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DR. EDMOND HARTLEY THALL M.D.
NPI 1063475358
Ophthalmology in Highland Heights, OH

Active since April 09, 2006PECOS EnrolledAccepts Medicare Assignment
223 GRAPPA FARMS DR, HIGHLAND HEIGHTS, OH 44143(231) 220-5369 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2026, Sep 20, 2024, Jan 15, 2021 and 1 more (4 updates tracked since 2016).

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

NPI1063475358
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. EDMOND HARTLEY THALLCredential: M.D.
Location Address223 GRAPPA FARMS DRHighland Heights, OH 44143-3720
Mailing Address223 Grappa Farms DrHighland Heights, OH 44143-3720 · (231) 220-5369
Phone(231) 220-5369
Sole ProprietorYes
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1981
Enumeration DateApril 9, 2006
Last NPPES UpdateMarch 4, 20264 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1063475358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in ND · LT23941
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.
223 GRAPPA FARMS DR, Highland Heights, OH 44143
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Secondary Practice Location 1

Location 1620 N 9th StBismarck, ND 58501-4112 · Phone (701) 222-2020

Other Identifiers 2

Medicaid64432017CO
Medicaid127627104TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.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. 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.

PECOS PAC ID3779482914
PECOS Enrollment IDI20241118003801, I20260203003796
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 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.

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.
29 services29 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.
24 services24 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.
12 services12 patients

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.

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.

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.

What insurance does Edmond Thall accept?

Health plans from Antidote Health Plan of Ohio, Inc., 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 2 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 5 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.