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PATRICK BURCHELL M.D.
NPI 1841649357
Ophthalmology in Blue Ash, OH

Active since June 06, 2016PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
1945 CEI DR, BLUE ASH, OH 45242(513) 984-5133(513) 984-4240 Get Directions Write a Review

NPPES record last updated: May 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 17, 2020, May 8, 2020 (2 updates tracked since 2020).

About Patrick Burchell M.d. NPPES

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

PATRICK BURCHELL M.D. (NPI 1841649357) is an individual ophthalmology provider in Blue Ash, Ohio, licensed in Ohio (35138792) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of University Of Louisville School Of Medicine (2016).

NPPES Registry Identity

NPI1841649357
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NamePATRICK BURCHELLCredential: M.D.
Location Address1945 CEI DRBlue Ash, OH 45242-5664
Mailing Address4445 Lake Forest DrBlue Ash, OH 45242-3739 · (513) 569-3741
Phone(513) 984-5133
Fax(513) 984-4240
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2016
Enumeration DateJune 6, 2016
Last NPPES UpdateMay 17, 20202 updates tracked since enumeration
NPPES CertifiedMay 17, 2020
✔ NPI 1841649357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in OH · 35138792✔ Licensed in IN · 01083585A✔ Licensed in KY · 53655
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.
1945 CEI DR, Blue Ash, OH 45242
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Other Identifiers 2

Medicaid0396040OH
Medicaid7100496340KY

Accepted Insurance

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

Patrick Burchell 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 ID7315230414
PECOS Enrollment IDI20200513003120, I20200513003147
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 7

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.

Exam of visual field with limited testing 92081
An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.
64 services64 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.
60 services50 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.
58 services58 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.
26 services26 patients
Biopsy of eyelid 67810
A biopsy of the eyelid is a procedure where a small piece of tissue is taken from your eyelid for examination. It helps identify any abnormal growth like a lump or cyst. It's done under local anesthesia, so you won't feel pain during the process.
25 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

ROBERT JOSEPH GOULET III M.D.
Ophthalmology
1945 CEI DR
BLUE ASH, OH 45242
Hamilton County (513) 984-5133
BROOKE RADCLIFFE
Student in an Organized Health Care Education/Training Program
1945 CEI DR
BLUE ASH, OH 45242
Hamilton County (513) 984-5133
WILLIAM RYAN DAVIS OD
Optometrist
1945 CEI DR
BLUE ASH, OH 45242
Hamilton County (513) 569-3741
KELLY KLIMO
Optometrist
1945 CEI DR
BLUE ASH, OH 45242
Hamilton County (513) 984-5133
CEI PHYSICIANS PSC, INC
Ophthalmology
1945 CEI DR
CINCINNATI, OH 45242
Hamilton County (513) 984-5133
DR. GREGORY BRUNS MECOLI M.D.
Ophthalmology
1945 CEI DR
BLUE ASH, OH 45242
Hamilton County (513) 984-5133
SAIF ABDULAMEER
Optometrist
1945 CEI DR
BLUE ASH, OH 45242
Hamilton County (513) 984-5133
ROBERT A SISK MD
Ophthalmology
1945 CEI DR
CINCINNATI, OH 45242
Hamilton County (513) 569-3741

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 Patrick Burchell's NPI number?

The NPI number for Patrick Burchell is 1841649357. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Where is Patrick Burchell located?

Patrick Burchell practices at 1945 Cei Dr, Blue Ash, OH 45242. The listed phone number is (513) 984-5133.

What is Patrick Burchell's specialty?

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

Is Patrick Burchell enrolled in Medicare?

Yes. Patrick Burchell 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 Patrick Burchell accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and CareSource and 4 other insurers list Patrick Burchell 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 Patrick Burchell affiliated with any hospitals?

According to CMS data, Patrick Burchell is affiliated with St Elizabeth Edgewood and University Of Cincinnati Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Patrick Burchell was last updated on May 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.