DR. RICHARD FOSTER MARQUARDT O.D.
NPI 1407801699
Optometrist in Mansfield, OH

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
93.92/100
CMS Quality Rating
466 S TRIMBLE RD, MANSFIELD, OH 44906(419) 756-8000(419) 756-7100 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 22, 2021, Mar 8, 2021 (2 updates tracked since 2021).

About Dr. Richard Foster Marquardt O.d. NPPES

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

DR. RICHARD FOSTER MARQUARDT O.D. (NPI 1407801699) is an individual optometrist in Mansfield, Ohio, licensed in Ohio (4862) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1997).

NPPES Registry Identity

NPI1407801699
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. RICHARD FOSTER MARQUARDTCredential: O.D.
Location Address466 S TRIMBLE RDMansfield, OH 44906-3416
Mailing Address466 S Trimble RdMansfield, OH 44906-3416 · (419) 756-8000 · Fax (419) 756-7100
Fax(419) 756-7100
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1997
Enumeration DateMay 24, 2006
Last NPPES UpdateApril 22, 20212 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
NPI 1407801699 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 · 4862
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.

466 S TRIMBLE RD, Mansfield, OH 44906

Other Identifiers 6

Other2201089OH · United Healthcare
Other341171920009OH · Cigna
Other5572538OH · Aetna
Other410034803OH · Rail Road Medicare
Medicaid2017767OH
Other000000128145OH · Anthem Bc/bs

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. Richard Foster Marquardt 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 ID345249314
PECOS Enrollment IDI20110118000826
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 14

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 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.
872 services867 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.
409 services277 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.
214 services212 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.
211 services208 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).
167 services166 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.
141 services134 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44906 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.

93.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.85
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers25 claims25 services$59.02 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier27 claims47 services$42.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Clinic/Center (Ambulatory Surgical)
466 S TRIMBLE RD
MANSFIELD, OH 44906
Ophthalmology
466 S TRIMBLE RD
MANSFIELD, OH 44906
Ophthalmology
466 S TRIMBLE RD
MANSFIELD, OH 44906
Ophthalmology
466 S TRIMBLE RD
MANSFIELD, OH 44906
Ophthalmology
466 S TRIMBLE RD
MANSFIELD, OH 44906
Ophthalmology
466 S TRIMBLE RD
MANSFIELD, OH 44906
Hearing Instrument Specialist
466 S TRIMBLE RD
MANSFIELD, OH 44906
Ophthalmology
466 S TRIMBLE RD
MANSFIELD, OH 44906

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 Richard Marquardt's NPI number?

The NPI number for Richard Marquardt is 1407801699. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Richard Marquardt located?

Richard Marquardt practices at 466 S Trimble Rd, Mansfield, OH 44906. The listed phone number is (419) 756-8000.

What is Richard Marquardt's specialty?

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

Is Richard Marquardt enrolled in Medicare?

Yes. Richard Marquardt 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 Richard Marquardt 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 Louisiana and 7 other insurers list Richard Marquardt 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 Richard Marquardt was last updated on April 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.