Active NPI 1740286301 Individual Practitioner Male Practitioner

Dr. Kenny Ray Blackston , OD

Optometrist • Opp, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenny Blackston, OD is a certified Optometrist practicing in Opp, AL. With approximately 26 years of clinical experience since completing medical education in 2000, Dr. Blackston delivers high-quality medical care to the local community at 102 W COVINGTON AVE.

Dr. Blackston accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

102 W Covington Ave

Opp, AL 364672033

Telephone 3347749396

Fax 3347741459

Associated Practice Facility / Clinic

🏢 D & J Optical Inc Facility NPI 1447257910

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Opp, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +6.0 yrs vs City Avg

City Avg: 20.0 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

3 Specialists

Practicing in Opp, AL (907 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

47.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blackston (26 Years) 26 Yrs

Opp Specialty Average (20.0 Years) 20.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	638	355	$90.02	$77.26
92250 Photography of the retina	414	202	$39.69	$15.18
92134 Imaging of retina	319	149	$40.88	$17.17
92133 Imaging of optic nerve	142	71	$40.50	$14.90
92202 Extended exam of the back part of the eye with optic nerve drawing	130	129	$35.00	$13.25
92020 Examination of cornea and iris using lens device and slit lamp	73	72	$45.00	$23.35
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	66	65	$205.00	$102.90
92083 Exam of visual field with extended testing	56	53	$140.00	$52.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$110.00	$96.07
66984 Removal of cataract with insertion of lens	45	30	$210.00	$90.06
92201 Extended exam of the back part of the eye with retinal drawing	35	35	$35.00	$21.22
76514 Ultrasound scan of cornea to determine thickness	12	11	$25.00	$9.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	643	352	$90.00	$83.49
92250 Photography of the retina	347	176	$40.52	$16.72
92134 Imaging of retina	300	142	$41.20	$18.71
92133 Imaging of optic nerve	125	64	$41.47	$16.49
92202 Extended exam of the back part of the eye with optic nerve drawing	123	122	$35.00	$14.51
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	110	109	$205.00	$113.52
92020 Examination of cornea and iris using lens device and slit lamp	81	79	$44.78	$25.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$110.00	$103.55
66984 Removal of cataract with insertion of lens	58	37	$210.00	$99.11
92083 Exam of visual field with extended testing	56	56	$140.00	$56.30
92201 Extended exam of the back part of the eye with retinal drawing	56	54	$35.00	$22.98
76514 Ultrasound scan of cornea to determine thickness	15	15	$25.00	$9.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	402	248	$88.73	$84.94
92250 Photography of the retina	349	184	$42.78	$17.99
92134 Imaging of retina	225	111	$43.42	$20.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	177	174	$127.51	$120.22
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	116	114	$205.00	$115.93
92133 Imaging of optic nerve	111	61	$45.24	$18.40
92202 Extended exam of the back part of the eye with optic nerve drawing	91	90	$35.00	$15.01
92020 Examination of cornea and iris using lens device and slit lamp	64	63	$36.63	$26.38
92083 Exam of visual field with extended testing	61	61	$140.00	$57.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$110.00	$106.58
92201 Extended exam of the back part of the eye with retinal drawing	43	41	$35.00	$23.47
66984 Removal of cataract with insertion of lens	22	16	$201.36	$101.89
76514 Ultrasound scan of cornea to determine thickness	11	11	$25.00	$10.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	401	211	$41.55	$18.66
99213 Established patient office or other outpatient visit, typically 15 minutes	375	222	$75.00	$74.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	254	244	$110.00	$110.00
92134 Imaging of retina	205	99	$41.01	$19.55
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	106	105	$205.00	$120.33
92133 Imaging of optic nerve	102	53	$41.68	$17.60
92202 Extended exam of the back part of the eye with optic nerve drawing	89	88	$35.00	$15.28
92020 Examination of cornea and iris using lens device and slit lamp	64	63	$35.00	$26.56
92083 Exam of visual field with extended testing	58	58	$140.00	$57.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$110.00	$107.44
92201 Extended exam of the back part of the eye with retinal drawing	45	43	$35.00	$23.37
66984 Removal of cataract with insertion of lens	37	28	$200.00	$103.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$170.00	$161.32
92004 New patient complete exam of visual system	17	17	$110.00	$110.00
76514 Ultrasound scan of cornea to determine thickness	12	12	$25.00	$10.43
92014 Established patient complete exam of visual system	12	12	$100.00	$100.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	362	180	$40.08	$20.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	357	334	$110.00	$103.17
99213 Established patient office or other outpatient visit, typically 15 minutes	355	222	$75.00	$70.77
92134 Imaging of retina	208	101	$40.81	$19.20
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	126	123	$205.00	$119.47
92133 Imaging of optic nerve	108	53	$40.80	$16.99
92202 Extended exam of the back part of the eye with optic nerve drawing	69	69	$35.00	$15.13
92020 Examination of cornea and iris using lens device and slit lamp	66	63	$35.00	$25.61
92083 Exam of visual field with extended testing	65	65	$140.00	$55.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$110.00	$101.93
66984 Removal of cataract with insertion of lens	57	37	$200.00	$104.05
92201 Extended exam of the back part of the eye with retinal drawing	46	43	$35.00	$24.25
76514 Ultrasound scan of cornea to determine thickness	33	33	$25.00	$10.88
92012 Established patient problem focused exam of visual system	12	12	$85.42	$82.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	497	262	$75.00	$68.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	373	346	$110.00	$101.23
92250 Photography of the retina	322	161	$39.43	$22.31
92134 Imaging of retina	290	132	$40.70	$19.08
92225 Examination of eye by ophthalmoscope with retinal drawing	255	135	$35.00	$26.01
92133 Imaging of optic nerve	143	72	$40.80	$16.91
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	90	90	$205.00	$120.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$110.00	$100.33
66984 Removal of cataract with insertion of lens	76	47	$200.00	$119.58
92083 Exam of visual field with extended testing	75	72	$138.13	$56.15
92020 Examination of cornea and iris using lens device and slit lamp	63	62	$35.00	$25.98
76514 Ultrasound scan of cornea to determine thickness	40	40	$25.00	$11.01
92014 Established patient complete exam of visual system	13	12	$103.85	$102.27

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	375	343	$110.09	$97.38
99213 Established patient office or other outpatient visit, typically 15 minutes	359	208	$75.01	$65.65
92250 Photography of the retina	203	154	$59.93	$37.35
92225 Examination of eye by ophthalmoscope with retinal drawing	197	104	$35.30	$24.85
92134 Imaging of retina	135	103	$68.04	$31.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$110.04	$96.75
66984 Removal of cataract with insertion of lens	82	49	$200.00	$113.66
92083 Exam of visual field with extended testing	71	68	$140.00	$55.48
92275 Recording of retinal electrical responses to external stimuli	71	70	$205.00	$133.54
92133 Imaging of optic nerve	60	45	$63.48	$24.76
92020 Examination of cornea and iris using lens device and slit lamp	58	57	$35.00	$23.67
92012 Established patient problem focused exam of visual system	27	25	$85.07	$78.84
67820 Removal of eyelashes using forceps	15	13	$60.00	$36.15
92285 Photography of content of eyes	13	13	$41.00	$17.79
76514 Ultrasound scan of cornea to determine thickness	11	11	$25.00	$13.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	486	270	$75.21	$63.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	334	322	$110.88	$93.74
92250 Photography of the retina	149	146	$78.47	$54.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$110.29	$93.78
92225 Examination of eye by ophthalmoscope with retinal drawing	112	64	$39.73	$23.67
92134 Imaging of retina	100	83	$81.00	$35.46
66984 Removal of cataract with insertion of lens	76	45	$199.47	$111.38
92012 Established patient problem focused exam of visual system	66	57	$85.20	$73.99
92083 Exam of visual field with extended testing	64	61	$140.00	$52.05
76514 Ultrasound scan of cornea to determine thickness	52	50	$25.00	$12.55
92133 Imaging of optic nerve	47	45	$81.00	$31.87
92020 Examination of cornea and iris using lens device and slit lamp	44	43	$36.02	$23.62
92275 Recording of retinal electrical responses to external stimuli	31	31	$205.00	$126.67
67820 Removal of eyelashes using forceps	14	13	$60.29	$43.85

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License AL S950-TA-529

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

Commercial Insurance / Payer ID United Health Care Prov #

22-10508 (AL)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. George Crosby , OD

Optometrist

NPI 1043216609

Doctor of Optometry

Dr. Roger Wiley , OD

Optometrist

NPI 1811144934

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 17, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 17, 2008

Registered at 102 W COVINGTON AVE, OPP, AL 364672033 (Tel: 3347749396)

📍

Updated Business Mailing Address January 17, 2008

Registered at 102 W COVINGTON AVE, OPP, AL 364672033 (Tel: 3347749396)

👤

Provider Name / Credentials Updated January 17, 2008

Recorded as KENNY BLACKSTON, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2008

Optometrist (License #S950-TA-529 in AL)

🟢

Initial NPI Registration & Enumeration June 28, 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: 1740286301

Entity Type:

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

Enumeration Date: June 28, 2005

Last Update: January 17, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

102 W Covington Ave

Opp, AL 364672033

Phone: 3347749396

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.