Active NPI 1467473835 Individual Practitioner Male Practitioner

Dr. David J Helton , OD

Optometrist • Atmore, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Helton, OD is a certified Optometrist practicing in Atmore, AL. With approximately 22 years of clinical experience since graduating from University Alabama Birmingham - School Of Optometry in 2004, Dr. Helton delivers high-quality medical care to the local community at 166 LINDBERG AVE.

Dr. Helton maintains professional affiliations with Helton Vision Associates Pc, Coastal Eye Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, established patient complete exam of visual system, 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

166 Lindberg Ave

Atmore, AL 365023206

Telephone 2513688767

Associated Practice Facility / Clinic

🏢 Helton Vision Associates ,p.c. Facility NPI 1467504100

Medicare Profile & Education

Medical School

University Alabama Birmingham - School Of Optometry

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Atmore, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -13.0 yrs vs City Avg

City Avg: 35.0 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

3 Specialists

Practicing in Atmore, AL (907 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Helton (22 Years) 22 Yrs

Atmore Specialty Average (35.0 Years) 35.0 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
66984 Removal of cataract with insertion of lens	4,590	33	$4.35	$0.98
92014 Established patient complete exam of visual system	434	421	$131.55	$106.08
92250 Photography of the retina	397	394	$314.91	$30.72
92012 Established patient problem focused exam of visual system	203	130	$90.66	$74.83
99213 Established patient office or other outpatient visit, typically 15 minutes	146	84	$91.25	$77.87
92133 Imaging of optic nerve	107	100	$64.33	$29.32
92083 Exam of visual field with extended testing	93	88	$94.29	$52.83
92004 New patient complete exam of visual system	75	75	$157.65	$125.61
92134 Imaging of retina	70	61	$63.80	$34.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	48	$130.00	$109.26
95930 Measurement of nerve conduction using visual stimulation testing with report	30	29	$160.00	$55.77
92020 Examination of cornea and iris using lens device and slit lamp	27	27	$50.00	$23.19
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$78.00	$59.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	4,545	35	$4.40	$1.10
92014 Established patient complete exam of visual system	501	431	$131.89	$114.78
92250 Photography of the retina	433	430	$82.75	$33.70
92012 Established patient problem focused exam of visual system	231	159	$90.76	$81.99
99213 Established patient office or other outpatient visit, typically 15 minutes	128	76	$91.30	$82.13
92083 Exam of visual field with extended testing	117	104	$94.59	$56.50
92133 Imaging of optic nerve	110	105	$64.45	$31.84
92134 Imaging of retina	99	77	$64.76	$36.56
92004 New patient complete exam of visual system	97	97	$157.96	$136.73
95930 Measurement of nerve conduction using visual stimulation testing with report	43	42	$160.00	$59.42
92020 Examination of cornea and iris using lens device and slit lamp	27	26	$50.00	$25.53
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$78.00	$66.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,576	30	$4.46	$1.13
92014 Established patient complete exam of visual system	460	402	$131.88	$117.16
92250 Photography of the retina	381	378	$82.82	$34.28
92012 Established patient problem focused exam of visual system	233	142	$90.79	$82.85
99213 Established patient office or other outpatient visit, typically 15 minutes	130	79	$90.88	$84.34
92083 Exam of visual field with extended testing	119	96	$94.73	$57.40
92134 Imaging of retina	104	82	$64.42	$37.50
92133 Imaging of optic nerve	98	92	$64.76	$32.26
92004 New patient complete exam of visual system	80	80	$156.97	$137.91
95930 Measurement of nerve conduction using visual stimulation testing with report	38	34	$160.00	$60.27
92020 Examination of cornea and iris using lens device and slit lamp	22	22	$50.00	$26.34
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$78.00	$68.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	5,618	46	$4.43	$1.14
92014 Established patient complete exam of visual system	490	437	$131.90	$119.05
92250 Photography of the retina	446	443	$82.78	$36.49
92012 Established patient problem focused exam of visual system	239	154	$90.91	$83.55
99213 Established patient office or other outpatient visit, typically 15 minutes	144	88	$89.57	$85.72
92083 Exam of visual field with extended testing	124	107	$94.74	$58.51
92133 Imaging of optic nerve	120	113	$64.70	$32.79
92004 New patient complete exam of visual system	97	97	$157.05	$138.27
92134 Imaging of retina	90	80	$64.07	$38.55
95930 Measurement of nerve conduction using visual stimulation testing with report	29	29	$160.00	$62.43
92020 Examination of cornea and iris using lens device and slit lamp	27	26	$50.00	$25.58
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$78.00	$69.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	11	$125.50	$121.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,421	28	$4.49	$1.16
92250 Photography of the retina	439	438	$82.75	$41.59
92014 Established patient complete exam of visual system	403	400	$131.95	$118.48
92012 Established patient problem focused exam of visual system	226	159	$90.73	$82.56
99213 Established patient office or other outpatient visit, typically 15 minutes	154	104	$76.00	$70.51
92133 Imaging of optic nerve	125	113	$64.71	$33.28
92083 Exam of visual field with extended testing	117	105	$94.73	$57.46
92134 Imaging of retina	100	89	$64.76	$37.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	87	$111.94	$101.42
92004 New patient complete exam of visual system	92	92	$156.41	$138.20
95930 Measurement of nerve conduction using visual stimulation testing with report	38	38	$160.00	$61.34
92020 Examination of cornea and iris using lens device and slit lamp	34	33	$50.00	$26.38
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$78.00	$71.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,060	19	$4.57	$1.33
92250 Photography of the retina	477	474	$82.81	$45.86
92014 Established patient complete exam of visual system	458	456	$131.97	$117.34
92012 Established patient problem focused exam of visual system	277	177	$90.79	$81.56
99213 Established patient office or other outpatient visit, typically 15 minutes	168	118	$76.00	$68.61
92083 Exam of visual field with extended testing	143	123	$94.55	$58.90
92133 Imaging of optic nerve	138	129	$64.74	$32.85
92134 Imaging of retina	108	86	$65.00	$37.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	88	$112.00	$100.82
92004 New patient complete exam of visual system	82	82	$157.85	$136.85
92020 Examination of cornea and iris using lens device and slit lamp	64	64	$50.00	$25.98
92285 Photography of content of eyes	16	13	$41.63	$19.21
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$78.00	$70.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,328	22	$5.19	$1.61
92250 Photography of the retina	532	527	$82.83	$50.22
92014 Established patient complete exam of visual system	527	522	$132.02	$113.52
92012 Established patient problem focused exam of visual system	289	183	$90.93	$78.88
99213 Established patient office or other outpatient visit, typically 15 minutes	197	150	$76.00	$65.18
92133 Imaging of optic nerve	164	140	$64.85	$32.77
92083 Exam of visual field with extended testing	154	130	$94.90	$57.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	106	$111.93	$95.43
92134 Imaging of retina	118	90	$64.90	$37.37
92004 New patient complete exam of visual system	75	75	$157.07	$136.70
92020 Examination of cornea and iris using lens device and slit lamp	45	44	$50.00	$24.53
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$78.00	$67.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	574	567	$82.88	$56.01
92014 Established patient complete exam of visual system	572	570	$131.98	$107.40
92012 Established patient problem focused exam of visual system	338	226	$91.00	$74.10
99213 Established patient office or other outpatient visit, typically 15 minutes	200	134	$76.00	$63.60
92133 Imaging of optic nerve	172	155	$65.00	$31.76
66984 Removal of cataract with insertion of lens	169	53	$186.92	$54.70
92083 Exam of visual field with extended testing	142	131	$95.00	$54.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	111	$111.93	$93.67
92004 New patient complete exam of visual system	90	90	$157.80	$129.04
92134 Imaging of retina	88	73	$64.45	$35.42
92020 Examination of cornea and iris using lens device and slit lamp	35	34	$50.00	$23.07
92285 Photography of content of eyes	31	27	$41.26	$16.26
95930 Measurement of nerve conduction using visual stimulation testing with report	17	16	$159.00	$108.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$111.45	$94.58

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License AL SA94TA667

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

009980075 (AL)

Hospital & Practice Group Affiliations

Coastal Eye Care Llc

10184 Eastern Shore Blvd, Spanish Fort, AL 365275813

Phone: 2513015650

Helton Vision Associates Pc

3016 S Alabama Ave, Monroeville, AL 364605600

Phone: 2517433305

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Stephen Gross , OD

Optometrist

NPI 1831112317

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 January 07, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 07, 2017

Registered at 166 LINDBERG AVE, ATMORE, AL 365023206 (Tel: 2513688767)

📍

Updated Business Mailing Address January 07, 2017

Registered at 166 LINDBERG AVE, ATMORE, AL 365023206 (Tel: 2513688767)

👤

Provider Name / Credentials Updated January 07, 2017

Recorded as DAVID HELTON, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2017

Optometrist (License #SA94TA667 in AL)

🟢

Initial NPI Registration & Enumeration July 21, 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: 1467473835

Entity Type:

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

Enumeration Date: July 21, 2006

Last Update: January 07, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

166 Lindberg Ave

Atmore, AL 365023206

Phone: 2513688767

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.