Active NPI 1407851736 Individual Practitioner Male Practitioner

Dr. Khalil A Raffoul , MD

Ophthalmology • Toledo, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Khalil Raffoul, MD is a certified Ophthalmology practicing in Toledo, OH. With approximately 35 years of clinical experience since graduating from University Of Michigan Medical School in 1991, Dr. Raffoul delivers high-quality medical care to the local community at 1000 REGENCY CT.

Dr. Raffoul is affiliated with Associated Eye Care Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, imaging of retina, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1000 Regency Ct
Ste 100

Toledo, OH 436233074

Telephone 4198820588

Fax 4198853070

Associated Practice Facility / Clinic

🏢 Prohab Rehabilitation Services, Inc. Facility NPI 1871596775

Medicare Profile & Education

Medical School

University Of Michigan Medical School

Graduation Year

1991

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

35 Yrs +6.6 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

38.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Raffoul (35 Years) 35 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
92014 Established patient complete exam of visual system	376	356	$160.00	$116.54
92134 Imaging of retina	284	228	$66.62	$37.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	250	202	$160.00	$120.73
99213 Established patient office or other outpatient visit, typically 15 minutes	129	101	$118.37	$85.63
92133 Imaging of optic nerve	107	102	$67.85	$33.68
92083 Exam of visual field with extended testing	83	77	$90.60	$57.78
92136 Measurement of corneal curvature and depth of eye	72	44	$100.00	$35.92
92012 Established patient problem focused exam of visual system	66	56	$118.48	$81.75
66984 Removal of cataract with insertion of lens	61	39	$800.00	$504.21
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	55	39	$66.82	$11.56
66821 Removal of recurring cataract in lens capsule using a laser	43	37	$511.63	$306.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	23	$77.50	$52.30

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	333	271	$160.00	$121.34
92014 Established patient complete exam of visual system	300	294	$160.00	$118.03
92134 Imaging of retina	290	236	$100.00	$37.65
99213 Established patient office or other outpatient visit, typically 15 minutes	192	145	$109.90	$85.43
92133 Imaging of optic nerve	96	95	$100.00	$34.08
92136 Measurement of corneal curvature and depth of eye	81	53	$100.00	$35.41
66984 Removal of cataract with insertion of lens	77	49	$800.00	$509.36
92083 Exam of visual field with extended testing	74	72	$100.00	$58.24
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	70	50	$100.00	$12.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	29	$68.89	$53.56
66821 Removal of recurring cataract in lens capsule using a laser	29	27	$517.24	$317.89
92020 Examination of cornea and iris using lens device and slit lamp	13	12	$65.00	$26.11
92201 Extended exam of the back part of the eye with retinal drawing	12	12	$65.00	$21.55
92012 Established patient problem focused exam of visual system	11	11	$110.00	$84.26

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	484	363	$159.96	$123.25
92134 Imaging of retina	313	257	$100.00	$38.49
92014 Established patient complete exam of visual system	283	275	$160.00	$120.41
99213 Established patient office or other outpatient visit, typically 15 minutes	161	128	$110.00	$87.06
92136 Measurement of corneal curvature and depth of eye	135	88	$100.00	$39.41
66984 Removal of cataract with insertion of lens	126	76	$828.57	$514.08
92133 Imaging of optic nerve	117	113	$100.00	$34.98
92083 Exam of visual field with extended testing	68	66	$100.00	$58.21
66821 Removal of recurring cataract in lens capsule using a laser	48	35	$500.00	$314.59
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	46	34	$100.00	$12.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	25	$69.23	$54.53
66982 Complex removal of cataract with insertion of prosthetic lens	17	15	$1088.24	$709.12
92025 Ct scan of cornea	14	13	$75.00	$32.62
92020 Examination of cornea and iris using lens device and slit lamp	13	13	$65.00	$24.73
92201 Extended exam of the back part of the eye with retinal drawing	13	13	$65.00	$23.81
76514 Ultrasound scan of cornea to determine thickness	12	12	$50.00	$10.85
92250 Photography of the retina	11	11	$80.00	$34.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	415	380	$153.91	$121.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	288	227	$153.63	$125.42
92134 Imaging of retina	242	199	$100.00	$39.23
99213 Established patient office or other outpatient visit, typically 15 minutes	138	118	$106.52	$88.28
92136 Measurement of corneal curvature and depth of eye	119	74	$100.00	$40.64
92133 Imaging of optic nerve	108	103	$100.00	$35.72
66984 Removal of cataract with insertion of lens	103	64	$2000.00	$513.79
92083 Exam of visual field with extended testing	82	79	$99.56	$59.62
92012 Established patient problem focused exam of visual system	64	59	$103.64	$86.19
66821 Removal of recurring cataract in lens capsule using a laser	46	38	$521.74	$328.93
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	34	23	$100.00	$12.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$62.67	$52.87
92004 New patient complete exam of visual system	17	17	$177.94	$145.06
66982 Complex removal of cataract with insertion of prosthetic lens	16	14	$2500.00	$721.36
92020 Examination of cornea and iris using lens device and slit lamp	14	14	$60.71	$26.99
92201 Extended exam of the back part of the eye with retinal drawing	12	11	$65.00	$24.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	534	460	$144.00	$121.30
92134 Imaging of retina	222	191	$100.00	$39.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	119	$126.00	$105.16
92136 Measurement of corneal curvature and depth of eye	101	64	$100.00	$45.86
66984 Removal of cataract with insertion of lens	99	62	$2020.20	$535.49
92133 Imaging of optic nerve	99	98	$100.00	$35.83
92012 Established patient problem focused exam of visual system	96	87	$99.00	$85.03
92083 Exam of visual field with extended testing	62	60	$98.00	$59.73
99213 Established patient office or other outpatient visit, typically 15 minutes	55	53	$86.51	$70.75
66821 Removal of recurring cataract in lens capsule using a laser	48	40	$500.00	$320.76
92020 Examination of cornea and iris using lens device and slit lamp	34	34	$50.00	$26.80
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	32	27	$100.00	$12.36
92201 Extended exam of the back part of the eye with retinal drawing	24	24	$65.00	$23.96
92285 Photography of content of eyes	19	18	$63.00	$20.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$56.17	$43.86
92004 New patient complete exam of visual system	16	16	$173.00	$145.36
92025 Ct scan of cornea	13	12	$90.00	$33.74
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	12	11	$30.00	$13.41
92060 Exam to measure eye deviation and range of motion	12	11	$75.00	$61.10
76514 Ultrasound scan of cornea to determine thickness	11	11	$100.00	$11.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	828	666	$144.00	$120.14
92134 Imaging of retina	332	267	$100.00	$38.77
92136 Measurement of corneal curvature and depth of eye	198	127	$100.00	$49.68
92012 Established patient problem focused exam of visual system	168	135	$99.00	$84.01
66984 Removal of cataract with insertion of lens	166	104	$2000.00	$607.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	153	$126.41	$103.76
92133 Imaging of optic nerve	129	128	$100.00	$35.12
66821 Removal of recurring cataract in lens capsule using a laser	123	96	$508.13	$316.67
92083 Exam of visual field with extended testing	112	106	$98.00	$60.04
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	97	69	$100.00	$11.73
92020 Examination of cornea and iris using lens device and slit lamp	59	53	$50.00	$26.50
92004 New patient complete exam of visual system	58	58	$173.00	$139.54
99213 Established patient office or other outpatient visit, typically 15 minutes	53	51	$86.00	$69.83
66982 Complex removal of cataract with insertion of prosthetic lens	37	27	$2486.49	$751.50
92225 Examination of eye by ophthalmoscope with retinal drawing	31	30	$65.00	$25.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	23	$52.44	$41.36
92025 Ct scan of cornea	19	18	$90.00	$33.83
76514 Ultrasound scan of cornea to determine thickness	14	14	$100.00	$11.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	915	764	$144.00	$120.31
92134 Imaging of retina	290	228	$100.00	$39.54
92136 Measurement of corneal curvature and depth of eye	244	160	$100.00	$55.03
66984 Removal of cataract with insertion of lens	224	145	$1991.38	$611.23
92012 Established patient problem focused exam of visual system	211	163	$99.00	$83.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	189	179	$126.00	$102.70
92133 Imaging of optic nerve	150	149	$100.00	$35.94
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	136	90	$100.00	$12.46
92083 Exam of visual field with extended testing	123	117	$98.00	$59.31
66821 Removal of recurring cataract in lens capsule using a laser	85	75	$505.88	$314.78
92004 New patient complete exam of visual system	35	35	$173.00	$144.65
99213 Established patient office or other outpatient visit, typically 15 minutes	33	32	$86.00	$70.11
66982 Complex removal of cataract with insertion of prosthetic lens	29	23	$2500.00	$770.79
92020 Examination of cornea and iris using lens device and slit lamp	28	26	$50.00	$25.85
92225 Examination of eye by ophthalmoscope with retinal drawing	24	23	$65.00	$26.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$51.00	$41.96
92060 Exam to measure eye deviation and range of motion	19	17	$75.00	$61.35
76514 Ultrasound scan of cornea to determine thickness	13	13	$100.00	$14.29
92025 Ct scan of cornea	12	11	$90.00	$33.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	843	718	$144.00	$117.08
92134 Imaging of retina	243	193	$100.00	$38.42
92136 Measurement of corneal curvature and depth of eye	231	145	$99.59	$59.79
66984 Removal of cataract with insertion of lens	217	137	$1951.03	$602.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	199	172	$127.33	$100.92
92012 Established patient problem focused exam of visual system	193	157	$99.00	$81.12
92133 Imaging of optic nerve	170	163	$99.84	$35.43
92083 Exam of visual field with extended testing	139	132	$98.00	$60.14
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	137	90	$100.00	$12.04
66821 Removal of recurring cataract in lens capsule using a laser	114	97	$500.50	$312.36
92004 New patient complete exam of visual system	51	51	$173.00	$139.24
99213 Established patient office or other outpatient visit, typically 15 minutes	45	43	$86.00	$68.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	29	$51.00	$41.46
92020 Examination of cornea and iris using lens device and slit lamp	23	22	$50.00	$25.79
76514 Ultrasound scan of cornea to determine thickness	20	20	$100.00	$13.76
92225 Examination of eye by ophthalmoscope with retinal drawing	18	18	$65.00	$25.82
66982 Complex removal of cataract with insertion of prosthetic lens	16	13	$2354.63	$765.10
92025 Ct scan of cornea	12	12	$90.00	$33.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$197.42	$158.34

Medical Specialties & State Licenses

CMS Verified: 2021-04-13

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OH 35070799

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

0297450 (OH)

Commercial Insurance / Payer ID Aetna

0004651135

Commercial Insurance / Payer ID Paramount

02267

Commercial Insurance / Payer ID United Healthcare

1427801

Commercial Insurance / Payer ID Anthem

000000127266

Commercial Insurance / Payer ID Railroad Medicare

180027814 (OH)

Hospital & Practice Group Affiliations

Associated Eye Care Inc

1000 Regency Ct, Toledo, OH 436233074

Phone: 4198820588

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Jeffrey Moon , MD

Ophthalmology

NPI 1073006318

Doctor of Medicine (M.D.)

Dr. Carol German , OD

Optometrist

NPI 1093710337

Doctor of Optometry

Dr. Richard Tam , MD

Ophthalmology

NPI 1104853753

Doctor of Medicine (M.D.)

Dr. Christina Tam , MD

Ophthalmology

NPI 1205871787

Doctor of Medicine (M.D.)

Dr. James Knupp , MD

Ophthalmology

NPI 1548211774

Doctor of Medicine (M.D.)

Dr. Sami Khan , MD

Ophthalmology

NPI 1619400900

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 August 12, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location August 12, 2010

Registered at 1000 REGENCY CT, STE 100, TOLEDO, OH 436233074 (Tel: 4198820588)

📍

Updated Business Mailing Address August 12, 2010

Registered at 1000 REGENCY CT, STE 100, TOLEDO, OH 436233074 (Tel: 4198820588)

👤

Provider Name / Credentials Updated August 12, 2010

Recorded as KHALIL RAFFOUL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2010

Ophthalmology (License #35070799 in OH)

🟢

Initial NPI Registration & Enumeration June 14, 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: 1407851736

Entity Type:

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

Enumeration Date: June 14, 2005

Last Update: April 13, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1000 Regency Ct, Ste 100

Toledo, OH 436233074

Phone: 4198820588

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.