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DR. JOHN MICHAEL ELCHINGER OD
NPI 1629505581
Optometrist in Toledo, OH

Active since May 22, 2017PECOS EnrolledAccepts Medicare Assignment
95.05/100
CMS Quality Rating
1000 REGENCY CT STE 100, TOLEDO, OH 43623(419) 882-0588(419) 885-3070 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 13, 2021, May 27, 2020, Mar 17, 2018 and 3 more (6 updates tracked since 2017).

About Dr. John Michael Elchinger Od NPPES

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

DR. JOHN MICHAEL ELCHINGER OD (NPI 1629505581) is an individual optometrist in Toledo, Ohio, licensed in Ohio (6545) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2017).

NPPES Registry Identity

NPI1629505581
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOHN MICHAEL ELCHINGERCredential: OD
Location Address1000 REGENCY CT STE 100Toledo, OH 43623-3074
Mailing Address16312 Bostater RdNey, OH 43549-9759 · (419) 658-2686
Phone(419) 882-0588
Fax(419) 885-3070
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 2017
Enumeration DateMay 22, 2017
Last NPPES UpdateApril 13, 20216 updates tracked since enumeration
NPPES CertifiedApril 13, 2021
✔ NPI 1629505581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OH · 6545
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1000 REGENCY CT STE 100, Toledo, OH 43623
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Other Identifiers 1

Medicaid0228988OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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. John Michael Elchinger 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 ID4789952359
PECOS Enrollment IDI20170622002999
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 7

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.
301 services300 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.
103 services82 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.
91 services83 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.
51 services51 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.
19 services19 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).
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43623 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.

95.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.1
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%143 patients5/55-star benchmark: 100%
Diabetes: Eye Exam
100%642 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
75%88 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
44%295 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
99%81 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,443 patients
Patients totalRate: 0% · 1,443 patients
0%1,443 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 3

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

JEFFREY WILLIAM MOON MD
Ophthalmology
1000 REGENCY CT STE 100
TOLEDO, OH 43623
Lucas County (419) 882-0588
DR. JAMES A KNUPP MD
Ophthalmology
1000 REGENCY CT STE 100
TOLEDO, OH 43623
Lucas County (419) 882-0588
SAMI MOHAMMED KHAN MD
Ophthalmology
1000 REGENCY CT STE 100
TOLEDO, OH 43623
Lucas County (419) 882-0588

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 John Elchinger's NPI number?

The NPI number for John Elchinger is 1629505581. It was assigned to this individual provider in the NPPES registry on May 22, 2017.

Where is John Elchinger located?

John Elchinger practices at 1000 Regency Ct Ste 100, Toledo, OH 43623. The listed phone number is (419) 882-0588.

What is John Elchinger's specialty?

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

Is John Elchinger enrolled in Medicare?

Yes. John Elchinger 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 John Elchinger 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 Montana and 8 other insurers list John Elchinger 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 John Elchinger was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.