JAMES EDWARD RIDGE O.D.
NPI 1811004690
Optometrist in Marion, OH

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
63.05/100
CMS Quality Rating
1462 MARION WALDO RD, MARION, OH 43302(740) 389-5418(740) 389-5410 Get Directions Write a Review

NPPES record last updated: May 14, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About James Edward Ridge O.d. NPPES

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

JAMES EDWARD RIDGE O.D. (NPI 1811004690) is an individual optometrist in Marion, Ohio, licensed in Ohio (5526) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (1993).

NPPES Registry Identity

NPI1811004690
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJAMES EDWARD RIDGECredential: O.D.
Location Address1462 MARION WALDO RDMarion, OH 43302-7422
Mailing Address1462 Marion Waldo RdMarion, OH 43302-7422 · (740) 389-5418 · Fax (740) 389-5410
Fax(740) 389-5410
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 1993
Enumeration DateAugust 25, 2006
Last NPPES UpdateMay 14, 2014
NPI 1811004690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in OH · 5526 Licensed in KY · 1268DT
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.

1462 MARION WALDO RD, Marion, OH 43302

Other Identifiers 4

Medicare PIN4190813OH
Medicare PINH196701OH
Medicare UPINU59933OH
Medicaid2678777OH

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

James Edward Ridge O.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 ID6305837030
PECOS Enrollment IDI20061005000384
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 12

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, 30-39 minutes 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.
202 services178 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
141 services95 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
118 services38 patients
Analysis of substance using immunoassay technique, multiple step method 83516
This procedure involves the use of an immunoassay, a highly sensitive technique, to detect and measure substances in your body. It involves multiple steps and is commonly used in diagnosing and monitoring various health conditions.
117 services33 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
87 services58 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
73 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43302 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.

63.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.89
Improvement Activities40
Cost19.65

Other Providers at the Same Location NPPES 8

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

Ophthalmology
1462 MARION WALDO RD
MARION, OH 43302
Ophthalmology
1462 MARION WALDO RD
MARION, OH 43302
Ophthalmology
1462 MARION WALDO RD
MARION, OH 43302
Ophthalmology
1462 MARION WALDO RD
MARION, OH 43302
Ophthalmology
1462 MARION WALDO RD
MARION, OH 43302
Eyewear Supplier
1462 MARION WALDO RD
MARION, OH 43302
Ophthalmology
1462 MARION WALDO RD
MARION, OH 43302
Ophthalmology
1462 MARION WALDO RD
MARION, OH 43302

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 James Ridge's NPI number?

The NPI number for James Ridge is 1811004690. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is James Ridge located?

James Ridge practices at 1462 Marion Waldo Rd, Marion, OH 43302. The listed phone number is (740) 389-5418.

What is James Ridge's specialty?

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

Is James Ridge enrolled in Medicare?

Yes. James Ridge 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 James Ridge 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 5 other insurers list James Ridge 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 James Ridge was last updated on May 14, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.