Active NPI 1144292566 Individual Practitioner Male Practitioner

Dr. John Clarence Burchfield , MD

Ophthalmology • Toledo, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Burchfield, MD is a certified Ophthalmology practicing in Toledo, OH. With approximately 37 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 1989, Dr. Burchfield delivers high-quality medical care to the local community at 2865 N REYNOLDS RD.

Dr. Burchfield is affiliated with Promedica Central Physicians 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

2865 N Reynolds Rd
Suite 170

Toledo, OH 436152068

Telephone 4195782020

Fax 4195396323

Associated Practice Facility / Clinic

🏢 Retina Vitreous Associates Inc Facility NPI 1922073030

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Toledo, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +8.6 yrs vs City Avg

City Avg: 28.4 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

35 Specialists

Practicing in Toledo, OH (803 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Burchfield (37 Years) 37 Yrs

Toledo Specialty Average (28.4 Years) 28.4 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	641	455	$179.00	$123.99
92083 Exam of visual field with extended testing	527	464	$171.00	$59.58
92133 Imaging of optic nerve	430	416	$83.00	$33.41
99213 Established patient office or other outpatient visit, typically 15 minutes	367	301	$127.00	$88.19
92020 Examination of cornea and iris using lens device and slit lamp	141	135	$54.00	$25.86
92136 Measurement of corneal curvature and depth of eye	89	50	$123.44	$36.72
66984 Removal of cataract with insertion of lens	73	48	$1570.00	$500.79
65855 Laser repair to improve eye fluid flow	54	42	$659.00	$235.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$315.00	$160.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	39	$79.00	$53.77
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	30	29	$38.00	$16.26
92134 Imaging of retina	26	24	$89.00	$38.18
76514 Ultrasound scan of cornea to determine thickness	24	24	$31.00	$10.41
66821 Removal of recurring cataract in lens capsule using a laser	22	20	$668.00	$319.16
92025 Ct scan of cornea	19	19	$75.00	$33.82
66179 Creation of shunt to improve eye fluid flow	15	12	$2119.00	$999.58
66710 Destruction of lens tissue using laser	12	12	$844.00	$379.59

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	613	448	$165.00	$121.63
99213 Established patient office or other outpatient visit, typically 15 minutes	608	439	$112.00	$85.71
92083 Exam of visual field with extended testing	579	498	$169.00	$57.95
92133 Imaging of optic nerve	461	451	$135.00	$33.59
92020 Examination of cornea and iris using lens device and slit lamp	143	136	$54.00	$25.81
92136 Measurement of corneal curvature and depth of eye	103	53	$118.37	$35.67
65855 Laser repair to improve eye fluid flow	72	48	$659.00	$231.27
66984 Removal of cataract with insertion of lens	49	38	$1570.00	$474.13
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	$155.85
76514 Ultrasound scan of cornea to determine thickness	30	30	$31.00	$10.26
66821 Removal of recurring cataract in lens capsule using a laser	21	19	$668.00	$312.29
92134 Imaging of retina	19	16	$135.00	$37.32
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	14	13	$25.00	$12.19
92014 Established patient complete exam of visual system	12	12	$206.00	$112.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	721	488	$112.00	$87.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	621	461	$165.00	$123.48
92083 Exam of visual field with extended testing	582	524	$169.00	$59.19
92133 Imaging of optic nerve	487	476	$135.00	$34.31
92020 Examination of cornea and iris using lens device and slit lamp	228	214	$54.00	$26.64
92136 Measurement of corneal curvature and depth of eye	76	39	$115.64	$36.95
65855 Laser repair to improve eye fluid flow	71	56	$659.00	$234.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$315.00	$162.83
76514 Ultrasound scan of cornea to determine thickness	40	40	$31.00	$10.58
66984 Removal of cataract with insertion of lens	36	26	$1570.00	$490.24
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	31	28	$25.00	$12.51
92134 Imaging of retina	23	19	$135.00	$37.60
66821 Removal of recurring cataract in lens capsule using a laser	22	19	$668.00	$317.25
92014 Established patient complete exam of visual system	14	14	$206.00	$121.25
66179 Creation of shunt to improve eye fluid flow	13	13	$2119.00	$1004.46
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	12	11	$1437.33	$595.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	859	541	$129.72	$88.49
92083 Exam of visual field with extended testing	516	480	$139.27	$59.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	473	395	$190.27	$125.68
92133 Imaging of optic nerve	416	410	$113.83	$34.87
92020 Examination of cornea and iris using lens device and slit lamp	243	231	$52.72	$26.56
92136 Measurement of corneal curvature and depth of eye	70	43	$153.66	$43.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$317.89	$164.49
76514 Ultrasound scan of cornea to determine thickness	35	35	$30.14	$10.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	27	$82.43	$54.37
65855 Laser repair to improve eye fluid flow	27	23	$745.67	$239.23
66984 Removal of cataract with insertion of lens	27	20	$1504.52	$487.17
66984 Removal of cataract with insertion of lens	26	18	$1570.00	$495.79
92134 Imaging of retina	23	18	$118.26	$38.89
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	14	13	$25.00	$12.35
66821 Removal of recurring cataract in lens capsule using a laser	14	13	$738.00	$301.79
92081 Exam of visual field with limited testing	12	12	$117.75	$32.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	835	573	$141.00	$73.69
92083 Exam of visual field with extended testing	593	541	$121.89	$60.80
92133 Imaging of optic nerve	469	458	$99.90	$35.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	243	231	$208.00	$106.97
92020 Examination of cornea and iris using lens device and slit lamp	234	220	$52.00	$27.18
92012 Established patient problem focused exam of visual system	219	185	$163.00	$85.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	192	150	$83.00	$44.32
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	90	71	$98.11	$12.55
66984 Removal of cataract with insertion of lens	60	45	$1502.00	$518.12
92136 Measurement of corneal curvature and depth of eye	56	43	$200.00	$50.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$320.00	$163.18
76514 Ultrasound scan of cornea to determine thickness	30	30	$29.00	$11.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$209.00	$106.04
92134 Imaging of retina	28	26	$100.00	$39.25
65855 Laser repair to improve eye fluid flow	21	19	$789.00	$242.67
92081 Exam of visual field with limited testing	18	16	$64.00	$32.72
66250 Revision or repair of operative wound of eye	17	17	$1733.00	$735.36
66821 Removal of recurring cataract in lens capsule using a laser	13	13	$766.00	$324.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	920	552	$163.00	$84.82
92083 Exam of visual field with extended testing	666	600	$121.70	$60.98
92133 Imaging of optic nerve	497	489	$99.82	$35.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	394	250	$83.00	$43.36
99213 Established patient office or other outpatient visit, typically 15 minutes	367	301	$141.00	$71.97
92020 Examination of cornea and iris using lens device and slit lamp	338	308	$52.00	$26.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	195	$208.00	$105.68
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	114	92	$98.75	$12.26
92136 Measurement of corneal curvature and depth of eye	103	73	$200.00	$49.14
66984 Removal of cataract with insertion of lens	89	63	$1519.24	$605.94
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	59	32	$20.00	$9.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$320.00	$160.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$209.00	$102.13
65855 Laser repair to improve eye fluid flow	46	42	$789.00	$240.72
76514 Ultrasound scan of cornea to determine thickness	44	44	$29.00	$11.14
92134 Imaging of retina	27	25	$100.00	$39.12
92081 Exam of visual field with limited testing	22	21	$64.00	$32.61
0191T Internal insertion of eye fluid drainage device	21	14	$1500.00	$1131.01
92082 Exam of visual field with intermediate testing	17	17	$88.20	$45.60
66250 Revision or repair of operative wound of eye	16	15	$1733.00	$728.49
66821 Removal of recurring cataract in lens capsule using a laser	16	15	$766.00	$321.53
66179 Creation of shunt to improve eye fluid flow	14	14	$3468.00	$1055.42
66710 Destruction of lens tissue using laser	13	13	$1026.00	$431.79
66170 Creation of eye fluid drainage tract	11	11	$2810.00	$1070.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	668	545	$141.00	$69.96
92083 Exam of visual field with extended testing	660	593	$122.18	$60.63
92012 Established patient problem focused exam of visual system	568	400	$163.00	$83.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	495	351	$83.00	$41.90
92133 Imaging of optic nerve	444	432	$99.90	$35.42
92020 Examination of cornea and iris using lens device and slit lamp	328	307	$52.00	$25.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	316	311	$208.00	$103.52
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	202	95	$20.00	$9.97
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	129	96	$102.81	$12.36
92136 Measurement of corneal curvature and depth of eye	89	68	$200.00	$53.58
66984 Removal of cataract with insertion of lens	75	52	$1502.00	$607.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$320.00	$159.21
76514 Ultrasound scan of cornea to determine thickness	43	43	$29.00	$13.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$209.00	$103.98
65855 Laser repair to improve eye fluid flow	35	31	$789.00	$237.28
66821 Removal of recurring cataract in lens capsule using a laser	33	28	$766.00	$316.44
92134 Imaging of retina	32	25	$100.00	$39.15
92082 Exam of visual field with intermediate testing	26	26	$91.00	$45.82
92081 Exam of visual field with limited testing	23	23	$64.00	$31.40
J9190 Injection, fluorouracil, 500 mg	19	16	$6.00	$1.68
68200 Injection into conjunctiva	18	15	$182.00	$39.93
66250 Revision or repair of operative wound of eye	16	16	$1733.00	$690.32
0191T Internal insertion of eye fluid drainage device	15	13	$1500.00	$1113.33
0449T Insertion of initial aqueous fluid drainage device into eye	14	13	$1500.00	$930.11
66982 Complex removal of cataract with insertion of prosthetic lens	12	11	$1870.00	$711.43
66250 Revision or repair of operative wound of eye	11	11	$1733.00	$475.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	829	607	$137.86	$69.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	641	429	$81.68	$41.51
92083 Exam of visual field with extended testing	626	547	$119.75	$60.53
92133 Imaging of optic nerve	411	401	$99.53	$34.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	262	254	$205.98	$103.17
92020 Examination of cornea and iris using lens device and slit lamp	244	236	$50.75	$25.70
92012 Established patient problem focused exam of visual system	123	114	$162.65	$79.98
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	111	78	$21.62	$10.08
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	96	85	$93.64	$12.12
92136 Measurement of corneal curvature and depth of eye	67	53	$200.00	$60.08
66984 Removal of cataract with insertion of lens	59	45	$1566.14	$598.91
65855 Laser repair to improve eye fluid flow	57	46	$890.32	$234.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$204.88	$102.23
76514 Ultrasound scan of cornea to determine thickness	27	27	$31.00	$13.60
92082 Exam of visual field with intermediate testing	26	26	$88.58	$45.72
92134 Imaging of retina	25	24	$100.00	$38.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$299.65	$158.23
66821 Removal of recurring cataract in lens capsule using a laser	23	21	$761.83	$296.36
66170 Creation of eye fluid drainage tract	21	21	$2229.05	$1048.58
66710 Destruction of lens tissue using laser	17	15	$1019.88	$419.34
66250 Revision or repair of operative wound of eye	14	14	$1723.57	$708.44

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OH 35078778B

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

2204868 (OH)

Medicaid State Provider ID

4289427 (MI)

Commercial Insurance / Payer ID United Health Care

0893140 (OH)

Commercial Insurance / Payer ID Bluecare

P98571 (OH)

Commercial Insurance / Payer ID Adminastar

1183130001 (OH)

Commercial Insurance / Payer ID Aetna

4315756 (OH)

Commercial Insurance / Payer ID Anthem

000000174720 (OH)

Commercial Insurance / Payer ID Nationwide Health Plan

14144 (OH)

Commercial Insurance / Payer ID Family Health Plan

602971 (OH)

Commercial Insurance / Payer ID Cigna

311550308023 (OH)

Hospital & Practice Group Affiliations

Promedica Central Physicians

2865 N Reynolds Rd, Toledo, OH 436152100

Phone: 4195787200

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Gerald Striph , MD

Ophthalmology

NPI 1275505315

Doctor of Medicine (M.D.)

Dr. Niraj Shah , MD

Ophthalmology

NPI 1386968022

Doctor of Medicine (M.D.)

Dr. Brian Chinavare , MD

Ophthalmology

NPI 1568455806

Doctor of Medicine (M.D.)

Dr. Jeffery Stephens , MD

Ophthalmology

NPI 1578535399

Doctor of Medicine (M.D.)

Dr. Rodney Mccarthy , MD

Ophthalmology

NPI 1578535738

Doctor of Medicine (M.D.)

Dr. Jenna Bailey , OD

Optometrist

NPI 1659891943

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 05, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 05, 2008

Registered at 2865 N REYNOLDS RD, SUITE 170, TOLEDO, OH 436152068 (Tel: 4195782020)

📍

Updated Business Mailing Address June 05, 2008

Registered at 2865 N REYNOLDS RD, SUITE 170, TOLEDO, OH 436152068 (Tel: 4195782020)

👤

Provider Name / Credentials Updated June 05, 2008

Recorded as JOHN BURCHFIELD, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2008

Ophthalmology (License #35078778B in OH)

🟢

Initial NPI Registration & Enumeration February 02, 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: 1144292566

Entity Type:

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

Enumeration Date: February 02, 2006

Last Update: November 03, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2865 N Reynolds Rd, Suite 170

Toledo, OH 436152068

Phone: 4195782020

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.