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DR. DONALD CLAY MCFADDEN O.D.
NPI 1356722441
Optometrist in Florence, KY

Active since June 15, 2015PECOS EnrolledAccepts Medicare Assignment
2132 MALL ROAD, FLORENCE, KY 41042(859) 525-2812 Get Directions Write a Review

NPPES record last updated: June 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Donald Clay Mcfadden O.d. NPPES

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

DR. DONALD CLAY MCFADDEN O.D. (NPI 1356722441) is an individual optometrist in Florence, Kentucky, licensed in Ohio (OPT.6391) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2015).

NPPES Registry Identity

NPI1356722441
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DONALD CLAY MCFADDENCredential: O.D.
Location Address2132 MALL ROADFlorence, KY 41042
Mailing Address1496 Tuscan Ct, Apt. 204Florence, KY 41042-8886 · (606) 231-2398
Phone(859) 525-2812
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2015
Enumeration DateJune 15, 2015
✔ NPI 1356722441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OH · OPT.6391
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.
2132 MALL ROAD, Florence, KY 41042
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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 Home State Health, 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. Donald Clay Mcfadden 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 ID7113239104
PECOS Enrollment IDI20150902002524
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 2

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.

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.
25 services22 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.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41042 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.

Other Providers at the Same Location NPPES

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

DR. JENNIPHER LYN WHITE O.D.
Optometrist
2132 MALL ROAD
FLORENCE, KY 41042
Boone County (859) 525-2812

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 Donald Mcfadden's NPI number?

The NPI number for Donald Mcfadden is 1356722441. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Donald Mcfadden located?

Donald Mcfadden practices at 2132 Mall Road, Florence, KY 41042. The listed phone number is (859) 525-2812.

What is Donald Mcfadden's specialty?

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

Is Donald Mcfadden enrolled in Medicare?

Yes. Donald Mcfadden 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 Donald Mcfadden accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross Blue Shield of Wyoming and 4 other insurers list Donald Mcfadden 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 Donald Mcfadden was last updated on June 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.