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DR. JAMES MICHAEL MARKLEY O.D.
NPI 1811950066
Optometrist in Belpre, OH

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
1714 WASHINGTON BLVD, BELPRE, OH 45714(740) 423-9521(740) 423-6882 Get Directions Write a Review

NPPES record last updated: May 13, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James Michael Markley O.d. NPPES

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

DR. JAMES MICHAEL MARKLEY O.D. (NPI 1811950066) is an individual optometrist in Belpre, Ohio, licensed in Ohio (5227) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2001).

NPPES Registry Identity

NPI1811950066
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAMES MICHAEL MARKLEYCredential: O.D.
Location Address1714 WASHINGTON BLVDBelpre, OH 45714-2096
Mailing Address1714 Washington BlvdBelpre, OH 45714-2096 · (740) 423-9521 · Fax (740) 423-6882
Phone(740) 423-9521
Fax(740) 423-6882
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 2001
Enumeration DateApril 10, 2006
Last NPPES UpdateMay 13, 2008
✔ NPI 1811950066 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 · 5227
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.
1714 WASHINGTON BLVD, Belpre, OH 45714
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Other Identifiers 2

Medicare ID-Type UnspecifiedMA4053943OH
Medicare UPINU85627OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Dr. James Michael Markley 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 ID1153310024
PECOS Enrollment IDI20040507000337
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 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.
165 services162 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.
56 services49 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.
22 services22 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
17 services17 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45714 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

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%52 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 6

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

RIVERCITY EYECARE, INC
Optometrist
1714 WASHINGTON BLVD
BELPRE, OH 45714
Washington County (740) 423-9521
DR. RICHARD KEITH MCFEE O.D.
Optometrist
1714 WASHINGTON BLVD
BELPRE, OH 45714
Washington County (740) 423-9521
DENNIS LYNN RANDOLPH O.D.
Optometrist
1714 WASHINGTON BLVD
BELPRE, OH 45714
Washington County (740) 423-9521
RIVER CITY EYECARE, INC.
Optometrist
1714 WASHINGTON BLVD
BELPRE, OH 45714
Washington County (740) 423-9521
HOUSECALLS HOME HEALTH AND HOSPICE, LLC
Home Health
1714 WASHINGTON BLVD, STE. B
BELPRE, OH 45714
Washington County (740) 423-5901
HOUSECALLS HOME HEALTH AND HOSPICE, LLC
Hospice Care, Community Based
1714 WASHINGTON BLVD, STE. B
BELPRE, OH 45714
Washington County (740) 423-5901

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 Markley's NPI number?

The NPI number for James Markley is 1811950066. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is James Markley located?

James Markley practices at 1714 Washington Blvd, Belpre, OH 45714. The listed phone number is (740) 423-9521.

What is James Markley's specialty?

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

Is James Markley enrolled in Medicare?

Yes. James Markley 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 Markley accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and CareSource and 3 other insurers list James Markley 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 Markley was last updated on May 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.