DR. RICHARD MCMASTER FRANCIS JR. MD
NPI 1518169663
Ophthalmology in Charleston, WV

Active since June 01, 2007PECOS EnrolledAccepts Medicare Assignment
72.67/100
CMS Quality Rating
1306 KANAWHA BLVD E, CHARLESTON, WV 25301(304) 353-0304(304) 353-0218 Get Directions Write a Review

NPPES record last updated: November 12, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Richard Mcmaster Francis Jr. Md NPPES

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

DR. RICHARD MCMASTER FRANCIS JR. MD (NPI 1518169663) is an individual ophthalmology provider in Charleston, West Virginia, licensed in West Virginia (390200000X) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Greenville Memorial Hospital, and is a graduate of West Virginia University School Of Medicine (2008).

NPPES Registry Identity

NPI1518169663
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. RICHARD MCMASTER FRANCIS JR.Credential: MD
Location Address1306 KANAWHA BLVD ECharleston, WV 25301-3001
Mailing Address3 Woodchute LnCharleston, WV 25314-1525 · (304) 344-4713
Fax(304) 353-0218
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2008
Enumeration DateJune 1, 2007
Last NPPES UpdateNovember 12, 2009
NPI 1518169663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in WV · 390200000X
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.
1306 KANAWHA BLVD E, Charleston, WV 25301

Other Identifiers 2

Medicaid3810014970WV
Medicare PIN4272481WV

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 Mcmaster Francis Jr. 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 ID8325184492
PECOS Enrollment IDI20130205000141
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 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.
379 services315 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
181 services176 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
148 services148 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.
63 services50 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).
60 services58 patients
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.
46 services30 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25301 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

72.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality99.19
Improvement Activities40
Cost10

Reported Quality Measures

Diabetes: Eye Exam
100%936 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
89%236 patients
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%631 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 36% · 606 patients
Patients screened: 37% · 606 patients
73%22 patients3/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
97%182 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,302 patients
Patients totalRate: 0% · 1,302 patients
0%1,302 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 20

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

Plastic Surgery
1306 KANAWHA BLVD E, SUITE 100
CHARLESTON, WV 25301
Anesthesiology
1306 KANAWHA BLVD E
CHARLESTON, WV 25301
Otolaryngology (Otology & Neurotology)
1306 KANAWHA BLVD E
CHARLESTON, WV 25301
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1306 KANAWHA BLVD E
CHARLESTON, WV 25301
Eyewear Supplier
1306 KANAWHA BLVD E
CHARLESTON, WV 25301
General Acute Care Hospital
1306 KANAWHA BLVD E
CHARLESTON, WV 25301
Radiology (Diagnostic Radiology)
1306 KANAWHA BLVD E, BUILDING 2
CHARLESTON, WV 25301
Surgery (Plastic and Reconstructive Surgery)
1306 KANAWHA BLVD E, SUITE 100
CHARLESTON, WV 25301

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 Francis's NPI number?

The NPI number for Richard Francis is 1518169663. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Richard Francis located?

Richard Francis practices at 1306 Kanawha Blvd E, Charleston, WV 25301. The listed phone number is (304) 353-0304.

What is Richard Francis's specialty?

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

Is Richard Francis enrolled in Medicare?

Yes. Richard Francis 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 Francis accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 6 other insurers list Richard Francis 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.

Is Richard Francis affiliated with any hospitals?

According to CMS data, Richard Francis is affiliated with Prisma Health Greenville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Richard Francis was last updated on November 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.