DR. TOM F STRAUS MD
NPI 1164465498
Ophthalmology in Middletown, OH

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
4701 CENTRAL AVE, MIDDLETOWN, OH 45044(513) 425-9796(513) 425-9520 Get Directions Write a Review

NPPES record last updated: October 15, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Tom F Straus Md NPPES

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

DR. TOM F STRAUS MD (NPI 1164465498) is an individual ophthalmology provider in Middletown, Ohio, licensed in Ohio (35046015) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (1977).

NPPES Registry Identity

NPI1164465498
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. TOM F STRAUSCredential: MD
Location Address4701 CENTRAL AVEMiddletown, OH 45044-5353
Mailing Address1945 Cei DriveCincinnati, OH 45242-3311 · (513) 984-5133 · Fax (513) 569-3941
Fax(513) 425-9520
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1977
Enumeration DateJune 14, 2006
Last NPPES UpdateOctober 15, 2007
NPI 1164465498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in OH · 35046015
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.
4701 CENTRAL AVE, Middletown, OH 45044

Other Identifiers 5

Medicaid64954159KY
Medicaid0458937OH
Medicare UPINC02073
Medicare PIN0495995OH
Other000000035560Bcbs

Accepted 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. Tom F Straus Md 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 ID3072419779
PECOS Enrollment IDI20100212000362
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 45044 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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Durable Medical Equipment & Medical Supplies
4701 CENTRAL AVE
MIDDLETOWN, OH 45044
Nurse Practitioner (Family)
4701 CENTRAL AVE
MIDDLETOWN, OH 45044

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 Tom Straus's NPI number?

The NPI number for Tom Straus is 1164465498. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Tom Straus located?

Tom Straus practices at 4701 Central Ave, Middletown, OH 45044. The listed phone number is (513) 425-9796.

What is Tom Straus's specialty?

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

Is Tom Straus enrolled in Medicare?

Yes. Tom Straus 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 Tom Straus accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and UnitedHealthcare list Tom Straus 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 Tom Straus was last updated on October 15, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.