Active NPI 1225036197 Individual Practitioner Male Practitioner

Dr. Michael A. Fishbaugh , OD

Optometrist • St. Henry, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Fishbaugh, OD is a certified Optometrist practicing in St. Henry, OH. With approximately 31 years of clinical experience since graduating from Ohio State University - College Of Optometry in 1995, Dr. Fishbaugh delivers high-quality medical care to the local community at 570 KREMER HOYING RD..

Dr. Fishbaugh is affiliated with Aeg Ohio Professional Pc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

570 Kremer Hoying Rd.
Suite F

St. Henry, OH 458830040

Telephone 4196788800

Fax 4196784224

Associated Practice Facility / Clinic

🏢 Michael A. Fishbaugh Jr. O.d. Inc. Facility NPI 1285814558

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in St. Henry, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs Matches City Avg

City Avg: 31.0 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

1 Specialists

Practicing in St. Henry, OH (2535 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

33.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fishbaugh (31 Years) 31 Yrs

St. Henry Specialty Average (31.0 Years) 31.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	301	160	$149.08	$125.20
92083 Exam of visual field with extended testing	247	198	$90.00	$59.62
92250 Photography of the retina	202	201	$75.00	$33.14
99213 Established patient office or other outpatient visit, typically 15 minutes	157	120	$102.00	$88.62
92014 Established patient complete exam of visual system	147	145	$172.00	$121.73
83861 Microfluid analysis of tears	144	54	$24.65	$21.48
83516 Analysis of substance using immunoassay technique	130	49	$25.00	$11.30
92283 Extended color vision examination	128	126	$72.00	$48.44
92284 Evaluation of eye adaptation to light and dark with interpretation and report	127	113	$82.00	$31.92
92285 Photography of content of eyes	122	115	$68.00	$20.15
92134 Imaging of retina	110	98	$56.00	$37.28
92020 Examination of cornea and iris using lens device and slit lamp	101	100	$38.00	$26.74
92133 Imaging of optic nerve	86	78	$51.00	$33.50
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	56	55	$178.00	$119.98
92132 Imaging of front third of eye	53	52	$43.00	$27.49
92004 New patient complete exam of visual system	38	38	$206.00	$141.53
92082 Exam of visual field with intermediate testing	37	37	$65.00	$44.01
76514 Ultrasound scan of cornea to determine thickness	18	18	$25.00	$10.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$226.00	$164.75
92025 Ct scan of cornea	12	11	$51.00	$33.13

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	245	136	$149.00	$123.81
92083 Exam of visual field with extended testing	241	193	$90.00	$58.62
92250 Photography of the retina	217	210	$75.00	$33.19
99213 Established patient office or other outpatient visit, typically 15 minutes	186	132	$102.00	$86.63
92014 Established patient complete exam of visual system	135	134	$171.89	$120.57
92284 Evaluation of eye adaptation to light and dark with interpretation and report	132	121	$82.00	$41.75
92285 Photography of content of eyes	119	114	$68.00	$19.90
92283 Extended color vision examination	113	112	$72.00	$44.03
92020 Examination of cornea and iris using lens device and slit lamp	98	98	$38.00	$26.56
92134 Imaging of retina	97	87	$56.00	$36.87
92133 Imaging of optic nerve	82	73	$51.00	$33.45
83861 Microfluid analysis of tears	66	28	$25.00	$22.03
83516 Analysis of substance using immunoassay technique	66	29	$25.00	$11.30
92004 New patient complete exam of visual system	55	55	$206.00	$143.11
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	52	52	$177.48	$119.28
92132 Imaging of front third of eye	51	47	$43.00	$27.98
92082 Exam of visual field with intermediate testing	32	32	$65.00	$43.43
95930 Measurement of nerve conduction using visual stimulation testing with report	16	16	$100.00	$62.45
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	15	15	$106.00	$65.61
76514 Ultrasound scan of cornea to determine thickness	14	14	$25.00	$10.41
92025 Ct scan of cornea	12	12	$51.00	$30.48

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	316	157	$148.62	$123.14
92083 Exam of visual field with extended testing	246	203	$90.00	$59.32
92250 Photography of the retina	212	207	$75.00	$33.18
92014 Established patient complete exam of visual system	143	142	$171.65	$121.26
92285 Photography of content of eyes	142	131	$68.00	$19.58
92284 Evaluation of eye adaptation to light and dark with interpretation and report	130	114	$82.00	$53.40
99213 Established patient office or other outpatient visit, typically 15 minutes	130	107	$102.00	$87.73
92020 Examination of cornea and iris using lens device and slit lamp	128	126	$38.00	$27.18
92134 Imaging of retina	107	96	$56.00	$37.45
83861 Microfluid analysis of tears	106	32	$25.00	$22.22
83516 Analysis of substance using immunoassay technique	98	30	$25.00	$11.40
92133 Imaging of optic nerve	94	87	$51.00	$33.91
92283 Extended color vision examination	92	91	$72.00	$45.52
92132 Imaging of front third of eye	57	57	$43.00	$27.99
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	56	56	$175.00	$120.51
92004 New patient complete exam of visual system	43	43	$206.00	$144.86
92082 Exam of visual field with intermediate testing	43	43	$65.00	$43.91
68761 Closure of tear duct opening using plug	25	12	$189.88	$108.37
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	22	22	$106.00	$62.37
95930 Measurement of nerve conduction using visual stimulation testing with report	19	19	$100.00	$62.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$226.00	$164.39
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	13	$31.00	$22.13

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	329	183	$149.00	$126.50
92083 Exam of visual field with extended testing	264	207	$90.00	$59.45
92250 Photography of the retina	208	206	$75.00	$34.38
92285 Photography of content of eyes	162	154	$68.00	$19.78
92014 Established patient complete exam of visual system	146	146	$172.00	$119.98
83861 Microfluid analysis of tears	130	49	$25.00	$22.48
99213 Established patient office or other outpatient visit, typically 15 minutes	120	108	$102.00	$89.23
92020 Examination of cornea and iris using lens device and slit lamp	119	119	$38.00	$27.06
92284 Evaluation of eye adaptation to light and dark with interpretation and report	117	105	$82.00	$54.54
83516 Analysis of substance using immunoassay technique	116	44	$25.00	$11.53
92283 Extended color vision examination	99	98	$72.00	$45.60
92133 Imaging of optic nerve	92	84	$51.00	$33.78
92134 Imaging of retina	88	79	$56.00	$37.66
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	73	73	$175.00	$124.66
92132 Imaging of front third of eye	62	60	$43.00	$28.05
92082 Exam of visual field with intermediate testing	31	31	$65.00	$44.78
92004 New patient complete exam of visual system	28	28	$206.00	$145.42
95930 Measurement of nerve conduction using visual stimulation testing with report	20	20	$95.60	$64.13
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	20	16	$127.00	$88.76
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	14	14	$95.00	$67.36
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	14	$31.00	$21.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$226.00	$164.93
76514 Ultrasound scan of cornea to determine thickness	13	13	$25.00	$10.75
92025 Ct scan of cornea	12	12	$51.00	$33.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	292	92	$25.89	$22.34
92083 Exam of visual field with extended testing	290	207	$90.00	$59.61
83516 Analysis of substance using immunoassay technique	282	90	$25.92	$11.46
92014 Established patient complete exam of visual system	200	196	$172.00	$122.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	145	$148.55	$106.28
92250 Photography of the retina	195	189	$75.00	$39.85
92285 Photography of content of eyes	157	148	$68.00	$18.76
92020 Examination of cornea and iris using lens device and slit lamp	142	140	$37.85	$27.10
92283 Extended color vision examination	103	102	$72.00	$44.54
92133 Imaging of optic nerve	103	96	$51.00	$34.23
92284 Evaluation of eye adaptation to light and dark with interpretation and report	101	93	$81.89	$56.43
92134 Imaging of retina	101	90	$56.00	$37.55
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	90	88	$175.00	$124.96
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	88	79	$31.00	$22.28
92012 Established patient problem focused exam of visual system	83	69	$120.00	$85.77
99213 Established patient office or other outpatient visit, typically 15 minutes	76	64	$102.00	$73.72
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	60	50	$127.00	$90.58
92132 Imaging of front third of eye	50	50	$43.00	$28.71
92082 Exam of visual field with intermediate testing	41	39	$65.00	$44.91
95930 Measurement of nerve conduction using visual stimulation testing with report	39	39	$92.00	$63.67
92004 New patient complete exam of visual system	35	35	$206.00	$146.30
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	28	28	$95.00	$68.62
92202 Extended exam of the back part of the eye with optic nerve drawing	25	25	$30.80	$15.81
76514 Ultrasound scan of cornea to determine thickness	16	16	$25.00	$11.27
92025 Ct scan of cornea	14	13	$51.00	$31.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,015	11	$2.50	$1.39
83861 Microfluid analysis of tears	461	124	$35.00	$22.03
92083 Exam of visual field with extended testing	429	306	$87.41	$60.66
83516 Analysis of substance using immunoassay technique	402	117	$35.00	$12.55
92012 Established patient problem focused exam of visual system	316	218	$114.02	$85.07
92250 Photography of the retina	301	301	$74.43	$44.63
92014 Established patient complete exam of visual system	294	292	$165.32	$121.91
92285 Photography of content of eyes	285	247	$61.39	$18.11
92020 Examination of cornea and iris using lens device and slit lamp	209	209	$37.04	$26.88
92133 Imaging of optic nerve	157	143	$49.61	$33.84
92134 Imaging of retina	147	133	$54.78	$37.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	105	$142.82	$105.81
92283 Extended color vision examination	114	111	$69.96	$46.36
92284 Evaluation of eye adaptation to light and dark with interpretation and report	111	98	$79.81	$58.02
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	107	83	$123.65	$90.15
92004 New patient complete exam of visual system	96	96	$198.35	$146.14
92226 Examination of eye by ophthalmoscope with retinal drawing	94	48	$33.78	$24.95
95930 Measurement of nerve conduction using visual stimulation testing with report	91	90	$95.60	$64.58
99213 Established patient office or other outpatient visit, typically 15 minutes	80	74	$97.39	$72.12
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	77	66	$92.43	$67.76
92082 Exam of visual field with intermediate testing	72	72	$63.26	$42.29
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	61	61	$172.74	$125.82
92132 Imaging of front third of eye	58	58	$42.03	$28.08
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	58	55	$29.55	$21.70
92225 Examination of eye by ophthalmoscope with retinal drawing	38	22	$36.89	$27.05
76514 Ultrasound scan of cornea to determine thickness	26	26	$25.19	$11.67
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	25	25	$95.44	$69.99
68761 Closure of tear duct opening using plug	22	11	$180.34	$107.86
92025 Ct scan of cornea	14	14	$49.00	$33.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,050	11	$2.36	$1.38
83861 Microfluid analysis of tears	526	139	$35.00	$22.03
83516 Analysis of substance using immunoassay technique	455	135	$35.00	$13.96
92083 Exam of visual field with extended testing	436	315	$100.00	$60.37
92014 Established patient complete exam of visual system	329	322	$140.05	$120.65
92250 Photography of the retina	319	311	$86.00	$49.48
92012 Established patient problem focused exam of visual system	309	204	$95.00	$83.55
92020 Examination of cornea and iris using lens device and slit lamp	221	212	$38.00	$25.84
92285 Photography of content of eyes	213	191	$55.00	$17.65
92134 Imaging of retina	173	141	$60.00	$37.60
92133 Imaging of optic nerve	164	146	$60.00	$34.76
99213 Established patient office or other outpatient visit, typically 15 minutes	154	128	$84.00	$70.13
92283 Extended color vision examination	139	136	$70.00	$46.30
92275 Recording of retinal electrical responses to external stimuli	138	135	$160.00	$141.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	119	$120.00	$103.61
92284 Evaluation of eye adaptation to light and dark with interpretation and report	127	111	$74.76	$58.41
95930 Measurement of nerve conduction using visual stimulation testing with report	119	115	$140.00	$65.53
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	114	91	$80.00	$67.43
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	100	79	$100.00	$89.15
92004 New patient complete exam of visual system	76	76	$165.00	$144.64
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	74	71	$32.00	$20.40
92132 Imaging of front third of eye	65	64	$50.00	$27.19
92082 Exam of visual field with intermediate testing	61	61	$80.00	$42.46
92226 Examination of eye by ophthalmoscope with retinal drawing	59	31	$35.00	$24.08
76514 Ultrasound scan of cornea to determine thickness	43	43	$30.00	$13.91
92225 Examination of eye by ophthalmoscope with retinal drawing	41	21	$38.00	$26.19
68761 Closure of tear duct opening using plug	24	11	$174.27	$106.51
92025 Ct scan of cornea	20	19	$50.00	$30.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	502	317	$93.96	$79.88
83861 Microfluid analysis of tears	437	122	$33.86	$22.21
92083 Exam of visual field with extended testing	407	330	$98.54	$56.08
83516 Analysis of substance using immunoassay technique	374	112	$33.93	$15.50
92014 Established patient complete exam of visual system	331	326	$139.03	$116.09
92250 Photography of the retina	271	266	$85.29	$59.33
92020 Examination of cornea and iris using lens device and slit lamp	236	233	$37.00	$25.39
92285 Photography of content of eyes	216	197	$53.89	$17.55
92134 Imaging of retina	171	149	$58.89	$36.48
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	169	131	$79.47	$66.07
92133 Imaging of optic nerve	158	154	$58.29	$33.63
92226 Examination of eye by ophthalmoscope with retinal drawing	147	76	$33.57	$23.31
99213 Established patient office or other outpatient visit, typically 15 minutes	143	125	$83.23	$68.98
95930 Measurement of nerve conduction using visual stimulation testing with report	130	124	$139.00	$118.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	115	$117.88	$101.05
92275 Recording of retinal electrical responses to external stimuli	122	119	$158.69	$137.22
92004 New patient complete exam of visual system	115	115	$163.85	$139.85
92283 Extended color vision examination	108	103	$68.80	$48.11
92082 Exam of visual field with intermediate testing	93	89	$79.14	$42.69
92132 Imaging of front third of eye	75	72	$49.07	$27.20
92284 Evaluation of eye adaptation to light and dark with interpretation and report	75	68	$72.87	$56.69
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	58	53	$99.31	$87.37
92225 Examination of eye by ophthalmoscope with retinal drawing	52	32	$36.08	$25.37
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	51	50	$30.82	$18.82
68761 Closure of tear duct opening using plug	34	13	$183.38	$102.99
76514 Ultrasound scan of cornea to determine thickness	33	33	$28.79	$13.35
65778 Insertion of amniotic membrane to eye surface	21	13	$2900.00	$1284.09

Medical Specialties & State Licenses

CMS Verified: 2023-12-12

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 4643/T1418

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0172343 (OH)

Commercial Insurance / Payer ID Railroad Medicare

410046531 (OH)

Commercial Insurance / Payer ID Bc/bs

000000141871 (OH)

Commercial Insurance / Payer ID Paramount Healthcare

04072 (OH)

Commercial Insurance / Payer ID Clarity

FI266725 (OH)

Commercial Insurance / Payer ID Doc Bwc

34184720301 (OH)

Commercial Insurance / Payer ID St Henry Bwc

34184720300 (OH)

Commercial Insurance / Payer ID Nva

360656 (OH)

Hospital & Practice Group Affiliations

Aeg Ohio Professional Pc

1301 N Cable Rd, Lima, OH 458051407

Phone: 4192272020

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Chelsey Kunkler , OD

Optometrist

NPI 1225744915

Doctor of Optometry

Dr. Amy Bankey , OD

Optometrist

NPI 1740410422

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address December 12, 2023

Registered at 570 E KREMER HOYING RD STE J, SAINT HENRY, OH 458837600 (Tel: 4196788800)

✅

NPI Profile Active June 13, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 13, 2014

Registered at 570 KREMER HOYING RD., SUITE F, ST. HENRY, OH 458830040 (Tel: 4196788800)

📍

Updated Business Mailing Address June 13, 2014

Registered at 570 KREMER HOYING RD., SUITE F, ST. HENRY, OH 458830040 (Tel: 4196788800)

👤

Provider Name / Credentials Updated June 13, 2014

Recorded as MICHAEL FISHBAUGH, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2014

Optometrist (License #4643/T1418 in OH)

🟢

Initial NPI Registration & Enumeration July 13, 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: 1225036197

Entity Type:

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

Enumeration Date: July 13, 2005

Last Update: December 12, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

570 E Kremer Hoying Rd Ste J

Saint Henry, OH 458837600

Phone: 4196788800

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.