thall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edmond Thall accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 11 other insurers list Edmond Thall 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 Edmond Thall was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Dr. Edmond Hartley Thall, M.D. · NPI 1063475358
Ophthalmology physician in Highland Heights, Ohio. Individual provider, active in the CMS NPPES registry since April 9, 2006.
## Identity
- **NPI:** 1063475358 (Entity type: Individual)
- **Enumerated:** April 9, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** LT23941 (North Dakota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 223 GRAPPA FARMS DR, Highland Heights, OH 44143-3720
- **Phone:** (231) 220-5369
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): University Hospitals Medical Group Inc (NPI 1669499414, Cleveland, OH); Erie Retinal Surgery, Inc. (NPI 1457313868, Erie, PA); Vision Innovation Centers Of Pennsylvania LLC (NPI 1609471150, York, PA); Eye Clinic Of Nd (NPI 1497853717, Bismarck, ND) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Perelman School Of Med At The University Of Pennsylvania, class of 1981
## Record status
- **NPPES last updated:** March 4, 2026
- **Other identifiers:** Medicaid 64432017 (CO); Medicaid 127627104 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1063475358) · Data from the CMS NPPES public registry.