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DEREK R HEIMLICH
NPI 1699393090
Optometrist in Blue Ash, OH

Active since July 12, 2020PECOS 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: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 19, 2021, Sep 1, 2020, Jul 12, 2020 (3 updates tracked since 2020).

About Derek R Heimlich NPPES

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

DEREK R HEIMLICH (NPI 1699393090) is an individual optometrist in Blue Ash, Ohio, licensed in Ohio (OPT.006876) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2020).

NPPES Registry Identity

NPI1699393090
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDEREK R HEIMLICH
Location Address1945 CEI DRBlue Ash, OH 45242-5664
Mailing Address4445 Lake Forest Dr, Ste 600Blue Ash, OH 45242-3744 · (513) 569-3741
Phone(513) 984-5133
Sole ProprietorYes
Medical School CMSOhio State University - College Of OptometryGraduated 2020
Enumeration DateJuly 12, 2020
Last NPPES UpdateApril 19, 20213 updates tracked since enumeration
NPPES CertifiedApril 19, 2021
✔ NPI 1699393090 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 · OPT.006876
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
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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

Derek R Heimlich 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 ID7315362209
PECOS Enrollment IDI20200806001396, I20210709002910
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 10

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.
684 services419 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.
368 services363 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).
226 services224 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.
192 services186 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.
110 services104 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
87 services72 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.

ROBERT JOSEPH GOULET III M.D.
Ophthalmology
1945 CEI DR
BLUE ASH, OH 45242
Hamilton County (513) 984-5133
BROOKE RADCLIFFE
Student in an Organized Health Care Education/Training Program
1945 CEI DR
BLUE ASH, OH 45242
Hamilton County (513) 984-5133
WILLIAM RYAN DAVIS OD
Optometrist
1945 CEI DR
BLUE ASH, OH 45242
Hamilton County (513) 569-3741
KELLY KLIMO
Optometrist
1945 CEI DR
BLUE ASH, OH 45242
Hamilton County (513) 984-5133
CEI PHYSICIANS PSC, INC
Ophthalmology
1945 CEI DR
CINCINNATI, OH 45242
Hamilton County (513) 984-5133
DR. GREGORY BRUNS MECOLI M.D.
Ophthalmology
1945 CEI DR
BLUE ASH, OH 45242
Hamilton County (513) 984-5133
SAIF ABDULAMEER
Optometrist
1945 CEI DR
BLUE ASH, OH 45242
Hamilton County (513) 984-5133
ROBERT A SISK MD
Ophthalmology
1945 CEI DR
CINCINNATI, OH 45242
Hamilton County (513) 569-3741

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 Derek Heimlich's NPI number?

The NPI number for Derek Heimlich is 1699393090. It was assigned to this individual provider in the NPPES registry on July 12, 2020.

Where is Derek Heimlich located?

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

What is Derek Heimlich's specialty?

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

Is Derek Heimlich enrolled in Medicare?

Yes. Derek Heimlich 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 Derek Heimlich 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 Derek Heimlich 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 Derek Heimlich was last updated on April 19, 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.