DR. WILLIAM MICHAEL GAYNIER D.O
NPI 1073623427
Ophthalmology in Cincinnati, OH

Active since August 30, 2006PECOS Enrolled
78.78/100
CMS Quality Rating
3130 HIGHLAND AVE, CINCINNATI, OH 45219(513) 584-5461(513) 584-0828 Get Directions Write a Review

NPPES record last updated: November 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2017, Aug 4, 2017 (2 updates tracked since 2017).

About Dr. William Michael Gaynier D.o NPPES

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

DR. WILLIAM MICHAEL GAYNIER D.O (NPI 1073623427) is an individual ophthalmology provider in Cincinnati, Ohio, licensed in Ohio (34003464) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073623427
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. WILLIAM MICHAEL GAYNIERCredential: D.O
Location Address3130 HIGHLAND AVECincinnati, OH 45219-2399
Mailing AddressPo Box 636256 Central CredentialingCincinnati, OH 45263-6256 · (513) 585-5505 · Fax (513) 585-5511
Fax(513) 584-0828
Sole ProprietorYes
Enumeration DateAugust 30, 2006
Last NPPES UpdateNovember 20, 20172 updates tracked since enumeration
NPI 1073623427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in OH · 34003464
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.
3130 HIGHLAND AVE, Cincinnati, OH 45219

Other Identifiers 10

Other4243155OH · Aetna
Other000000010974OH · Anthem
Other170000021OH · Rr Mdr
Other2909326-001OH · Cigna
Other1035060001OH · Mdr Dmerc
Medicaid0550014OH
Other08-20031OH · Uhc
Medicare UPINA15555OH
Medicare PIN0539662OH
Other31-1102777-00OH · Workers Comp

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 (PECOS)

Dr. William Michael Gaynier D.o is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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.

Pharmacist
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Dermatology
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
3130 HIGHLAND AVE, GROUND FLOOR
CINCINNATI, OH 45219
Internal Medicine
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Internal Medicine (Nephrology)
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Internal Medicine (Nephrology)
3130 HIGHLAND AVE, 2ND FLOOR NEPHROLOGY HOXWORTH CLINIC
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
3130 HIGHLAND AVE
CINCINNATI, OH 45219

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 William Gaynier's NPI number?

The NPI number for William Gaynier is 1073623427. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is William Gaynier located?

William Gaynier practices at 3130 Highland Ave, Cincinnati, OH 45219. The listed phone number is (513) 584-5461.

What is William Gaynier's specialty?

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

Is William Gaynier enrolled in Medicare?

Yes. William Gaynier is registered in the Medicare PECOS enrollment system.

What insurance does William Gaynier accept?

Health plans from CareSource, Molina Healthcare and Oscar Health Insurance list William Gaynier 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 William Gaynier was last updated on November 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.