Active NPI 1902148745 Individual Practitioner Female Practitioner

Dr. Alisha Gandhi Kumar , MD

Ophthalmology • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Alisha Kumar, MD is a certified Ophthalmology practicing in Cincinnati, OH. With approximately 13 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 2013, Dr. Kumar delivers high-quality medical care to the local community at 3310 MERCY HEALTH BLVD # 200.

Dr. Kumar is affiliated with Cei Physicians Psc, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, exam of visual field with extended testing, 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

3310 Mercy Health Blvd # 200

Cincinnati, OH 45211

Telephone 5139845133

Associated Practice Facility / Clinic

🏢 Cei Physicians Psc, Inc Facility NPI 1053300517

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Cincinnati, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -15.9 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

77.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (13 Years) 13 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
99213 Established patient office or other outpatient visit, typically 15 minutes	613	384	$356.00	$86.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	416	300	$506.00	$121.92
92083 Exam of visual field with extended testing	323	292	$240.02	$58.21
92133 Imaging of optic nerve	279	272	$143.49	$32.96
92136 Measurement of corneal curvature and depth of eye	235	157	$181.74	$36.48
66984 Removal of cataract with insertion of lens	230	133	$2133.00	$452.95
92020 Examination of cornea and iris using lens device and slit lamp	185	170	$108.00	$25.22
66821 Removal of recurring cataract in lens capsule using a laser	109	79	$1288.00	$289.65
92014 Established patient complete exam of visual system	105	105	$487.00	$118.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$658.00	$158.94
65820 Incision to improve eye fluid flow	48	31	$3137.00	$762.27
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	42	25	$1161.00	$222.62
65855 Laser repair to improve eye fluid flow	26	21	$961.00	$232.63
76514 Ultrasound scan of cornea to determine thickness	25	25	$47.00	$10.11
66180 Creation of shunt to improve eye fluid flow using tissue graft	23	20	$4388.00	$1061.58
92134 Imaging of retina	19	15	$158.00	$36.03
65855 Laser repair to improve eye fluid flow	19	15	$961.00	$192.55
66982 Complex removal of cataract with insertion of prosthetic lens	15	13	$2929.00	$600.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	551	334	$356.00	$86.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	383	274	$506.00	$122.35
92083 Exam of visual field with extended testing	264	237	$241.00	$58.31
92136 Measurement of corneal curvature and depth of eye	239	163	$191.51	$37.88
66984 Removal of cataract with insertion of lens	204	129	$2133.00	$439.45
92133 Imaging of optic nerve	203	198	$143.58	$33.39
92020 Examination of cornea and iris using lens device and slit lamp	191	177	$108.00	$25.46
92014 Established patient complete exam of visual system	132	130	$487.00	$119.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$658.00	$155.92
65820 Incision to improve eye fluid flow	51	31	$3137.00	$780.08
66821 Removal of recurring cataract in lens capsule using a laser	51	38	$1272.82	$283.96
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	44	24	$1174.13	$220.69
65855 Laser repair to improve eye fluid flow	29	18	$961.00	$235.03
65855 Laser repair to improve eye fluid flow	24	19	$961.00	$194.18
66982 Complex removal of cataract with insertion of prosthetic lens	16	16	$2879.25	$571.77
92134 Imaging of retina	12	11	$158.00	$36.22
92004 New patient complete exam of visual system	11	11	$580.00	$140.13
66180 Creation of shunt to improve eye fluid flow using tissue graft	11	11	$4446.00	$1079.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	377	243	$506.00	$123.10
99213 Established patient office or other outpatient visit, typically 15 minutes	287	204	$356.00	$87.30
92083 Exam of visual field with extended testing	195	180	$241.00	$58.94
92133 Imaging of optic nerve	174	171	$144.00	$33.96
92020 Examination of cornea and iris using lens device and slit lamp	126	109	$108.00	$24.15
92202 Extended exam of the back part of the eye with optic nerve drawing	120	118	$63.00	$15.31
92136 Measurement of corneal curvature and depth of eye	114	88	$190.76	$39.80
66984 Removal of cataract with insertion of lens	106	65	$2133.00	$475.21
92014 Established patient complete exam of visual system	75	75	$487.00	$120.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$658.00	$157.58
66821 Removal of recurring cataract in lens capsule using a laser	27	22	$1288.00	$294.07
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	22	13	$1213.53	$236.49
65855 Laser repair to improve eye fluid flow	19	12	$961.00	$195.58
65855 Laser repair to improve eye fluid flow	17	14	$961.00	$238.41
65820 Incision to improve eye fluid flow	17	11	$3137.00	$789.29
0449T Insertion of initial aqueous fluid drainage device into eye	15	14	$1671.00	$923.24
92134 Imaging of retina	13	13	$158.00	$36.94
76514 Ultrasound scan of cornea to determine thickness	12	12	$47.00	$10.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	364	244	$352.51	$87.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	364	218	$501.98	$124.15
92083 Exam of visual field with extended testing	251	224	$241.13	$59.25
92014 Established patient complete exam of visual system	242	233	$486.80	$120.04
92202 Extended exam of the back part of the eye with optic nerve drawing	212	208	$63.00	$15.34
92133 Imaging of optic nerve	194	189	$144.00	$34.30
92020 Examination of cornea and iris using lens device and slit lamp	182	145	$108.00	$24.45
92136 Measurement of corneal curvature and depth of eye	111	88	$200.03	$44.17
66984 Removal of cataract with insertion of lens	101	60	$2133.00	$480.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$657.33	$162.15
66821 Removal of recurring cataract in lens capsule using a laser	30	23	$1287.60	$286.65
65855 Laser repair to improve eye fluid flow	23	15	$961.09	$239.23
65855 Laser repair to improve eye fluid flow	22	15	$961.32	$175.37
65820 Incision to improve eye fluid flow	17	14	$3049.53	$755.79
66180 Creation of shunt to improve eye fluid flow using tissue graft	17	17	$4289.05	$1053.09
0191T Internal insertion of eye fluid drainage device	15	12	$2197.00	$1134.13
92004 New patient complete exam of visual system	14	14	$580.00	$144.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	485	265	$136.00	$71.41
92083 Exam of visual field with extended testing	240	201	$169.00	$58.85
92014 Established patient complete exam of visual system	222	212	$228.00	$119.40
92020 Examination of cornea and iris using lens device and slit lamp	184	153	$65.00	$24.86
92202 Extended exam of the back part of the eye with optic nerve drawing	171	169	$35.00	$15.51
92133 Imaging of optic nerve	170	163	$100.00	$34.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	112	$202.00	$104.71
66984 Removal of cataract with insertion of lens	85	52	$1485.00	$492.37
92136 Measurement of corneal curvature and depth of eye	76	66	$144.74	$53.41
92012 Established patient problem focused exam of visual system	50	45	$157.00	$84.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$315.00	$157.72
65855 Laser repair to improve eye fluid flow	26	18	$654.00	$194.48
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	22	16	$883.64	$253.63
66180 Creation of shunt to improve eye fluid flow using tissue graft	18	16	$2450.00	$1106.23
66821 Removal of recurring cataract in lens capsule using a laser	15	11	$700.00	$299.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$204.00	$103.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	488	258	$136.00	$70.50
92020 Examination of cornea and iris using lens device and slit lamp	287	235	$65.00	$24.53
92083 Exam of visual field with extended testing	233	204	$169.00	$59.74
92014 Established patient complete exam of visual system	220	205	$228.00	$119.36
92225 Examination of eye by ophthalmoscope with retinal drawing	217	114	$120.00	$26.69
92133 Imaging of optic nerve	194	184	$100.00	$33.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	116	$202.00	$104.28
92226 Examination of eye by ophthalmoscope with retinal drawing	150	80	$100.00	$24.34
66984 Removal of cataract with insertion of lens	56	37	$1485.00	$527.09
92136 Measurement of corneal curvature and depth of eye	44	43	$156.32	$64.45
92004 New patient complete exam of visual system	37	37	$276.00	$142.93
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	31	21	$859.35	$240.61
92012 Established patient problem focused exam of visual system	25	24	$157.00	$84.03
65820 Incision to improve eye fluid flow	21	17	$1600.00	$735.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$315.00	$158.92
65855 Laser repair to improve eye fluid flow	17	12	$654.00	$240.97
65855 Laser repair to improve eye fluid flow	16	13	$654.00	$201.50
66821 Removal of recurring cataract in lens capsule using a laser	13	11	$753.85	$309.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$204.00	$104.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92020 Examination of cornea and iris using lens device and slit lamp	122	108	$65.00	$24.06
99213 Established patient office or other outpatient visit, typically 15 minutes	84	71	$136.00	$67.91
92225 Examination of eye by ophthalmoscope with retinal drawing	72	37	$120.00	$25.91
92014 Established patient complete exam of visual system	64	62	$228.00	$118.97
92083 Exam of visual field with extended testing	60	60	$169.00	$58.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	35	$202.00	$98.77
92133 Imaging of optic nerve	40	40	$100.00	$33.92
92226 Examination of eye by ophthalmoscope with retinal drawing	34	19	$100.00	$23.75
92004 New patient complete exam of visual system	22	22	$276.00	$142.21
66984 Removal of cataract with insertion of lens	19	12	$1485.00	$593.60
92136 Measurement of corneal curvature and depth of eye	17	16	$142.82	$65.14
66180 Creation of shunt to improve eye fluid flow using tissue graft	16	16	$1695.94	$520.84

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OH 130457

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.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License KY 51837

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0231553 (OH)

Medicaid State Provider ID

300018426 (IN)

Hospital & Practice Group Affiliations

Cei Physicians Psc, Llc

1945 Cei Dr, Blue Ash, OH 452425664

Phone: 51398451333741

Cei Physicians Psc, Llc

580 S Loop Rd, Edgewood, KY 410173415

Phone: 51398451333741

Secondary Practice Locations

9500 Euclid Ave

Cleveland, OH 44195

Phone: 2164442010

9500 Euclid Ave

Cleveland, OH 44195

Phone: 2164442010

1945 Cei Dr

Blue Ash, OH 452425664

Phone: 5135693741

580 S Loop Rd Ste 200

Edgewood, KY 410173415

Phone: 5135683741

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Robert Goulet , MD

Ophthalmology

NPI 1003078726

Doctor of Medicine (M.D.)

Brooke Radcliffe

Student in an Organized Health Care Education/Training Program

NPI 1003605114

Dr. Jeffrey Nerad , MD

Ophthalmology

NPI 1023019262

Doctor of Medicine (M.D.)

Dr. Gary Varley , MD

Ophthalmology

NPI 1043207996

Doctor of Medicine (M.D.)

Kelly Klimo

Optometrist

NPI 1053179531

Dr. Gregory Mecoli , MD

Ophthalmology

NPI 1053613844

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

17 Historical Events

📍

Updated Practice Location October 04, 2018

Registered at 3310 MERCY HEALTH BLVD # 200, CINCINNATI, OH 45211 (Tel: 5139845133)

👤

Provider Name / Credentials Updated October 04, 2018

Recorded as ALISHA KUMAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2018

Ophthalmology (License #51837 in KY)

📍

Updated Practice Location August 21, 2018

Registered at 9500 EUCLID AVE, CLEVELAND, OH 44195 (Tel: (216) 444-2010)

📍

Updated Business Mailing Address August 21, 2018

Registered at 1945 CEI DR, BLUE ASH, OH 452425664 (Tel: 5135693741)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2018

Ophthalmology (License #130457 in OH)

✅

NPI Profile Active June 08, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 08, 2017

Registered at 9500 EUCLID AVE, CLEVELAND, OH 441950001 (Tel: (216) 444-2010)

📍

Updated Business Mailing Address June 08, 2017

Registered at 9500 EUCLID AVE, CLEVELAND, OH 44309 (Tel: (216) 444-2010)

👤

Provider Name / Credentials Updated June 08, 2017

Recorded as ALISHA GANDHI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2017

Student in an Organized Health Care Education/Training Program

✅

NPI Profile Active August 18, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 18, 2015

Registered at 525 E MARKET ST, AKRON, OH 443041619 (Tel: 3303753867)

📍

Updated Business Mailing Address August 18, 2015

Registered at 525 EAST MARKET STREET, AKRON, OH 44309 (Tel: 3303753867)

👤

Provider Name / Credentials Updated August 18, 2015

Recorded as ALISHA GANDHI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2015

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration March 19, 2013

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: 1902148745

Entity Type:

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

Enumeration Date: March 19, 2013

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1945 Cei Dr

Blue Ash, OH 452425664

Phone: 5135693741

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.