Active NPI 1790705424 Individual Practitioner Male Practitioner

Dr. John Essinger , OD, MS

Optometrist • Birmingham, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Essinger, OD, MS is a certified Optometrist practicing in Birmingham, AL. With approximately 33 years of clinical experience since completing medical education in 1993, Dr. Essinger delivers high-quality medical care to the local community at 2531 ROCKY RIDGE RD.

Dr. Essinger is affiliated with Vestavia Eye Care, P.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, photography of the 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

2531 Rocky Ridge Rd
Suite 116

Birmingham, AL 352434445

Telephone 2059784088

Fax 2059784085

Associated Practice Facility / Clinic

🏢 Vestavia Eye Care, P.c. Facility NPI 1851484596

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Birmingham, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +14.9 yrs vs City Avg

City Avg: 18.1 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

171 Specialists

Practicing in Birmingham, AL (907 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

15.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Essinger (33 Years) 33 Yrs

Birmingham Specialty Average (18.1 Years) 18.1 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	63	61	$128.97	$113.04
92250 Photography of the retina	47	45	$80.00	$33.08
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$85.00	$82.03
92004 New patient complete exam of visual system	12	12	$125.00	$124.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	59	59	$125.00	$115.82
92250 Photography of the retina	36	34	$80.00	$34.13
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$85.00	$83.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	55	55	$125.00	$118.39
92250 Photography of the retina	39	38	$102.56	$34.68
92004 New patient complete exam of visual system	13	13	$125.00	$123.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	48	47	$125.00	$119.63
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	48	48	$135.00	$129.27
92250 Photography of the retina	40	38	$94.00	$36.91
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$85.00	$85.00
92004 New patient complete exam of visual system	16	16	$125.00	$125.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	55	55	$135.00	$129.20
92014 Established patient complete exam of visual system	45	45	$124.11	$118.21
92250 Photography of the retina	37	35	$131.89	$42.11
99213 Established patient office or other outpatient visit, typically 15 minutes	19	15	$85.00	$70.85
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	16	13	$75.00	$66.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	142	142	$135.00	$123.95
92014 Established patient complete exam of visual system	46	46	$125.00	$117.69
92250 Photography of the retina	37	35	$131.89	$46.49
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	28	22	$75.00	$62.90
99213 Established patient office or other outpatient visit, typically 15 minutes	20	16	$85.00	$68.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	176	176	$135.00	$121.21
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	49	37	$75.00	$61.61
92014 Established patient complete exam of visual system	29	29	$125.00	$111.17
99213 Established patient office or other outpatient visit, typically 15 minutes	26	14	$87.12	$64.13
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	19	18	$95.00	$81.47
92250 Photography of the retina	19	19	$109.47	$49.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$140.00	$95.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	229	226	$135.00	$121.67
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	71	46	$75.00	$61.64
92250 Photography of the retina	26	25	$105.38	$55.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$140.00	$93.92
92014 Established patient complete exam of visual system	18	18	$132.50	$107.33
92004 New patient complete exam of visual system	18	18	$130.83	$124.63
99213 Established patient office or other outpatient visit, typically 15 minutes	15	11	$85.00	$63.42
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	12	11	$95.00	$81.61
92134 Imaging of retina	12	12	$80.00	$35.57

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License AL S770TA218

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

009910765 (AL)

Commercial Insurance / Payer ID Tricare

760709613 (AL)

Commercial Insurance / Payer ID Railroad Medicare

P00112035 (AL)

Commercial Insurance / Payer ID Medicare Palmetto Gba

4691470001 (AL)

Commercial Insurance / Payer ID Blue Cross Blue Shield

51514007 (AL)

Commercial Insurance / Payer ID United Health Care

2210554 (AL)

Hospital & Practice Group Affiliations

Vestavia Eye Care, P.c.

2531 Rocky Ridge Rd, Birmingham, AL 352434447

Vestavia Eye Care, P.c.

2531 Rocky Ridge Rd, Vestavia, AL 352434447

Phone: 2059784088

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. James Fisk , OD, PhD

Optometrist

NPI 1184644072

Doctor of Optometry, Doctor of Philosophy (Ph.D.)

Dr. Calah Ray , OD

Optometrist

NPI 1467745448

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 March 12, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 12, 2013

Registered at 2531 ROCKY RIDGE RD, SUITE 116, BIRMINGHAM, AL 352434445 (Tel: 2059784088)

📍

Updated Business Mailing Address March 12, 2013

Registered at 2531 ROCKY RIDGE RD, SUITE 116, BIRMINGHAM, AL 352434445 (Tel: 2059784088)

👤

Provider Name / Credentials Updated March 12, 2013

Recorded as JOHN ESSINGER, O.D., M.S.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2013

Optometrist (License #S770TA218 in AL)

🟢

Initial NPI Registration & Enumeration July 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. John Essinger. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1790705424

Entity Type:

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

Enumeration Date: July 19, 2006

Last Update: March 12, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2531 Rocky Ridge Rd, Suite 116

Birmingham, AL 352434445

Phone: 2059784088

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.