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DR. HOWARD D. BRUMBAUGH M.D.
NPI 1922080456
Ophthalmology in Indianapolis, IN

Active since November 18, 2005PECOS Enrolled
10293 N MERIDIAN ST, SUITE 325, INDIANAPOLIS, IN 46290(317) 575-1147(317) 574-4767 Get Directions Write a Review

NPPES record last updated: March 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Howard D. Brumbaugh M.d. NPPES

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

DR. HOWARD D. BRUMBAUGH M.D. (NPI 1922080456) is an individual ophthalmology provider in Indianapolis, Indiana, licensed in Indiana (01027008A) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922080456
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. HOWARD D. BRUMBAUGHCredential: M.D.
Location Address10293 N MERIDIAN ST, SUITE 325Indianapolis, IN 46290-1123
Mailing Address10293 N Meridian St, Suite 325Indianapolis, IN 46290-1123 · (317) 575-1147 · Fax (317) 574-4767
Phone(317) 575-1147
Fax(317) 574-4767
Sole ProprietorNo
Enumeration DateNovember 18, 2005
Last NPPES UpdateMarch 3, 2008
✔ NPI 1922080456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in IN · 01027008A
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.
10293 N MERIDIAN ST, Indianapolis, IN 46290
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Other Identifiers 4

Other000000089046IN · Bc/bs Pin
Medicare UPINB28351IN
Medicare OSCAR/certification279600AIN
Medicare PIN279600AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Howard D. Brumbaugh M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 8

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.
307 services274 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
173 services168 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.
61 services48 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
58 services56 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).
39 services37 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.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46290 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
78%45 patients4/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
98%41 patients4/55-star benchmark: 100%
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%31 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
100%48 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
61%54 patients1/55-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 15

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

DR. JOSEPH JOHN FATA M.D.
Surgery (Plastic and Reconstructive Surgery)
10293 N MERIDIAN ST, SUITE 200
INDIANAPOLIS, IN 46290
Hamilton County (317) 575-9152
PROFESSIONAL PSYCHOLOGICAL SERVICES
Psychologist
10293 N MERIDIAN ST, SUITE 375
INDIANAPOLIS, IN 46290
Hamilton County (317) 581-2288
DR. CORBY ALAN BUBP PH.D.
Clinical Neuropsychologist
10293 N MERIDIAN ST
INDIANAPOLIS, IN 46290
Hamilton County (317) 581-2288
DR. PATRICIA M COUVILLION PH.D.
Psychologist (Clinical)
10293 N MERIDIAN ST, SUITE 375
INDIANAPOLIS, IN 46290
Hamilton County (317) 581-2288
MARY KATHERINE DEGRELLA LCSW
Social Worker (Clinical)
10293 N MERIDIAN ST, 310
INDIANAPOLIS, IN 46290
Hamilton County (317) 550-5541
HOWARD BRUMBAUGH MD PC
Ophthalmology
10293 N MERIDIAN ST, SUITE 325
INDIANAPOLIS, IN 46290
Hamilton County (317) 575-1147
CAPTURING HOPE COUNSELING LLC
Community/Behavioral Health
10293 N MERIDIAN ST, SUITE 180
INDIANAPOLIS, IN 46290
Hamilton County (317) 682-7634
RENAISSANCE PLASTIC SURGERY PC
Plastic Surgery
10293 N MERIDIAN ST, SUITE 200
INDPLS, IN 46290
Hamilton County (317) 575-9152

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 Howard Brumbaugh's NPI number?

The NPI number for Howard Brumbaugh is 1922080456. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Howard Brumbaugh located?

Howard Brumbaugh practices at 10293 N Meridian St Suite 325, Indianapolis, IN 46290. The listed phone number is (317) 575-1147.

What is Howard Brumbaugh's specialty?

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

Is Howard Brumbaugh enrolled in Medicare?

Yes. Howard Brumbaugh is registered in the Medicare PECOS enrollment system.

What insurance does Howard Brumbaugh accept?

Health plans from CareSource list Howard Brumbaugh 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 Howard Brumbaugh was last updated on March 3, 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.