DR. ROBERT J KNOX M.D.
NPI 1790782035
Ophthalmology in Portsmouth, OH

Active since July 01, 2005PECOS EnrolledAccepts Medicare Assignment
82.71/100
CMS Quality Rating
1534 11TH ST, PORTSMOUTH, OH 45662(740) 355-1161(740) 355-1191 Get Directions Write a Review

NPPES record last updated: October 21, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert J Knox M.d. NPPES

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

DR. ROBERT J KNOX M.D. (NPI 1790782035) is an individual ophthalmology provider in Portsmouth, Ohio, licensed in Ohio (35-077740) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and is a graduate of University Of Missouri, Columbia School Of Medicine (2000).

NPPES Registry Identity

NPI1790782035
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ROBERT J KNOXCredential: M.D.
Location Address1534 11TH STPortsmouth, OH 45662-4524
Mailing Address1534 11th StPortsmouth, OH 45662-4524 · (740) 355-1161 · Fax (740) 355-1191
Fax(740) 355-1191
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2000
Enumeration DateJuly 1, 2005
Last NPPES UpdateOctober 21, 2009
NPI 1790782035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in OH · 35-077740
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.
1534 11TH ST, Portsmouth, OH 45662

Other Identifiers 4

Medicare UPINH14689OH
Medicare ID-Type Unspecified4132381OH · Individual
Medicare ID-Type Unspecified9344241OH · Group
Medicaid2187351OH

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. Robert J Knox 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 ID2163407271
PECOS Enrollment IDI20040623000752
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 23

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.
269 services229 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
204 services132 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.
191 services77 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.
168 services114 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.
142 services90 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.
130 services130 patients

Hospital Affiliations CMS Care Compare 2

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

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Kings Daughters Medical Center Ohio

Acute Care Hospitals · Portsmouth, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360361
Location1901 Argonne RoadPortsmouth, OH 45662 · Scioto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45662 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.

82.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost42.38

Reported Quality Measures

Complications After Cataract Surgery
Lower rates are better for this measure.
0%648 patients
Diabetes: Eye Exam
100%265 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
98%2,199 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
92%106 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
99%112 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 929 patients
Patients totalRate: 0% · 929 patients
0%929 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 4

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

Ophthalmology
1534 11TH ST
PORTSMOUTH, OH 45662
Clinic/Center (Ambulatory Surgical)
1534 11TH ST
PORTSMOUTH, OH 45662
Ophthalmology
1534 11TH ST
PORTSMOUTH, OH 45662
Clinic/Center (Ophthalmologic Surgery)
1534 11TH ST
PORTSMOUTH, OH 45662

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 Robert Knox's NPI number?

The NPI number for Robert Knox is 1790782035. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is Robert Knox located?

Robert Knox practices at 1534 11th St, Portsmouth, OH 45662. The listed phone number is (740) 355-1161.

What is Robert Knox's specialty?

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

Is Robert Knox enrolled in Medicare?

Yes. Robert Knox 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 Robert Knox accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Robert Knox 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 Robert Knox affiliated with any hospitals?

According to CMS data, Robert Knox is affiliated with Southern Ohio Medical Center and Kings Daughters Medical Center Ohio.

When was this NPI record last updated?

The NPPES record for Robert Knox was last updated on October 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.