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RICHARD ALLEN STATESIR M.D.
NPI 1699778142
Ophthalmology in Lakewood, OH

Active since May 28, 2005PECOS EnrolledAccepts Medicare Assignment
14701 DETROIT AVE, STE 280, LAKEWOOD, OH 44107(216) 228-9122(216) 221-9773 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard Allen Statesir M.d. NPPES

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

RICHARD ALLEN STATESIR M.D. (NPI 1699778142) is an individual ophthalmology provider in Lakewood, Ohio, licensed in Ohio (35053677S) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of Hahnemann University College Of Medicine (1982).

NPPES Registry Identity

NPI1699778142
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameRICHARD ALLEN STATESIRCredential: M.D.
Location Address14701 DETROIT AVE, STE 280Lakewood, OH 44107-4109
Mailing Address14701 Detroit Ave Ste 280Lakewood, OH 44107-4109 · (216) 228-9122 · Fax (216) 221-9773
Phone(216) 228-9122
Fax(216) 221-9773
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1982
Enumeration DateMay 28, 2005
Last NPPES UpdateSeptember 10, 2025
NPPES CertifiedSeptember 10, 2025
✔ NPI 1699778142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in OH · 35053677S
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.

Other Identifiers 1

Medicaid0626273OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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

Richard Allen Statesir 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 ID6901970888
PECOS Enrollment IDI20120131000950
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 5

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.
296 services280 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.
137 services56 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.
66 services66 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.
39 services38 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.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44107 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.

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
100%81 patients5/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
100%81 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
100%237 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.

LEE A ROPPEL LPCC
Counselor (Professional)
14701 DETROIT AVE
LAKEWOOD, OH 44107
Cuyahoga County (440) 668-6242
MAKENZIE DUTTON
Case Manager/Care Coordinator
14701 DETROIT AVE
LAKEWOOD, OH 44107
Cuyahoga County (440) 578-8200
JACK LOFTUS
Case Manager/Care Coordinator
14701 DETROIT AVE
LAKEWOOD, OH 44107
Cuyahoga County (440) 578-8200
AMY URBANOWICZ CANAS IMFT
Marriage & Family Therapist
14701 DETROIT AVE, SUITE 775
LAKEWOOD, OH 44107
Cuyahoga County (415) 609-2690
DEAWNA SMITH
Case Manager/Care Coordinator
14701 DETROIT AVE
LAKEWOOD, OH 44107
Cuyahoga County (440) 578-8200
DR. ABBY C LADER D.O.
Pediatrics
14701 DETROIT AVE, SUITE 250
LAKEWOOD, OH 44107
Cuyahoga County (216) 221-5901
KENDALL SMITH QMHS
Counselor (Mental Health)
14701 DETROIT AVE
LAKEWOOD, OH 44107
Cuyahoga County (440) 578-8200
DANIEL VILAMAA
Case Manager/Care Coordinator
14701 DETROIT AVE
LAKEWOOD, OH 44107
Cuyahoga County (216) 831-6466

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 Statesir's NPI number?

The NPI number for Richard Statesir is 1699778142. It was assigned to this individual provider in the NPPES registry on May 28, 2005.

Where is Richard Statesir located?

Richard Statesir practices at 14701 Detroit Ave Ste 280, Lakewood, OH 44107. The listed phone number is (216) 228-9122.

What is Richard Statesir's specialty?

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

Is Richard Statesir enrolled in Medicare?

Yes. Richard Statesir 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 Statesir accept?

Health plans from CareSource and MedMutual list Richard Statesir 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 Statesir was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.