JOSEF ADAM KOBERLEIN OD
NPI 1396483020
Optometrist in Blue Ash, OH

Active since May 23, 2022PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
1945 CEI DR, BLUE ASH, OH 45242(513) 984-5133 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 10, 2022, May 23, 2022 (2 updates tracked since 2022).

About Josef Adam Koberlein Od NPPES

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

JOSEF ADAM KOBERLEIN OD (NPI 1396483020) is an individual optometrist in Blue Ash, Ohio, licensed in Ohio (OPT.007034) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2022).

NPPES Registry Identity

NPI1396483020
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJOSEF ADAM KOBERLEINCredential: OD
Location Address1945 CEI DRBlue Ash, OH 45242-5664
Mailing Address1945 Cei DrBlue Ash, OH 45242-5664 · (513) 984-5133 · Fax (513) 569-3941
Sole ProprietorNo
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2022
Enumeration DateMay 23, 2022
Last NPPES UpdateAugust 10, 20222 updates tracked since enumeration
NPPES CertifiedAugust 10, 2022
NPI 1396483020 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 · OPT.007034 Licensed in KY · 2282DT
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.

1945 CEI DR, Blue Ash, OH 45242

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

Josef Adam Koberlein 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 ID1153703210
PECOS Enrollment IDI20220805001354
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 11

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 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.
337 services251 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
182 services65 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.
173 services124 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.
127 services125 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).
78 services73 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.
75 services68 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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 20

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

Ophthalmology
1945 CEI DR
BLUE ASH, OH 45242
Student in an Organized Health Care Education/Training Program
1945 CEI DR
BLUE ASH, OH 45242
Optometrist
1945 CEI DR
BLUE ASH, OH 45242
Optometrist
1945 CEI DR
BLUE ASH, OH 45242
Ophthalmology
1945 CEI DR
CINCINNATI, OH 45242
Ophthalmology
1945 CEI DR
BLUE ASH, OH 45242
Student in an Organized Health Care Education/Training Program
1945 CEI DR
BLUE ASH, OH 45242
Ophthalmology
1945 CEI DR
CINCINNATI, OH 45242

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 Josef Koberlein's NPI number?

The NPI number for Josef Koberlein is 1396483020. It was assigned to this individual provider in the NPPES registry on May 23, 2022.

Where is Josef Koberlein located?

Josef Koberlein practices at 1945 Cei Dr, Blue Ash, OH 45242. The listed phone number is (513) 984-5133.

What is Josef Koberlein's specialty?

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

Is Josef Koberlein enrolled in Medicare?

Yes. Josef Koberlein 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 Josef Koberlein accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Josef Koberlein 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 Josef Koberlein was last updated on August 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.