Active NPI 1306833496 Individual Practitioner Female Practitioner

Dr. Karen L Klugo , MD

Ophthalmology • Cincinnati, OH

Professional Overview & Biography Verified Profile Summary

Dr. Karen Klugo, MD is a registered healthcare professional specializing in Ophthalmology in Cincinnati, OH. Practice services are available at 5240 E GALBRAITH RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, exam of visual field with extended testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5240 E Galbraith Rd
Ste B

Cincinnati, OH 452362877

Telephone 5137459787

Fax 5137459789

Associated Practice Facility / Clinic

🏢 Cincinnati Pain Management Center, Llc Facility NPI 1629209820

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Cincinnati, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 28.9 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

102 Specialists

Practicing in Cincinnati, OH (803 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
92014 Established patient complete exam of visual system	585	584	$487.00	$118.03
99213 Established patient office or other outpatient visit, typically 15 minutes	290	263	$356.00	$86.83
92083 Exam of visual field with extended testing	176	166	$241.00	$59.08
92134 Imaging of retina	155	153	$158.00	$37.84
92133 Imaging of optic nerve	150	149	$144.00	$31.79
66984 Removal of cataract with insertion of lens	44	24	$2133.00	$502.78
92136 Measurement of corneal curvature and depth of eye	41	23	$176.22	$35.57
92004 New patient complete exam of visual system	36	36	$580.00	$140.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$506.00	$123.05
92020 Examination of cornea and iris using lens device and slit lamp	24	23	$108.00	$26.07
66821 Removal of recurring cataract in lens capsule using a laser	16	12	$1288.00	$295.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,077	1,073	$487.00	$120.12
99213 Established patient office or other outpatient visit, typically 15 minutes	567	412	$356.00	$87.01
92083 Exam of visual field with extended testing	344	311	$241.00	$58.99
92134 Imaging of retina	318	312	$158.00	$38.25
92133 Imaging of optic nerve	286	282	$144.00	$32.40
92004 New patient complete exam of visual system	118	118	$580.00	$141.00
66984 Removal of cataract with insertion of lens	110	61	$2133.00	$517.22
92136 Measurement of corneal curvature and depth of eye	110	64	$183.69	$37.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	88	$506.00	$123.83
66821 Removal of recurring cataract in lens capsule using a laser	40	33	$1288.00	$279.13
92020 Examination of cornea and iris using lens device and slit lamp	36	36	$108.00	$26.56
76514 Ultrasound scan of cornea to determine thickness	18	18	$47.00	$10.36
92202 Extended exam of the back part of the eye with optic nerve drawing	14	14	$63.00	$15.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$439.00	$108.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	986	984	$487.00	$121.63
99213 Established patient office or other outpatient visit, typically 15 minutes	588	400	$356.00	$88.36
92083 Exam of visual field with extended testing	331	292	$241.00	$59.65
92134 Imaging of retina	289	281	$157.80	$38.67
92133 Imaging of optic nerve	262	260	$144.00	$32.75
92004 New patient complete exam of visual system	120	120	$580.00	$143.79
66984 Removal of cataract with insertion of lens	107	57	$2133.00	$513.81
92136 Measurement of corneal curvature and depth of eye	105	59	$182.17	$38.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	49	$506.00	$125.21
92020 Examination of cornea and iris using lens device and slit lamp	39	39	$108.00	$27.19
66821 Removal of recurring cataract in lens capsule using a laser	39	29	$1288.00	$298.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$439.00	$105.58
92202 Extended exam of the back part of the eye with optic nerve drawing	17	15	$63.00	$15.39
76514 Ultrasound scan of cornea to determine thickness	14	14	$47.00	$9.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	987	980	$486.84	$122.85
99213 Established patient office or other outpatient visit, typically 15 minutes	697	460	$352.38	$89.73
92083 Exam of visual field with extended testing	358	312	$241.15	$60.81
92134 Imaging of retina	292	279	$158.00	$39.28
92133 Imaging of optic nerve	269	267	$144.00	$33.32
92004 New patient complete exam of visual system	128	128	$580.00	$145.83
92136 Measurement of corneal curvature and depth of eye	88	50	$185.83	$42.56
66984 Removal of cataract with insertion of lens	82	43	$2133.00	$532.66
92020 Examination of cornea and iris using lens device and slit lamp	48	46	$108.00	$27.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	38	$501.64	$125.52
66821 Removal of recurring cataract in lens capsule using a laser	31	25	$1287.61	$303.25
92202 Extended exam of the back part of the eye with optic nerve drawing	20	20	$62.98	$15.65
76514 Ultrasound scan of cornea to determine thickness	20	20	$47.00	$10.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$432.31	$110.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	856	848	$218.29	$122.44
99213 Established patient office or other outpatient visit, typically 15 minutes	645	419	$129.54	$73.64
92083 Exam of visual field with extended testing	317	274	$159.14	$60.97
92134 Imaging of retina	275	262	$92.87	$39.16
92133 Imaging of optic nerve	242	241	$94.21	$33.96
66984 Removal of cataract with insertion of lens	60	37	$1871.75	$539.90
92004 New patient complete exam of visual system	58	58	$258.67	$146.64
92136 Measurement of corneal curvature and depth of eye	51	35	$158.90	$47.09
92020 Examination of cornea and iris using lens device and slit lamp	42	41	$64.17	$27.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$189.62	$106.92
66821 Removal of recurring cataract in lens capsule using a laser	20	19	$747.00	$295.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$200.24	$105.86
76514 Ultrasound scan of cornea to determine thickness	13	13	$36.46	$11.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	959	953	$174.00	$121.43
99213 Established patient office or other outpatient visit, typically 15 minutes	855	525	$101.00	$71.92
92083 Exam of visual field with extended testing	389	345	$110.00	$61.08
92133 Imaging of optic nerve	319	317	$65.00	$33.40
92134 Imaging of retina	318	304	$65.00	$39.34
92004 New patient complete exam of visual system	111	111	$209.00	$145.28
92136 Measurement of corneal curvature and depth of eye	85	49	$250.00	$49.59
66984 Removal of cataract with insertion of lens	74	41	$2850.00	$625.56
92020 Examination of cornea and iris using lens device and slit lamp	64	63	$60.00	$26.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$140.00	$105.20
66821 Removal of recurring cataract in lens capsule using a laser	28	21	$935.00	$299.31
92225 Examination of eye by ophthalmoscope with retinal drawing	25	21	$85.00	$26.86
76514 Ultrasound scan of cornea to determine thickness	16	16	$50.00	$11.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$137.00	$105.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	944	938	$174.00	$120.33
99213 Established patient office or other outpatient visit, typically 15 minutes	795	478	$101.00	$69.79
92083 Exam of visual field with extended testing	423	357	$110.00	$60.65
92133 Imaging of optic nerve	339	333	$65.00	$33.67
92004 New patient complete exam of visual system	106	106	$209.00	$142.88
92134 Imaging of retina	83	82	$65.00	$39.22
92136 Measurement of corneal curvature and depth of eye	74	46	$250.00	$54.19
92020 Examination of cornea and iris using lens device and slit lamp	72	71	$60.00	$25.84
66984 Removal of cataract with insertion of lens	67	42	$2850.00	$607.96
92012 Established patient problem focused exam of visual system	39	38	$120.00	$83.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	36	$137.00	$103.64
76514 Ultrasound scan of cornea to determine thickness	30	30	$50.00	$13.98
66821 Removal of recurring cataract in lens capsule using a laser	22	19	$935.00	$299.23
92225 Examination of eye by ophthalmoscope with retinal drawing	14	12	$85.00	$26.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$140.00	$103.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	944	928	$173.96	$117.30
99213 Established patient office or other outpatient visit, typically 15 minutes	907	532	$101.00	$69.43
92083 Exam of visual field with extended testing	431	370	$110.00	$60.25
92133 Imaging of optic nerve	342	340	$65.00	$33.24
92004 New patient complete exam of visual system	91	91	$209.00	$140.90
76514 Ultrasound scan of cornea to determine thickness	81	81	$50.00	$13.62
92020 Examination of cornea and iris using lens device and slit lamp	73	72	$60.00	$25.43
92136 Measurement of corneal curvature and depth of eye	70	42	$250.00	$59.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	52	$137.00	$103.32
66984 Removal of cataract with insertion of lens	39	27	$2850.00	$614.49
66982 Complex removal of cataract with insertion of prosthetic lens	34	23	$3050.00	$765.15
92225 Examination of eye by ophthalmoscope with retinal drawing	26	23	$85.00	$25.87
92012 Established patient problem focused exam of visual system	23	22	$120.00	$81.09
66821 Removal of recurring cataract in lens capsule using a laser	21	20	$935.00	$292.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$140.00	$100.20
67820 Removal of eyelashes using forceps	15	11	$85.00	$46.66

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OH 35 07 99944 L

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2396054 (OH)

Commercial Insurance / Payer ID Rr Medicare

P00305737 (OH)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Sarah Carl , OD

Optometrist

NPI 1588603856

Doctor of Optometry

Dr. Leonard Jacobson , MD

Ophthalmology

NPI 1679598262

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 31, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location December 31, 2013

Registered at 5240 E GALBRAITH RD, STE B, CINCINNATI, OH 452362877 (Tel: 5137459787)

📍

Updated Business Mailing Address December 31, 2013

Registered at 5535 FAIR LN, SUITE C, CINCINNATI, OH 452273434 (Tel: 5132215274)

👤

Provider Name / Credentials Updated December 31, 2013

Recorded as KAREN KLUGO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2013

Ophthalmology (License #35 07 99944 L in OH)

🟢

Initial NPI Registration & Enumeration October 04, 2005

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: 1306833496

Entity Type:

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

Enumeration Date: October 04, 2005

Last Update: December 31, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5535 Fair Ln, Suite C

Cincinnati, OH 452273434

Phone: 5132215274

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.