DR. KEVIN G KEGLER M.D.
NPI 1710974043
Ophthalmology in Hilliard, OH

Active since October 03, 2005PECOS EnrolledAccepts Medicare Assignment
83.64/100
CMS Quality Rating
3535 FISHINGER BLVD, SUITE 230, HILLIARD, OH 43026(614) 777-3937(614) 777-4190 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kevin G Kegler M.d. NPPES

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

DR. KEVIN G KEGLER M.D. (NPI 1710974043) is an individual ophthalmology provider in Hilliard, Ohio, licensed in Ohio (35078913K) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (1997).

NPPES Registry Identity

NPI1710974043
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. KEVIN G KEGLERCredential: M.D.
Location Address3535 FISHINGER BLVD, SUITE 230Hilliard, OH 43026-7504
Mailing Address3535 Fishinger Blvd, Suite 230Hilliard, OH 43026-7504
Fax(614) 777-4190
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1997
Enumeration DateOctober 3, 2005
Last NPPES UpdateOctober 1, 2020
NPPES CertifiedOctober 1, 2020
NPI 1710974043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in OH · 35078913K
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.
3535 FISHINGER BLVD, Hilliard, OH 43026

Other Identifiers 1

Medicaid2305642OH

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. Kevin G Kegler 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 ID3274505243
PECOS Enrollment IDI20040810000893
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 16

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.
651 services637 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.
388 services233 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.
259 services219 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.
225 services216 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).
215 services198 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 services136 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43026 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.

83.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost45.48

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
79%28 patients4/55-star benchmark: 87%
Complications After Cataract Surgery
Lower rates are better for this measure.
0%96 patients
Diabetes: Eye Exam
100%558 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%3,883 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
98%1,856 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
98%313 patients
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%79 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%213 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,933 patients
Patients totalRate: 0% · 1,933 patients
0%1,933 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.

Internal Medicine
3535 FISHINGER BLVD, STE 285
HILLIARD, OH 43026
Obstetrics & Gynecology
3535 FISHINGER BLVD, SUITE 280
HILLIARD, OH 43026
Physical Therapy Assistant
3535 FISHINGER BLVD, SUITE 120
HILLIARD, OH 43026
Social Worker (Clinical)
3535 FISHINGER BLVD
HILLIARD, OH 43026
Psychologist (Clinical)
3535 FISHINGER BLVD
HILLIARD, OH 43026
Internal Medicine
3535 FISHINGER BLVD, SUITE 285
HILLIARD, OH 43026
Family Medicine
3535 FISHINGER BLVD, SUITE 150
HILLIARD, OH 43026
Physical Therapist
3535 FISHINGER BLVD, SUITE 120
HILLIARD, OH 43026

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 Kevin Kegler's NPI number?

The NPI number for Kevin Kegler is 1710974043. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Kevin Kegler located?

Kevin Kegler practices at 3535 Fishinger Blvd Suite 230, Hilliard, OH 43026. The listed phone number is (614) 777-3937.

What is Kevin Kegler's specialty?

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

Is Kevin Kegler enrolled in Medicare?

Yes. Kevin Kegler 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 Kevin Kegler accept?

Health plans from MedMutual and UnitedHealthcare list Kevin Kegler 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 Kevin Kegler was last updated on October 1, 2020. 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.