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DR. DOUGLAS JOHN GARBIG O.D.
NPI 1104883636
Optometrist in Wilder, KY

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
92.69/100
CMS Quality Rating
1400 GLORIA TERRELL DR, SUITE H, WILDER, KY 41076(859) 441-3400(859) 572-4822 Get Directions Write a Review

NPPES record last updated: December 3, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Douglas John Garbig O.d. NPPES

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

DR. DOUGLAS JOHN GARBIG O.D. (NPI 1104883636) is an individual optometrist in Wilder, Kentucky, licensed in Kentucky (1108DT) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1987).

NPPES Registry Identity

NPI1104883636
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DOUGLAS JOHN GARBIGCredential: O.D.
Location Address1400 GLORIA TERRELL DR, SUITE HWilder, KY 41076-9188
Mailing Address1400 Gloria Terrell Dr, Suite HWilder, KY 41076-9188 · (859) 441-3400 · Fax (859) 572-4822
Phone(859) 441-3400
Fax(859) 572-4822
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1987
Enumeration DateApril 27, 2006
Last NPPES UpdateDecember 3, 2013
✔ NPI 1104883636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in KY · 1108DT
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.
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 1108DT (KY)
1400 GLORIA TERRELL DR, Wilder, KY 41076
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Other Identifiers 7

Other0004395284KY · Aetna
Other000000184811KY · Anthem Pin #
Medicaid77011088KY
Medicare NSC0470570001KY
Medicare PIN00498001KY
Medicare UPINT54608KY
Other410042536KY · Medicare Railroad Retirement Board

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Douglas John Garbig 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 ID1557458171
PECOS Enrollment IDI20071210000164
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.

Medicare Billing Reassignment

Medicare enrollment records show Douglas Garbig reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Garbig Family Eye Care Psc
Same address
Optometrist
1400 GLORIA TERRELL DR, SUITE H
Wilder, KY 41076
  • Reassigned Medicare billing, Kentucky enrollment
  • 4 clinicians in this Medicare group
NPI 1467734657 (859) 441-6540

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.
1,397 services11 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.
138 services138 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.
99 services91 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.
82 services82 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.
51 services45 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
32 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41076 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

92.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality85.39
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
67%91 patients4/55-star benchmark: 87%
Diabetes: Eye Exam
99%188 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
74%27 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
97%2,018 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
97%72 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%673 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 4

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

DR. KRISTINE KERESTAN GARBIG O.D.
Optometrist
1400 GLORIA TERRELL DR, SUITE H
WILDER, KY 41076
Campbell County (859) 441-3400
MS. GAIL H SPENCE P.T.
Physical Therapist
1400 GLORIA TERRELL DR, SUITE G
HIGHLAND HEIGHTS, KY 41076
Campbell County (859) 781-2800
GARBIG FAMILY EYE CARE PSC
Optometrist
1400 GLORIA TERRELL DR, SUITE H
WILDER, KY 41076
Campbell County (859) 441-6540
JULIE ANN LESTER ATC
Specialist/Technologist (Athletic Trainer)
1400 GLORIA TERRELL DR
WILDER, KY 41076
Campbell County (859) 781-2800

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 Douglas Garbig's NPI number?

The NPI number for Douglas Garbig is 1104883636. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Douglas Garbig located?

Douglas Garbig practices at 1400 Gloria Terrell Dr Suite H, Wilder, KY 41076. The listed phone number is (859) 441-3400.

What is Douglas Garbig's specialty?

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

Is Douglas Garbig enrolled in Medicare?

Yes. Douglas Garbig 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.

Which organization bills Medicare for Douglas Garbig's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Garbig reassigns Medicare benefits to Garbig Family Eye Care Psc (Wilder, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Garbig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Garbig accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Douglas Garbig 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 Douglas Garbig was last updated on December 3, 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.