DR. JAMES D FAULKNER MD
NPI 1750339875
Ophthalmology in Cincinnati, OH
NPI Status: Active since May 04, 2006
Contact Information
1945 CEI DR
CINCINNATI, OH
ZIP 45242
Phone: (513) 569-3741
Fax: (513) 569-3941
- Individual
- Male
- Ophthalmology
- Accepts Insurance
- PECOS Enrolled
About JAMES FAULKNER
This page provides the complete NPI Profile along with additional information for James Faulkner, a provider established in Cincinnati, Ohio with a medical specialization in Ophthalmology. The healthcare provider is registered in the NPI registry with number 1750339875 assigned on May 2006. The practitioner's primary taxonomy code is 207W00000X with license number 35029343 (OH). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1750339875
- Provider Name
- DR. JAMES D FAULKNER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1945 CEI DR CINCINNATI, OH 45242
- Location Phone
- (513) 569-3741
- Location Fax
- (513) 569-3941
- Mailing Address
- 1945 CEI DRIVE CINCINNATI, OH 45242
- Mailing Phone
- (513) 569-3741
- Mailing Fax
- (513) 569-3941
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-04-2006
- Last Update Date
- 12-18-2007
- Code Navigator
Ophthalmologists like James Faulkner specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35029343
- License State
- OH
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- Bronze 10 - HMO
- Bronze 8 - HMO
- Bronze 9 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| A74025 | MEDICARE UPIN (02) | ||
| 64734387 | MEDICAID (05) | KY | |
| 000000021247 | OTHER (01) | BCBS | |
| 0210953 | MEDICAID (05) | OH | |
| 0373414 | MEDICARE PIN (08) | OH |
Medicare Participation & PECOS Enrollment Status
James Faulkner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 45242 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.12
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $31.53
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. JAMES D FAULKNER MD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 3 | 3 | 9 | 8 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 6 | 3 | 18 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 6 + 3 + 1 + 8 + 8 + 1 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1750339875 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760477087 | JAY P KELMAN M.D. Individual | Ophthalmology | 1945 CEI DR CINCINNATI, OH 45242 (513) 984-5133 |
| 1053300517 | CEI PHYSICIANS PSC, INC Organization | Ophthalmology | 1945 CEI DR CINCINNATI, OH 45242 (513) 984-5133 |
| 1386694461 | DR. MARY BETH YACKEY OD Individual | Optometrist | 1945 CEI DR CINCINNATI, OH 45242 (513) 984-5133 |
| 1174550610 | DR. LAWRENCE A RAYMOND MD Individual | Ophthalmology | 1945 CEI DR CINCINNATI, OH 45242 (513) 984-5133 |
| 1689601163 | DR. CORWIN M SMITH MD Individual | Ophthalmology | 1945 CEI DR CINCINNATI, OH 45242 (513) 984-5133 |
| 1063614089 | ROBERT A SISK MD Individual | Ophthalmology | 1945 CEI DR CINCINNATI, OH 45242 (513) 569-3741 |
| 1699034447 | MAHSHAD DARVISH-ZARGAR M.D. Individual | Ophthalmology | 1945 CEI DR BLUE ASH, OH 45242 (513) 569-3741 |
| 1770830283 | MAURICIO ANDRES PEREZ M.D. Individual | Student in an Organized Health Care Education/Training Program | 1945 CEI DR BLUE ASH, OH 45242 (513) 984-5133 |
| 1447563077 | DR. ERICH ANTHONY HINEL O.D. Individual | Optometrist | 1945 CEI DR BLUE ASH, OH 45242 (513) 569-3741 |
| 1003078726 | ROBERT JOSEPH GOULET III M.D. Individual | Ophthalmology | 1945 CEI DR BLUE ASH, OH 45242 (513) 984-5133 |
| 1386080166 | BRAD MITCHELL GENEREUX O.D. Individual | Optometrist | 1945 CEI DR BLUE ASH, OH 45242 (513) 984-5133 |
| 1114181526 | DR. EHRYN BETH CARTWRIGHT O.D. Individual | Optometrist | 1945 CEI DR BLUE ASH, OH 45242 (513) 569-3741 |
| 1629230339 | MATTHEW GREGORY GUESS M.D. Individual | Ophthalmology | 1945 CEI DR BLUE ASH, OH 45242 (513) 984-5133 |
| 1942448618 | JAMES OSHER M.D. Individual | Ophthalmology | 1945 CEI DR BLUE ASH, OH 45242 (513) 984-5133 |
| 1053613844 | DR. GREGORY BRUNS MECOLI M.D. Individual | Ophthalmology | 1945 CEI DR BLUE ASH, OH 45242 (513) 984-5133 |
| 1174937056 | DR. ERIC SYVERSON O.D. Individual | Optometrist | 1945 CEI DR BLUE ASH, OH 45242 (513) 984-5133 |
| 1639575236 | MR. ZACHARY CALDWELL Individual | Nurse Anesthetist, Certified Registered | 1945 CEI DR BLUE ASH, OH 45242 (513) 569-3741 |
| 1588053367 | JOSEPH WANSTRATH CRNA Individual | Nurse Anesthetist, Certified Registered | 1945 CEI DR BLUE ASH, OH 45242 (513) 569-3741 |
| 1568856276 | NORTHMARK PHARMACY LLC Organization | Pharmacy | 1945 CEI DR BLUE ASH, OH 45242 (513) 984-5133 |
| 1932420478 | FRED BERNABE CHU M.D. Individual | Ophthalmology | 1945 CEI DR BLUE ASH, OH 45242 (513) 984-5133 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750339875, enumerated in the NPI registry as an "individual" on May 04, 2006
The provider is located at 1945 Cei Dr Cincinnati, Oh 45242 and the phone number is (513) 569-3741
The provider's speciality is Ophthalmology with taxonomy code 207W00000X
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $126.12 with an average copayment of $31.53 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on May 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.