Kevin T Corcoran, OD
Individual provider Active NPI Optometrist · Cincinnati, OH
NPI 1902863673 · NPPES record last updated Jan 26, 2016
Key facts
- NPI
- 1902863673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- T0023663 (OH)
- Practice address
- 9711 Montgomery Rd
Cincinnati, OH 45242-7257 - Phone
- (513) 793-8486
- Fax
- (513) 793-2023
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Ohio State University College of Medicine, 1983
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Cei Physicians PSC, LLC
Innovative Vision LLC
Practice addresses (Care Compare)
1945 Cei Dr
Blue Ash, OH 45242-5664
Phone 51398451333741
9711 Montgomery Rd
Montgomery, OH 45242-7207
Phone (513) 793-8486
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 64.62 of 100
- Quality
- 62.39
- Promoting interoperability
- 51
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100225000626 | OH | Practitioner - Optometry | 7810970100 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3663 | OH | MD | Clinical Psychologist |
| T0023663 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cei Physicians PSC, LLC | Current |
Accepting new patients | |
| Innovative Vision LLC | Optometrist | Current |
Accepting new patients |
| Cei Physicians PSC LLC | Optometrist | Current |
Accepting new patients |
| Cei Physicians PSC LLC | Past | Accepting new patients | |
| Innovative Vision LLC | Optometrist | Past |
Accepting new patients |
Locations
1945 Cei Dr
Blue Ash, OH 45242
9711 Montgomery Rd
Montgomery, OH 45242
Phone (513) 793-8486
Interoperability endpoints
- kevin.corcoran.p1@direct.cei.nextgenshare.com
- kevin.corcoran@direct.revolutionehr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T0023663 | OH | Yes |
Addresses
Primary practice location
9711 Montgomery Rd
Cincinnati, OH 45242-7257
Mailing address
9711 Montgomery Road
Cincinnati, OH 45242
Phone (513) 793-8486
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77540185 | Medicaid | KY | |
| 000000108798 | Other | OH | ANTHEM |
| 00000021016 | Other | BCBS | |
| 200023660 | Medicaid | IN | |
| 0772810 | Medicaid | OH | |
| 410030914 | Other | OH | RAILROAD MEDICARE |
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.