Active NPI 1861494098 Individual Practitioner Male Practitioner

Dr. Mark H Gooch , MD

Ophthalmology • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Gooch, MD is a certified Ophthalmology practicing in Cincinnati, OH. With approximately 46 years of clinical experience since graduating from University Of Louisville School Of Medicine in 1980, Dr. Gooch delivers high-quality medical care to the local community at 2135 DANA AVE.

Dr. Gooch is affiliated with Tri-State Centers For Sight Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2135 Dana Ave
Ste 310

Cincinnati, OH 452071313

Telephone 5132217788

Fax 5134875223

Associated Practice Facility / Clinic

🏢 Caregivers Health Network, Inc. Facility NPI 1508843376

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Cincinnati, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +17.1 yrs vs City Avg

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

37.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gooch (46 Years) 46 Yrs

Cincinnati Specialty Average (28.9 Years) 28.9 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
92014 Established patient complete exam of visual system	566	532	$190.00	$119.35
92012 Established patient problem focused exam of visual system	304	201	$115.00	$84.58
92133 Imaging of optic nerve	182	176	$80.00	$34.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	163	76	$70.00	$54.20
92134 Imaging of retina	154	120	$100.00	$38.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	96	$165.00	$122.73
92083 Exam of visual field with extended testing	81	76	$125.00	$59.56
99213 Established patient office or other outpatient visit, typically 15 minutes	56	54	$115.00	$86.30
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	26	16	$35.00	$21.99
92004 New patient complete exam of visual system	15	15	$225.00	$141.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	455	446	$190.00	$120.55
99213 Established patient office or other outpatient visit, typically 15 minutes	290	203	$115.00	$87.12
92133 Imaging of optic nerve	154	148	$80.00	$35.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	152	86	$70.00	$54.13
92134 Imaging of retina	133	111	$100.00	$38.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	106	$165.00	$123.81
92083 Exam of visual field with extended testing	64	61	$125.00	$59.20
92012 Established patient problem focused exam of visual system	53	48	$115.00	$85.64
92004 New patient complete exam of visual system	15	15	$225.00	$143.10
66821 Removal of recurring cataract in lens capsule using a laser	14	14	$430.00	$296.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	393	380	$190.00	$121.58
99213 Established patient office or other outpatient visit, typically 15 minutes	272	192	$99.96	$88.70
92133 Imaging of optic nerve	130	128	$80.00	$35.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	110	60	$65.00	$55.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	92	$165.00	$125.24
92134 Imaging of retina	96	82	$100.00	$38.75
92012 Established patient problem focused exam of visual system	48	45	$115.00	$85.95
92083 Exam of visual field with extended testing	48	46	$125.00	$59.99
92004 New patient complete exam of visual system	17	17	$225.00	$145.01
66821 Removal of recurring cataract in lens capsule using a laser	14	13	$430.00	$298.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	364	354	$190.00	$122.33
99213 Established patient office or other outpatient visit, typically 15 minutes	237	169	$100.00	$89.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	165	$165.00	$127.42
92133 Imaging of optic nerve	129	127	$80.00	$36.10
92134 Imaging of retina	91	78	$100.00	$39.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	48	$65.00	$55.02
92083 Exam of visual field with extended testing	55	55	$125.00	$60.88
92004 New patient complete exam of visual system	47	47	$225.00	$146.49
76514 Ultrasound scan of cornea to determine thickness	24	24	$40.00	$10.81
92012 Established patient problem focused exam of visual system	13	13	$115.00	$87.18
66821 Removal of recurring cataract in lens capsule using a laser	12	12	$430.00	$302.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	400	392	$190.00	$122.75
99213 Established patient office or other outpatient visit, typically 15 minutes	193	136	$100.00	$72.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	94	$165.00	$107.06
92133 Imaging of optic nerve	112	111	$80.00	$36.33
92134 Imaging of retina	80	69	$100.00	$39.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	42	$65.00	$44.28
92083 Exam of visual field with extended testing	48	46	$125.00	$60.82
92004 New patient complete exam of visual system	38	38	$225.00	$143.38
92012 Established patient problem focused exam of visual system	29	26	$115.00	$83.39
76514 Ultrasound scan of cornea to determine thickness	20	20	$40.00	$11.19
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$50.00	$27.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	404	388	$190.00	$121.93
99213 Established patient office or other outpatient visit, typically 15 minutes	268	183	$100.00	$72.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	126	$165.00	$105.65
92133 Imaging of optic nerve	116	112	$80.00	$35.87
92134 Imaging of retina	108	84	$100.00	$39.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	55	$65.00	$43.40
92083 Exam of visual field with extended testing	53	53	$125.00	$61.22
92004 New patient complete exam of visual system	48	48	$225.00	$146.07
92012 Established patient problem focused exam of visual system	46	39	$115.00	$84.93
76514 Ultrasound scan of cornea to determine thickness	20	20	$40.00	$11.58
92020 Examination of cornea and iris using lens device and slit lamp	20	19	$50.00	$26.84
66821 Removal of recurring cataract in lens capsule using a laser	15	15	$430.00	$302.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	407	391	$190.00	$116.94
99213 Established patient office or other outpatient visit, typically 15 minutes	281	198	$95.00	$68.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	126	$165.00	$100.61
92133 Imaging of optic nerve	112	111	$80.00	$34.73
92134 Imaging of retina	106	90	$100.00	$38.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	85	56	$60.00	$40.62
92004 New patient complete exam of visual system	71	71	$225.00	$139.34
92083 Exam of visual field with extended testing	70	68	$125.00	$59.03
92020 Examination of cornea and iris using lens device and slit lamp	39	38	$50.00	$25.04
92012 Established patient problem focused exam of visual system	38	36	$110.00	$81.06
76514 Ultrasound scan of cornea to determine thickness	24	24	$40.00	$12.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	342	335	$164.97	$112.01
99213 Established patient office or other outpatient visit, typically 15 minutes	298	206	$92.72	$66.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	116	70	$60.00	$39.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	94	$152.10	$97.07
92133 Imaging of optic nerve	96	95	$80.00	$33.85
92134 Imaging of retina	79	65	$90.63	$37.08
92004 New patient complete exam of visual system	71	71	$200.92	$135.05
92083 Exam of visual field with extended testing	61	60	$125.00	$57.22
92012 Established patient problem focused exam of visual system	33	30	$105.00	$77.02
92020 Examination of cornea and iris using lens device and slit lamp	29	29	$50.00	$24.50
76514 Ultrasound scan of cornea to determine thickness	20	20	$40.00	$13.01
66821 Removal of recurring cataract in lens capsule using a laser	11	11	$425.00	$281.59

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OH 35.056990

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

0706276 (OH)

Medicaid State Provider ID

64861727 (KY)

Commercial Insurance / Payer ID Medicare Railroad

180021893

Hospital & Practice Group Affiliations

Tri-State Centers For Sight Inc

2135 Dana Ave, Cincinnati, OH 452071327

Phone: 5132217788

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Robert Werner , MD

Ophthalmology

NPI 1487656633

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 March 28, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 28, 2014

Registered at 2135 DANA AVE, STE 310, CINCINNATI, OH 452071313 (Tel: 5132217788)

📍

Updated Business Mailing Address March 28, 2014

Registered at PO BOX 631662, CINCINNATI, OH 452631662 (Tel: 8595817120)

👤

Provider Name / Credentials Updated March 28, 2014

Recorded as MARK GOOCH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2014

Ophthalmology (License #35.056990 in OH)

🟢

Initial NPI Registration & Enumeration June 01, 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: 1861494098

Entity Type:

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

Enumeration Date: June 01, 2005

Last Update: March 28, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 631662

Cincinnati, OH 452631662

Phone: 8595817120

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.