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DR. PHILLIP APFEL O.D.
NPI 1144390733
Optometrist - Corneal and Contact Management in Cincinnati, OH

Active since November 09, 2006PECOS Enrolled
3039 MADISON RD, CINCINNATI, OH 45209(513) 651-4005(513) 651-4006 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Phillip Apfel O.d. NPPES

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

DR. PHILLIP APFEL O.D. (NPI 1144390733) is an individual corneal and contact management provider in Cincinnati, Ohio, licensed in Ohio (3701T198) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144390733
Entity TypeIndividualMale
Primary Taxonomy152WC0802X
Provider Legal NameDR. PHILLIP APFELCredential: O.D.
Location Address3039 MADISON RDCincinnati, OH 45209-1709
Mailing Address3039 Madison RdCincinnati, OH 45209-1709 · (513) 651-4005 · Fax (513) 651-4006
Phone(513) 651-4005
Fax(513) 651-4006
Sole ProprietorNo
Enumeration DateNovember 9, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1144390733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in OH · 3701T198
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
3039 MADISON RD, Cincinnati, OH 45209
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Other Identifiers 3

Medicaid0704385OH
Medicare UPINT48302OH
Medicare ID-Type UnspecifiedAP0576665OH

Accepted Insurance

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

Dr. Phillip Apfel O.d. 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 45209 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.

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.

OAKLEY SQUARE EYE ASSOCIATES INC
Optometrist
3039 MADISON RD
CINCINNATI, OH 45209
Hamilton County (513) 651-4005
DR. KAITLIN ACKINCLOSE OD
Optometrist
3039 MADISON RD
CINCINNATI, OH 45209
Hamilton County (513) 651-4005
DR. MATTHEW HOCHWALT O.D.
Optometrist (Corneal and Contact Management)
3039 MADISON RD
CINCINNATI, OH 45209
Hamilton County (513) 651-4005
DR. ANTHONY ROBERT DIRR O.D.
Optometrist
3039 MADISON RD
CINCINNATI, OH 45209
Hamilton County (513) 651-4005

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 Phillip Apfel's NPI number?

The NPI number for Phillip Apfel is 1144390733. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Phillip Apfel located?

Phillip Apfel practices at 3039 Madison Rd, Cincinnati, OH 45209. The listed phone number is (513) 651-4005.

What is Phillip Apfel's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Phillip Apfel enrolled in Medicare?

Yes. Phillip Apfel is registered in the Medicare PECOS enrollment system.

What insurance does Phillip Apfel accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and MedMutual list Phillip Apfel 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 Phillip Apfel was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.