AUSTIN L SANEHOLTZ OD
NPI 1275781841
Optometrist in Perrysburg, OH

Active since September 08, 2008PECOS EnrolledAccepts Medicare Assignment
94.41/100
CMS Quality Rating
1021 SANDUSKY ST STE E, PERRYSBURG, OH 43551(419) 874-3661(419) 872-5195 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Austin L Saneholtz Od NPPES

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

AUSTIN L SANEHOLTZ OD (NPI 1275781841) is an individual optometrist in Perrysburg, Ohio, licensed in Ohio (5820 T2734) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2008).

NPPES Registry Identity

NPI1275781841
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameAUSTIN L SANEHOLTZCredential: OD
Location Address1021 SANDUSKY ST STE EPerrysburg, OH 43551-3201
Mailing Address152 W South Boundary StPerrysburg, OH 43551-1754 · (419) 874-3661 · Fax (419) 872-5195
Fax(419) 872-5195
Sole ProprietorYes
Medical School CMSOhio State University - College Of OptometryGraduated 2008
Enumeration DateSeptember 8, 2008
Last NPPES UpdateSeptember 25, 2023
NPPES CertifiedSeptember 19, 2023
NPI 1275781841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in OH · 5820 T2734 Licensed in FL · OPC4380
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.
1021 SANDUSKY ST STE E, Perrysburg, OH 43551

Other Identifiers 1

Medicaid3126254OH

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

Austin L Saneholtz Od 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 ID8224192794
PECOS Enrollment IDI20100816000007
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.
2,009 services16 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.
295 services288 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).
92 services90 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
81 services81 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.
49 services48 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.
38 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43551 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.

94.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.82
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
8%39 patients1/55-star benchmark: 87%
Diabetes: Eye Exam
99%160 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
97%1,121 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
100%55 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%502 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 2

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

Optometrist
1021 SANDUSKY ST STE E
PERRYSBURG, OH 43551
Optometrist
1021 SANDUSKY ST STE E
PERRYSBURG, OH 43551

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 Austin Saneholtz's NPI number?

The NPI number for Austin Saneholtz is 1275781841. It was assigned to this individual provider in the NPPES registry on September 8, 2008.

Where is Austin Saneholtz located?

Austin Saneholtz practices at 1021 Sandusky St Ste E, Perrysburg, OH 43551. The listed phone number is (419) 874-3661.

What is Austin Saneholtz's specialty?

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

Is Austin Saneholtz enrolled in Medicare?

Yes. Austin Saneholtz 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 Austin Saneholtz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 6 other insurers list Austin Saneholtz 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 Austin Saneholtz was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.