Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JAMES MCHALE M.D.
NPI 1578529418
Ophthalmology in Columbus, OH

Q: What is James Mchale's NPI number?

The NPI number for James Mchale is 1578529418. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Q: What is James Mchale's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Mchale was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment

90.38/100

CMS Quality Rating

5965 E BROAD ST, SUITE 480, COLUMBUS, OH 43213(614) 766-2006(614) 751-4085 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. James Mchale M.d. NPPES

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

DR. JAMES MCHALE M.D. (NPI 1578529418) is an individual ophthalmology provider in Columbus, Ohio, licensed in Ohio (35081612) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel East & West, and is a graduate of Ohio State University College Of Medicine (2000).

NPPES Registry Identity

NPI1578529418

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. JAMES MCHALECredential: M.D.

Location Address5965 E BROAD ST, SUITE 480Columbus, OH 43213-1562

Mailing Address5965 E Broad St, Suite 480Columbus, OH 43213-1562 · (614) 766-2006 · Fax (614) 751-4085

Phone(614) 766-2006

Fax(614) 751-4085

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2000

Enumeration DateApril 20, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1578529418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in OH · 35081612

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.

5965 E BROAD ST, Columbus, OH 43213

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Other Identifiers 1

Medicaid2499863OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual 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. James Mchale M.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 ID1951381987

PECOS Enrollment IDI20040721000993

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 13

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.

417 services398 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.

274 services220 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

228 services153 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.

212 services120 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.

176 services147 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.

140 services127 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).

128 services118 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.

120 services120 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.

118 services117 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.

43 services43 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

39 services30 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.

22 services22 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

20 services20 patients

Hospital Affiliations CMS Care Compare

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

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360035

Location6001 East Broad StreetColumbus, OH 43213 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43213 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

Quality

80.76

Promoting Interoperability

100

Improvement Activities

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.

MOUNT CARMEL HEALTH PROVIDERS TWO, LLC

Psychologist

5965 E BROAD ST, SUITE 370
COLUMBUS, OH 43213

Franklin County (614) 866-5555

KARAMJIT S KHANDUJA MD

Colon & Rectal Surgery

5965 E BROAD ST, #250
COLUMBUS, OH 43213

Franklin County (614) 759-5060

TARIQ GILL M.D.

Psychiatry & Neurology (Neurology)

5965 E BROAD ST, SUITE 260
COLUMBUS, OH 43213

Franklin County (614) 866-3703

LAURA LYNN MILLER PT

Physical Therapist

5965 E BROAD ST, SUITE 390
COLUMBUS, OH 43213

Franklin County (614) 234-8009

DR. JORDEN BRENT WEISS JORDEN WEISS D.O.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

5965 E BROAD ST
COLUMBUS, OH 43213

Franklin County (614) 759-5075

CENTRAL OHIO COLON AND RECTAL CTR, INC.

Surgery

5965 E BROAD ST, SUITE 120
COLUMBUS, OH 43213

Franklin County (614) 864-1000

DR. PATRICIA CHRISTINE GARCIA D.O.

Psychiatry & Neurology (Neurology)

5965 E BROAD ST, SUITE 260
COLUMBUS, OH 43213

Franklin County (614) 866-3703

ELLEN HUNTER BAILEY M.D.

Colon & Rectal Surgery

5965 E BROAD ST, SUITE #250
COLUMBUS, OH 43213

Franklin County (614) 759-5060

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 James Mchale's NPI number?

The NPI number for James Mchale is 1578529418. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is James Mchale located?

James Mchale practices at 5965 E Broad St Suite 480, Columbus, OH 43213. The listed phone number is (614) 766-2006.

What is James Mchale's specialty?

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

Is James Mchale enrolled in Medicare?

Yes. James Mchale 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 James Mchale accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Insurance Corporation of Ohio and 2 other insurers list James Mchale 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 James Mchale affiliated with any hospitals?

According to CMS data, James Mchale is affiliated with Mount Carmel East & West.

When was this NPI record last updated?

The NPPES record for James Mchale was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.