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BRIAN T GERLACH OD, FAAO
NPI 1093776205
Optometrist in Celina, OH

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment
84.13/100
CMS Quality Rating
1025 GRAND LAKE RD, CELINA, OH 45822(419) 586-3151(419) 586-1059 Get Directions Write a Review

NPPES record last updated: April 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian T Gerlach Od, Faao NPPES

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

BRIAN T GERLACH OD, FAAO (NPI 1093776205) is an individual optometrist in Celina, Ohio, licensed in Ohio (5038T1915) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1999).

NPPES Registry Identity

NPI1093776205
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBRIAN T GERLACHCredential: OD, FAAO
Location Address1025 GRAND LAKE RDCelina, OH 45822
Mailing Address1025 Grand Lake RdCelina, OH 45822 · (419) 586-3151 · Fax (419) 586-1059
Phone(419) 586-3151
Fax(419) 586-1059
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1999
Enumeration DateMarch 29, 2006
Last NPPES UpdateApril 6, 2011
✔ NPI 1093776205 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 · 5038T1915
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.
1025 GRAND LAKE RD, Celina, OH 45822
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Other Identifiers 3

Medicare UPINU77523
Medicare ID-Type UnspecifiedGE0892872
MedicaidL2228397OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

Brian T Gerlach Od, Faao 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 ID1759289838
PECOS Enrollment IDI20031229000235
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 9

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.

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.
2,057 services20 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.
525 services521 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.
170 services163 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.
151 services121 patients
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.
135 services79 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).
120 services117 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45822 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.

84.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality76.06
Promoting Interoperability91
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
0%102 patients1/55-star benchmark: 87%
Diabetes: Eye Exam
100%144 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
61%31 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
98%2,334 patients4/55-star benchmark: 100%
e-Prescribing
100%136 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
99%114 patients
Provide Patients Electronic Access to Their Health Information
89%584 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 852 patients
Patients totalRate: 0% · 852 patients
0%852 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 8

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

DR. KENNETH J SANDKER OD
Optometrist
1025 GRAND LAKE RD
CELINA, OH 45822
Mercer County (419) 586-3151
MISS NICOLETTE M EVANS O.D.
Optometrist
1025 GRAND LAKE RD
CELINA, OH 45822
Mercer County (419) 235-2059
GRAND LAKE EYECARE LLC
Optometrist
1025 GRAND LAKE RD
CELINA, OH 45822
Mercer County (419) 586-3151
CHERYL BERGER LMHC
Counselor (Professional)
1025 GRAND LAKE RD
CELINA, OH 45822
Mercer County (567) 890-6515
BEVERLY J FRONING PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1025 GRAND LAKE RD
CELINA, OH 45822
Mercer County (567) 890-6515
DAWN LONGBRAKE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1025 GRAND LAKE RD
CELINA, OH 45822
Mercer County (567) 890-6515
DR. CHRISTIE M GRIESHOP O.D.
Optometrist
1025 GRAND LAKE RD
CELINA, OH 45822
Mercer County (419) 586-3151
DR. LINDSAY M DUES OD
Optometrist
1025 GRAND LAKE RD
CELINA, OH 45822
Mercer County (419) 586-3151

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 Brian Gerlach's NPI number?

The NPI number for Brian Gerlach is 1093776205. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Brian Gerlach located?

Brian Gerlach practices at 1025 Grand Lake Rd, Celina, OH 45822. The listed phone number is (419) 586-3151.

What is Brian Gerlach's specialty?

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

Is Brian Gerlach enrolled in Medicare?

Yes. Brian Gerlach 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 Brian Gerlach accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, CareSource and Providence Health Plan list Brian Gerlach 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 Brian Gerlach was last updated on April 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.