Active NPI 1144297060 Individual Practitioner Male Practitioner

Dr. Paul Andrew Garfinkle , MD

Ophthalmology • Alliance, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Garfinkle, MD is a certified Ophthalmology practicing in Alliance, OH. With approximately 33 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 1993, Dr. Garfinkle delivers high-quality medical care to the local community at 985 S SAWBURG RD.

Dr. Garfinkle is affiliated with Ohio Eye Alliance, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include imaging of retina, established patient problem focused exam of visual system, removal of cataract with insertion of lens. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

985 S Sawburg Rd

Alliance, OH 446013515

Telephone 3308231680

Fax 3308233831

Associated Practice Facility / Clinic

🏢 Ohio Eye Alliance, Inc. Facility NPI 1912974825

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Alliance, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs -1.5 yrs vs City Avg

City Avg: 34.5 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Alliance, OH (803 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Garfinkle (33 Years) 33 Yrs

Alliance Specialty Average (34.5 Years) 34.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	374	158	$77.00	$37.14
92012 Established patient problem focused exam of visual system	297	177	$171.00	$81.94
66984 Removal of cataract with insertion of lens	262	54	$337.67	$149.41
67028 Injection of drug into eye	257	62	$234.73	$108.50
92014 Established patient complete exam of visual system	209	189	$241.00	$116.38
92136 Measurement of corneal curvature and depth of eye	130	63	$57.94	$25.77
J0178 Injection, aflibercept, 1 mg	130	18	$1382.00	$828.75
J3590 Unclassified biologics	113	30	$98.23	$58.47
99213 Established patient office or other outpatient visit, typically 15 minutes	100	74	$174.00	$85.01
92250 Photography of the retina	95	89	$71.75	$34.14
92133 Imaging of optic nerve	87	87	$70.00	$33.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$755.12	$157.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	69	$247.00	$120.39
92083 Exam of visual field with extended testing	60	58	$118.00	$58.02
92020 Examination of cornea and iris using lens device and slit lamp	52	48	$53.00	$25.44
83861 Microfluid analysis of tears	50	25	$34.00	$22.03
66821 Removal of recurring cataract in lens capsule using a laser	37	28	$595.00	$306.90
68841 Insertion of drug delivery implant into tear duct of eye	36	27	$75.00	$15.01
92004 New patient complete exam of visual system	25	25	$284.00	$137.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$109.00	$52.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	413	142	$74.04	$38.42
67028 Injection of drug into eye	310	73	$234.87	$113.02
92012 Established patient problem focused exam of visual system	207	123	$164.46	$85.41
92014 Established patient complete exam of visual system	199	181	$231.09	$120.20
J0178 Injection, aflibercept, 1 mg	196	16	$1382.00	$870.88
J3590 Unclassified biologics	157	43	$100.00	$59.10
66984 Removal of cataract with insertion of lens	152	35	$398.06	$186.17
92136 Measurement of corneal curvature and depth of eye	95	44	$53.13	$25.06
92250 Photography of the retina	89	86	$73.19	$35.27
99213 Established patient office or other outpatient visit, typically 15 minutes	63	47	$170.19	$87.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	56	$236.00	$122.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$308.38	$161.88
66821 Removal of recurring cataract in lens capsule using a laser	39	27	$577.92	$317.85
92133 Imaging of optic nerve	29	29	$67.24	$35.05
83861 Microfluid analysis of tears	28	12	$36.43	$22.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	18	$109.00	$54.44
92083 Exam of visual field with extended testing	19	18	$115.05	$59.20
92020 Examination of cornea and iris using lens device and slit lamp	15	11	$48.67	$26.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	436	161	$59.00	$38.80
67028 Injection of drug into eye	323	72	$212.14	$111.48
66984 Removal of cataract with insertion of lens	233	43	$268.33	$137.31
92014 Established patient complete exam of visual system	220	199	$183.00	$121.35
J3590 Unclassified biologics	184	47	$98.75	$59.48
92012 Established patient problem focused exam of visual system	148	102	$130.00	$85.06
J0178 Injection, aflibercept, 1 mg	146	21	$1382.00	$902.58
92136 Measurement of corneal curvature and depth of eye	120	50	$52.09	$25.42
99213 Established patient office or other outpatient visit, typically 15 minutes	106	83	$134.00	$87.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$247.00	$163.82
92250 Photography of the retina	74	72	$84.00	$35.66
83861 Microfluid analysis of tears	52	25	$34.00	$22.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	46	$190.00	$124.89
92133 Imaging of optic nerve	43	41	$54.00	$35.33
66821 Removal of recurring cataract in lens capsule using a laser	32	23	$484.00	$319.19
92083 Exam of visual field with extended testing	22	21	$90.00	$59.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	11	$82.00	$55.07
92020 Examination of cornea and iris using lens device and slit lamp	14	14	$40.00	$27.13
92004 New patient complete exam of visual system	11	11	$218.00	$144.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	428	149	$58.95	$39.75
67028 Injection of drug into eye	321	75	$176.29	$114.50
92014 Established patient complete exam of visual system	214	195	$182.99	$122.93
J3590 Unclassified biologics	198	52	$90.00	$60.00
99213 Established patient office or other outpatient visit, typically 15 minutes	181	124	$133.03	$89.80
66984 Removal of cataract with insertion of lens	151	47	$462.71	$251.81
J0178 Injection, aflibercept, 1 mg	124	19	$1383.52	$918.76
92136 Measurement of corneal curvature and depth of eye	119	51	$52.47	$27.63
92012 Established patient problem focused exam of visual system	109	86	$129.92	$87.00
92250 Photography of the retina	103	99	$67.42	$37.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	80	$190.00	$125.14
83861 Microfluid analysis of tears	58	28	$34.00	$22.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$246.90	$163.51
92133 Imaging of optic nerve	39	38	$54.00	$36.07
92083 Exam of visual field with extended testing	23	21	$90.00	$60.82
66821 Removal of recurring cataract in lens capsule using a laser	21	17	$483.95	$325.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	14	$82.00	$54.91
92020 Examination of cornea and iris using lens device and slit lamp	17	12	$40.00	$27.21
92004 New patient complete exam of visual system	16	16	$217.94	$146.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	447	151	$58.85	$39.44
67028 Injection of drug into eye	340	72	$158.88	$103.09
66984 Removal of cataract with insertion of lens	295	37	$186.89	$98.17
92014 Established patient complete exam of visual system	259	232	$182.00	$121.57
J3590 Unclassified biologics	207	42	$90.00	$59.74
99213 Established patient office or other outpatient visit, typically 15 minutes	156	102	$109.00	$73.26
92012 Established patient problem focused exam of visual system	153	107	$127.00	$85.90
J0178 Injection, aflibercept, 1 mg	130	17	$1429.00	$930.60
92136 Measurement of corneal curvature and depth of eye	115	47	$51.27	$30.45
92250 Photography of the retina	97	94	$65.00	$42.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$241.00	$162.81
92133 Imaging of optic nerve	41	41	$54.00	$35.52
83861 Microfluid analysis of tears	38	19	$34.00	$22.29
92004 New patient complete exam of visual system	25	25	$217.00	$146.78
92083 Exam of visual field with extended testing	21	21	$90.00	$60.96
66821 Removal of recurring cataract in lens capsule using a laser	19	16	$482.00	$325.66
92020 Examination of cornea and iris using lens device and slit lamp	18	12	$40.00	$27.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$159.00	$107.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	533	181	$59.66	$38.92
67028 Injection of drug into eye	363	83	$165.71	$102.49
92014 Established patient complete exam of visual system	321	280	$183.13	$121.00
J2778 Injection, ranibizumab, 0.1 mg	234	11	$570.41	$354.50
J3590 Unclassified biologics	202	49	$77.70	$59.10
J0178 Injection, aflibercept, 1 mg	196	18	$1448.98	$914.33
92012 Established patient problem focused exam of visual system	188	127	$127.18	$83.57
66984 Removal of cataract with insertion of lens	160	34	$353.42	$215.68
99213 Established patient office or other outpatient visit, typically 15 minutes	147	108	$107.73	$70.79
92136 Measurement of corneal curvature and depth of eye	121	53	$54.22	$32.67
92250 Photography of the retina	92	87	$75.97	$47.76
92004 New patient complete exam of visual system	54	54	$218.89	$146.04
92133 Imaging of optic nerve	53	52	$54.00	$35.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$240.92	$157.69
66821 Removal of recurring cataract in lens capsule using a laser	33	23	$482.94	$321.07
92083 Exam of visual field with extended testing	24	23	$92.88	$61.17
76514 Ultrasound scan of cornea to determine thickness	16	16	$19.19	$11.63
92020 Examination of cornea and iris using lens device and slit lamp	16	15	$38.81	$26.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$158.00	$98.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	527	188	$58.92	$39.40
67028 Injection of drug into eye	358	82	$160.89	$100.41
J2778 Injection, ranibizumab, 0.1 mg	356	16	$576.40	$365.22
92014 Established patient complete exam of visual system	314	271	$179.00	$120.08
66984 Removal of cataract with insertion of lens	218	53	$391.51	$220.73
92012 Established patient problem focused exam of visual system	205	123	$123.00	$83.06
J3590 Unclassified biologics	195	46	$72.00	$58.92
92136 Measurement of corneal curvature and depth of eye	141	58	$59.60	$35.57
J0178 Injection, aflibercept, 1 mg	124	15	$1471.00	$953.72
99213 Established patient office or other outpatient visit, typically 15 minutes	105	84	$106.00	$70.12
92250 Photography of the retina	73	70	$94.00	$53.73
92004 New patient complete exam of visual system	68	68	$216.00	$140.87
92133 Imaging of optic nerve	37	37	$54.00	$36.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$240.00	$155.07
83861 Microfluid analysis of tears	22	11	$34.00	$22.03
92083 Exam of visual field with extended testing	22	20	$92.00	$60.79
66821 Removal of recurring cataract in lens capsule using a laser	19	14	$477.00	$286.58
66821 Removal of recurring cataract in lens capsule using a laser	14	12	$477.00	$316.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	536	175	$60.15	$38.98
67028 Injection of drug into eye	392	84	$157.35	$98.87
92014 Established patient complete exam of visual system	352	313	$179.42	$117.80
J3590 Unclassified biologics	245	60	$72.00	$59.11
66984 Removal of cataract with insertion of lens	235	54	$324.76	$188.93
J2778 Injection, ranibizumab, 0.1 mg	234	13	$573.95	$372.47
92012 Established patient problem focused exam of visual system	197	123	$123.50	$80.87
92136 Measurement of corneal curvature and depth of eye	162	72	$60.85	$39.84
J0178 Injection, aflibercept, 1 mg	136	12	$1471.00	$963.08
99213 Established patient office or other outpatient visit, typically 15 minutes	100	74	$106.00	$69.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$240.41	$158.41
66982 Complex removal of cataract with insertion of prosthetic lens	86	17	$277.09	$163.28
92250 Photography of the retina	84	78	$95.24	$61.62
83861 Microfluid analysis of tears	53	26	$34.00	$22.21
66821 Removal of recurring cataract in lens capsule using a laser	44	21	$307.22	$187.58
92133 Imaging of optic nerve	38	38	$56.03	$35.67
92004 New patient complete exam of visual system	24	24	$216.00	$141.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$63.00	$41.47
92083 Exam of visual field with extended testing	15	15	$92.00	$60.60
66821 Removal of recurring cataract in lens capsule using a laser	14	11	$482.14	$304.78

Medical Specialties & State Licenses

CMS Verified: 2021-07-28

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OH 35075599G

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.

General Practice

NUCC Taxonomy Code: 208D00000X

State License OH 75599

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2099812 (OH)

Hospital & Practice Group Affiliations

Ohio Eye Alliance, Inc.

985 S Sawburg Ave, Alliance, OH 446013515

Phone: 33082316801109

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

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Optometrist

NPI 1497589683

Doctor of Optometry

Dr. Liana Allabadi , OD

Optometrist

NPI 1689902892

Doctor of Optometry

Dr. Jasmine Barker , OD

Optometrist

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Doctor of Optometry

Dr. Stephanie Chiang , OD

Optometrist

NPI 1902280795

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 13, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 13, 2010

Registered at 985 S SAWBURG RD, ALLIANCE, OH 446013515 (Tel: 3308231680)

📍

Updated Business Mailing Address July 13, 2010

Registered at 985 S SAWBURG RD, ALLIANCE, OH 446013515 (Tel: 3308231680)

👤

Provider Name / Credentials Updated July 13, 2010

Recorded as PAUL GARFINKLE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2010

Ophthalmology (License #35075599G in OH)

🟢

Initial NPI Registration & Enumeration March 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144297060

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 01, 2006

Last Update: July 28, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

985 S Sawburg Rd

Alliance, OH 446013515

Phone: 3308231680

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.