DR. SCOTT MICHAEL PFAHLER D.O.
NPI 1093923385
Ophthalmology in Dayton, OH

Q: What is Scott Pfahler's NPI number?

The NPI number for Scott Pfahler is 1093923385. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Q: What is Scott Pfahler's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Scott Pfahler was last updated on February 21, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 18, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

301 W 1ST ST, SUITE 300, DAYTON, OH 45402(937) 228-5015(937) 228-5971 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Scott Michael Pfahler D.o. NPPES

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

DR. SCOTT MICHAEL PFAHLER D.O. (NPI 1093923385) is an individual ophthalmology provider in Dayton, Ohio, licensed in Ohio (34009598) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Dayton, and is a graduate of Ohio University, College Of Osteopathic Medicine (2003).

NPPES Registry Identity

NPI1093923385

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. SCOTT MICHAEL PFAHLERCredential: D.O.

Location Address301 W 1ST ST, SUITE 300Dayton, OH 45402-3033

Mailing Address301 W 1st St, Suite 300Dayton, OH 45402-3033 · (937) 228-5015 · Fax (937) 228-5971

Phone(937) 228-5015

Fax(937) 228-5971

Sole ProprietorNo

Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2003

Enumeration DateMay 18, 2007

Last NPPES UpdateFebruary 21, 2017

✔ NPI 1093923385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in OH · 34009598✔ Licensed in VA · 0102202008✔ Licensed in MD · H0066089

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.

301 W 1ST ST, Dayton, OH 45402

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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

Dr. Scott Michael Pfahler D.o. 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 ID446346365

PECOS Enrollment IDI20090805000051

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 19

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.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

19,080 services78 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.

2,769 services962 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

1,745 services367 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.

1,328 services739 patients

Unclassified biologics J3590

Unclassified biologics are a type of treatment derived from living organisms. They can include a wide range of substances, such as vaccines, blood components, or genes, used to prevent or treat diseases. Each is specifically designed to interact with the body's natural defenses to promote healing.

829 services205 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

740 services75 patients

Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg J7313

The Iluvien implant is a small device inserted into your eye to release the medication fluocinolone acetonide. This helps manage eye conditions like diabetic macular edema by reducing inflammation. It's a minor procedure done by an eye specialist.

342 services14 patients

Injection, dexamethasone, intravitreal implant, 0.1 mg J7312

This procedure involves placing a tiny implant into your eye. This implant slowly releases a medication called dexamethasone, which helps to reduce inflammation and swelling in the eye, improving vision and comfort.

259 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

256 services256 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.

176 services157 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

95 services93 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.

62 services60 patients

Photocoagulation treatment to prevent detachment of retina 67145

Photocoagulation is a procedure used to treat retinal disorders. A special laser is directed at the retina to create small burns. These burns form scar tissue which helps to secure the retina to the eye's wall, preventing detachment and preserving vision.

47 services40 patients

Destruction of leaking blood vessels of retina using laser 67228

This procedure involves using a laser to treat leaking blood vessels in the retina, the part of the eye responsible for vision. The laser seals off these vessels, preventing further leakage and helping to preserve sight.

47 services28 patients

Extended exam of the back part of the eye with optic nerve drawing 92202

This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.

38 services37 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

26 services26 patients

Unclassified drugs J3490

Unclassified drugs are medications that don't fit into an existing category or class due to their unique properties or uses. They may be used for various conditions and their effects may differ widely. Always ask your healthcare provider for more information about these drugs.

24 services11 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

18 services14 patients

Removal of membrane of retina 67041

Removal of the retina's membrane is a surgical procedure aimed at treating eye conditions affecting the retina's function. It involves a delicate operation to eliminate scar tissue or membranes causing vision problems. The procedure can help improve or stabilize vision.

15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45402 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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination

100%957 patients5/55-star benchmark: 100%

Diabetes: Eye Exam

100%953 patients5/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

21%953 patients4/55-star benchmark: 91%

Diabetic Macular Edema - Loss of Visual Acuity

100%246 patients

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

94%982 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%7,948 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

98%2,327 patients4/55-star benchmark: 100%

Glaucoma Intraocular Pressure Reduction

86%63 patients

Overuse of Imaging for the Evaluation of Primary Headache

Lower rates are better for this measure.

0%62 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 98% · 2,041 patients

Patients screened: 100% · 2,041 patients

80%185 patients4/55-star benchmark: 100%

Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation

100%290 patients

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

100%51 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 2,450 patients

Patients totalRate: 0% · 2,450 patients

0%2,450 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 17

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

DR. JEFFREY ALANSON HORWITZ M.D.

Ophthalmology

301 W 1ST ST, SUITE 3A
DAYTON, OH 45402

Montgomery County (937) 228-5015

NOVACARE REHABILITATION

Clinic/Center (Physical Therapy)

301 W 1ST ST, STE. 101
DAYTON, OH 45402

Montgomery County (937) 228-9202

DAYTON PRIMARY & URGENT CARE

Clinic/Center (Primary Care)

301 W 1ST ST
DAYTON, OH 45402

Montgomery County (937) 461-0800

DR. STEVEN ABBOTT MILLER M.D.

Ophthalmology

301 W 1ST ST, SUITE 3A
DAYTON, OH 45402

Montgomery County (937) 228-5015

HAYA INC

Pharmacy (Clinic Pharmacy)

301 W 1ST ST
DAYTON, OH 45402

Montgomery County (937) 222-1400

MR. ANDREW MARK BERGERON CDCAII

Counselor (Addiction (Substance Use Disorder))

301 W 1ST ST
DAYTON, OH 45402

Montgomery County (937) 528-3923

HOLLY RAY WILLIAMS MRC, LICDC

Counselor (Addiction (Substance Use Disorder))

301 W 1ST ST
DAYTON, OH 45402

Montgomery County (937) 528-3923

DAYTON VITREO-RETINAL ASSOCIATES, INC.

Ophthalmology

301 W 1ST ST, SUITE 3A
DAYTON, OH 45402

Montgomery County (937) 228-5015

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 Scott Pfahler's NPI number?

The NPI number for Scott Pfahler is 1093923385. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Scott Pfahler located?

Scott Pfahler practices at 301 W 1st St Suite 300, Dayton, OH 45402. The listed phone number is (937) 228-5015.

What is Scott Pfahler's specialty?

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

Is Scott Pfahler enrolled in Medicare?

Yes. Scott Pfahler 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 Scott Pfahler accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Scott Pfahler 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.

Is Scott Pfahler affiliated with any hospitals?

According to CMS data, Scott Pfahler is affiliated with Kettering Health Dayton.

When was this NPI record last updated?

The NPPES record for Scott Pfahler was last updated on February 21, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.