Active NPI 1164465498 Individual Practitioner Male Practitioner

Dr. Tom F Straus , MD

Ophthalmology • Middletown, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tom Straus, MD is a certified Ophthalmology practicing in Middletown, OH. With approximately 49 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 1977, Dr. Straus delivers high-quality medical care to the local community at 4701 CENTRAL AVE.

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

Frequently performed procedures and clinical services include removal of recurring cataract in lens capsule using a laser, 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

4701 Central Ave

Middletown, OH 450445353

Telephone 5134259796

Fax 5134259520

Associated Practice Facility / Clinic

🏢 Premier Pain Treatment Institute Facility NPI 1235906405

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

1977

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Middletown, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

49 Yrs +19.5 yrs vs City Avg

City Avg: 29.5 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Middletown, OH (803 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Straus (49 Years) 49 Yrs

Middletown Specialty Average (29.5 Years) 29.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66821 Removal of recurring cataract in lens capsule using a laser	28	24	$1288.00	$296.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66821 Removal of recurring cataract in lens capsule using a laser	27	22	$1288.00	$298.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66821 Removal of recurring cataract in lens capsule using a laser	47	40	$1287.62	$284.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	268	245	$136.00	$72.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	89	79	$82.00	$43.85
92083 Exam of visual field with extended testing	73	66	$169.00	$60.27
66821 Removal of recurring cataract in lens capsule using a laser	47	39	$714.89	$315.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$315.00	$160.80
66821 Removal of recurring cataract in lens capsule using a laser	42	34	$700.00	$296.20
92014 Established patient complete exam of visual system	31	31	$228.00	$121.37
92020 Examination of cornea and iris using lens device and slit lamp	28	27	$65.00	$23.68
92134 Imaging of retina	27	26	$100.00	$39.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$202.00	$106.18
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$140.00	$73.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	566	516	$136.00	$70.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	191	146	$82.00	$42.81
66821 Removal of recurring cataract in lens capsule using a laser	150	118	$700.00	$317.24
92083 Exam of visual field with extended testing	105	94	$167.93	$59.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$315.00	$158.84
99202 New patient office or other outpatient visit, typically 20 minutes	68	68	$140.00	$73.21
92014 Established patient complete exam of visual system	49	48	$228.00	$120.86
92134 Imaging of retina	44	44	$100.00	$38.93
92020 Examination of cornea and iris using lens device and slit lamp	42	38	$65.00	$24.27
92250 Photography of the retina	26	26	$143.00	$47.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$202.00	$99.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	541	491	$136.00	$69.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	213	170	$82.00	$41.82
66821 Removal of recurring cataract in lens capsule using a laser	134	110	$674.72	$316.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	126	126	$315.00	$158.37
92083 Exam of visual field with extended testing	124	119	$168.10	$60.20
99202 New patient office or other outpatient visit, typically 20 minutes	79	79	$140.00	$72.10
92020 Examination of cornea and iris using lens device and slit lamp	45	42	$65.00	$24.50
92014 Established patient complete exam of visual system	45	45	$228.00	$120.57
92250 Photography of the retina	31	30	$138.42	$52.02
92134 Imaging of retina	29	28	$98.45	$38.68
76514 Ultrasound scan of cornea to determine thickness	19	18	$26.74	$13.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$202.00	$99.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	477	431	$136.01	$83.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	225	177	$82.26	$49.94
66821 Removal of recurring cataract in lens capsule using a laser	131	105	$623.00	$389.74
92083 Exam of visual field with extended testing	121	117	$169.00	$73.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	112	112	$315.00	$189.26
99202 New patient office or other outpatient visit, typically 20 minutes	83	83	$140.00	$86.10
92020 Examination of cornea and iris using lens device and slit lamp	47	43	$65.00	$29.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	41	$202.00	$124.90
92014 Established patient complete exam of visual system	33	33	$228.00	$143.70
92250 Photography of the retina	28	27	$143.00	$69.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$204.00	$119.96
76514 Ultrasound scan of cornea to determine thickness	19	19	$28.00	$16.96
92004 New patient complete exam of visual system	11	11	$276.00	$166.00

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OH 35046015

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

0458937 (OH)

Medicaid State Provider ID

64954159 (KY)

Commercial Insurance / Payer ID Bcbs

000000035560

Hospital & Practice Group Affiliations

Cei Physicians Psc, Llc

5850 Innovation Dr, Middletown, OH 450055188

Phone: 51398451333741

Practice Associates & Co-Workers

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

1 Associated Practitioners

Ashley Mcfadden , APRN

Nurse Practitioner - Family

NPI 1639972573

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 15, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 15, 2007

Registered at 4701 CENTRAL AVE, MIDDLETOWN, OH 450445353 (Tel: 5134259796)

📍

Updated Business Mailing Address October 15, 2007

Registered at 1945 CEI DRIVE, CINCINNATI, OH 452423311 (Tel: 5139845133)

👤

Provider Name / Credentials Updated October 15, 2007

Recorded as TOM STRAUS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2007

Ophthalmology (License #35046015 in OH)

🟢

Initial NPI Registration & Enumeration June 14, 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: 1164465498

Entity Type:

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

Enumeration Date: June 14, 2006

Last Update: October 15, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1945 Cei Drive

Cincinnati, OH 452423311

Phone: 5139845133

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.