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ANTHONY J. ARNOLD O.D.
NPI 1083722755
Optometrist in Upper Sandusky, OH

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
97 HOUPT DR, SUITE C, UPPER SANDUSKY, OH 43351(419) 294-3243(419) 294-1372 Get Directions Write a Review

NPPES record last updated: October 8, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anthony J. Arnold O.d. NPPES

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

ANTHONY J. ARNOLD O.D. (NPI 1083722755) is an individual optometrist in Upper Sandusky, Ohio, licensed in Ohio (4263 T22) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1991).

NPPES Registry Identity

NPI1083722755
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameANTHONY J. ARNOLDCredential: O.D.
Location Address97 HOUPT DR, SUITE CUpper Sandusky, OH 43351-8904
Mailing Address97 Houpt Dr, Suite CUpper Sandusky, OH 43351-8904 · (419) 294-3243 · Fax (419) 294-1372
Phone(419) 294-3243
Fax(419) 294-1372
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1991
Enumeration DateAugust 25, 2006
Last NPPES UpdateOctober 8, 2013
✔ NPI 1083722755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OH · 4263 T22
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.
97 HOUPT DR, Upper Sandusky, OH 43351
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Other Identifiers 4

Medicaid0828484OH
Medicare UPINU19154
Medicare ID-Type UnspecifiedARO694043
Medicare NSC0448110001OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Anthony J. Arnold 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 ID2466567672
PECOS Enrollment IDI20101012000555
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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
92 services92 patients
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.
32 services29 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.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43351 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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%69 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

MORGAN GAULT
Case Manager/Care Coordinator
97 HOUPT DR
UPPER SANDUSKY, OH 43351
Wyandot County (419) 731-0720
TABITHA RENEE ADKINS
Counselor (Addiction (Substance Use Disorder))
97 HOUPT DR
UPPER SANDUSKY, OH 43351
Wyandot County (419) 731-0720
TINA SOICE
Case Manager/Care Coordinator
97 HOUPT DR
UPPER SANDUSKY, OH 43351
Wyandot County (419) 731-0720
LIBERTY MAHAFFEY
Case Manager/Care Coordinator
97 HOUPT DR
UPPER SANDUSKY, OH 43351
Wyandot County (419) 731-0720
ANTHONY J ARNOLD O D LLC
Optometrist
97 HOUPT DR, SUITE C
UPPER SANDUSKY, OH 43351
Wyandot County (419) 294-3243

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 Anthony Arnold's NPI number?

The NPI number for Anthony Arnold is 1083722755. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Anthony Arnold located?

Anthony Arnold practices at 97 Houpt Dr Suite C, Upper Sandusky, OH 43351. The listed phone number is (419) 294-3243.

What is Anthony Arnold's specialty?

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

Is Anthony Arnold enrolled in Medicare?

Yes. Anthony Arnold 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 Anthony Arnold accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 6 other insurers list Anthony Arnold 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 Anthony Arnold was last updated on October 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.