DR. MARK H GOOCH M.D.
NPI 1861494098
Ophthalmology in Cincinnati, OH

Q: What is Mark Gooch's NPI number?

The NPI number for Mark Gooch is 1861494098. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Q: What is Mark Gooch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Gooch was last updated on March 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment

90.38/100

CMS Quality Rating

2135 DANA AVE, STE 310, CINCINNATI, OH 45207(513) 221-7788(513) 487-5223 Get Directions Write a Review

NPPES record last updated: March 28, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Mark H Gooch M.d. NPPES

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

DR. MARK H GOOCH M.D. (NPI 1861494098) is an individual ophthalmology provider in Cincinnati, Ohio, licensed in Ohio (35.056990) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (1980).

NPPES Registry Identity

NPI1861494098

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. MARK H GOOCHCredential: M.D.

Location Address2135 DANA AVE, STE 310Cincinnati, OH 45207-1313

Mailing AddressPo Box 631662Cincinnati, OH 45263-1662 · (859) 581-7120 · Fax (859) 581-7207

Phone(513) 221-7788

Fax(513) 487-5223

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1980

Enumeration DateJune 1, 2005

Last NPPES UpdateMarch 28, 2014

✔ NPI 1861494098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in OH · 35.056990

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.

2135 DANA AVE, Cincinnati, OH 45207

Open in Google Maps ↗

Other Identifiers 7

Medicare UPINC03361OH

Medicare PIN0651102KY

Medicare PIN0617282OH

Medicare PIN0617285OH

Medicaid0706276OH

Other180021893Medicare Railroad

Medicaid64861727KY

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 Louisiana, CareSource 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. Mark H Gooch 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 ID2062308257

PECOS Enrollment IDI20100830000004

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 10

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.

566 services532 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

304 services201 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).

182 services176 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.

163 services76 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.

154 services120 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.

104 services96 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45207 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

Quality

80.76

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 9

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

TRI-STATE CENTERS FOR SIGHT, INC.

Ophthalmology

2135 DANA AVE
CINCINNATI, OH 45207

Hamilton County (513) 221-7788

DR. JAMES M HOCHWALT MD

Internal Medicine

2135 DANA AVE, SUITE 210
CINCINNATI, OH 45207

Hamilton County (513) 351-1200

DR. CHARLES JONATHAN GLUECK MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2135 DANA AVE, SUITE 430
CINCINNATI, OH 45207

Hamilton County (513) 924-8250

DR. ROBERT B WERNER M.D.

Ophthalmology

2135 DANA AVE, STE 310
CINCINNATI, OH 45207

Hamilton County (513) 221-7788

CAREGIVERS HEALTH NETWORK, INC.

Home Health

2135 DANA AVE, SUITE 220
CINCINNATI, OH 45207

Hamilton County (513) 662-3400

VERLENA DANIELS RN

Nurse Practitioner (Adult Health)

2135 DANA AVE, STE 400
CINCINNATI, OH 45207

Hamilton County (513) 357-7289

TRI-STATE CENTERS FOR SIGHT, INC.

Durable Medical Equipment & Medical Supplies

2135 DANA AVE
CINCINNATI, OH 45207

Hamilton County (513) 221-7788

HYDE PARK MEDICAL ASSOCIATES, INC.

Internal Medicine

2135 DANA AVE, SUITE 210
CINCINNATI, OH 45207

Hamilton County (513) 351-1200

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 Mark Gooch's NPI number?

The NPI number for Mark Gooch is 1861494098. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Mark Gooch located?

Mark Gooch practices at 2135 Dana Ave Ste 310, Cincinnati, OH 45207. The listed phone number is (513) 221-7788.

What is Mark Gooch's specialty?

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

Is Mark Gooch enrolled in Medicare?

Yes. Mark Gooch 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 Mark Gooch accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, CareSource, Molina Healthcare and Oscar Health Insurance and 1 other insurer list Mark Gooch 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 Mark Gooch was last updated on March 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.