Active NPI 1497714075 Individual Practitioner Male Practitioner

Dr. Shane Ford , OD

Optometrist • Conway, AR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shane Ford, OD is a certified Optometrist practicing in Conway, AR. With approximately 31 years of clinical experience since graduating from Southern College Of Optometry in 1995, Dr. Ford delivers high-quality medical care to the local community at 3005 FOUNTAIN DRIVE.

Dr. Ford is affiliated with Shane E Ford Od Pa 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

3005 Fountain Drive

Conway, AR 720343684

Telephone 5013299851

Fax 5013299854

Associated Practice Facility / Clinic

🏢 Shane E. Ford Od Pa Facility NPI 1033178736

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Conway, AR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +9.5 yrs vs City Avg

City Avg: 21.5 Yrs

State Avg: 24.2 Yrs

Regional Practice Density

23 Specialists

Practicing in Conway, AR (569 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ford (31 Years) 31 Yrs

Conway Specialty Average (21.5 Years) 21.5 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	236	234	$200.00	$112.31
92250 Photography of the retina	224	211	$115.00	$32.60
99213 Established patient office or other outpatient visit, typically 15 minutes	186	141	$140.00	$81.04
92133 Imaging of optic nerve	79	76	$85.00	$30.71
92083 Exam of visual field with extended testing	76	72	$115.00	$55.57
92134 Imaging of retina	64	58	$95.00	$35.76
92012 Established patient problem focused exam of visual system	52	52	$140.00	$78.23
92004 New patient complete exam of visual system	21	21	$230.00	$133.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$205.00	$115.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	269	264	$200.00	$113.47
99213 Established patient office or other outpatient visit, typically 15 minutes	179	131	$140.00	$81.64
92250 Photography of the retina	172	157	$114.48	$33.06
92133 Imaging of optic nerve	81	76	$85.00	$31.61
92134 Imaging of retina	77	56	$95.00	$36.10
92083 Exam of visual field with extended testing	70	65	$115.00	$54.39
92012 Established patient problem focused exam of visual system	52	49	$140.00	$80.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	46	$205.00	$113.70
92004 New patient complete exam of visual system	40	40	$230.00	$135.15
66984 Removal of cataract with insertion of lens	26	17	$300.00	$92.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	188	187	$191.70	$114.28
99213 Established patient office or other outpatient visit, typically 15 minutes	150	112	$127.87	$82.68
92250 Photography of the retina	115	102	$102.69	$33.05
92012 Established patient problem focused exam of visual system	94	86	$122.77	$80.66
92133 Imaging of optic nerve	81	73	$85.00	$31.56
92083 Exam of visual field with extended testing	68	65	$115.00	$55.34
92134 Imaging of retina	67	54	$95.00	$36.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$198.85	$117.18
92004 New patient complete exam of visual system	20	20	$221.00	$136.27
92002 New patient problem focused exam of visual system	17	17	$127.35	$77.99
66984 Removal of cataract with insertion of lens	16	12	$300.00	$94.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	236	186	$120.00	$81.25
92014 Established patient complete exam of visual system	189	187	$180.00	$115.67
92250 Photography of the retina	118	115	$93.07	$34.74
92133 Imaging of optic nerve	80	77	$85.00	$32.38
92083 Exam of visual field with extended testing	71	66	$115.00	$56.78
92134 Imaging of retina	56	49	$94.82	$37.07
92004 New patient complete exam of visual system	33	33	$210.00	$138.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	16	$60.00	$51.24
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$120.00	$83.93
92002 New patient problem focused exam of visual system	13	13	$125.00	$78.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	222	220	$180.00	$116.47
92250 Photography of the retina	131	128	$95.00	$40.48
99213 Established patient office or other outpatient visit, typically 15 minutes	111	94	$120.00	$69.21
92012 Established patient problem focused exam of visual system	85	79	$120.00	$81.39
92133 Imaging of optic nerve	73	72	$85.00	$33.15
92083 Exam of visual field with extended testing	69	63	$115.00	$57.32
92134 Imaging of retina	56	43	$95.00	$37.37
92004 New patient complete exam of visual system	44	44	$210.00	$139.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	32	$60.00	$41.43
66984 Removal of cataract with insertion of lens	30	24	$300.00	$100.09
92002 New patient problem focused exam of visual system	12	12	$125.00	$77.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	272	266	$141.09	$116.62
92250 Photography of the retina	128	122	$107.53	$44.90
92012 Established patient problem focused exam of visual system	111	98	$98.59	$81.11
99213 Established patient office or other outpatient visit, typically 15 minutes	106	92	$95.66	$68.51
92083 Exam of visual field with extended testing	90	79	$116.24	$58.21
92134 Imaging of retina	78	62	$128.14	$37.59
92133 Imaging of optic nerve	78	72	$125.83	$33.03
92004 New patient complete exam of visual system	40	40	$167.47	$139.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	29	$55.97	$41.21
66984 Removal of cataract with insertion of lens	25	20	$300.00	$117.94
92002 New patient problem focused exam of visual system	12	12	$93.33	$77.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	293	285	$124.00	$109.80
99213 Established patient office or other outpatient visit, typically 15 minutes	132	111	$77.00	$63.47
92250 Photography of the retina	105	98	$115.00	$47.60
92133 Imaging of optic nerve	90	82	$150.00	$31.79
92012 Established patient problem focused exam of visual system	80	73	$87.00	$75.60
92083 Exam of visual field with extended testing	78	73	$117.00	$54.41
92134 Imaging of retina	66	52	$150.00	$35.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	27	$55.00	$37.96
92004 New patient complete exam of visual system	29	29	$147.00	$132.31
66984 Removal of cataract with insertion of lens	24	20	$300.00	$111.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	272	262	$124.00	$109.63
99213 Established patient office or other outpatient visit, typically 15 minutes	117	103	$77.00	$64.89
92083 Exam of visual field with extended testing	98	84	$117.00	$54.53
92250 Photography of the retina	94	91	$113.98	$56.40
92133 Imaging of optic nerve	86	84	$150.00	$32.40
92012 Established patient problem focused exam of visual system	62	59	$86.03	$75.03
92134 Imaging of retina	59	53	$150.00	$35.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	50	$55.00	$38.40
92004 New patient complete exam of visual system	50	50	$147.00	$132.39
66984 Removal of cataract with insertion of lens	30	26	$300.00	$110.72

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License AR 2505

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.

Optometrist - Corneal and Contact Management

NUCC Taxonomy Code: 152WC0802X

State License AR 2505

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Optometrist - Low Vision Rehabilitation

NUCC Taxonomy Code: 152WL0500X

State License AR 2505

Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.

Optometrist - Pediatrics

NUCC Taxonomy Code: 152WP0200X

State License AR 2505

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

140746722 (AR)

Hospital & Practice Group Affiliations

Shane E Ford Od Pa

3005 Fountain Dr, Conway, AR 720343684

Phone: 5013299851

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. James Mccoy , OD

Optometrist

NPI 1356312714

Doctor of Optometry

Dr. Alex Foree , OD

Optometrist

NPI 1558250886

Doctor of Optometry

Dr. Eric Robbins , OD

Optometrist

NPI 1568442366

Doctor of Optometry

Dr. Robert Scaife , OD

Optometrist

NPI 1649260050

Doctor of Optometry

Dr. Maci Papera , OD

Optometrist

NPI 1962029587

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 October 18, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 18, 2007

Registered at 3005 FOUNTAIN DRIVE, CONWAY, AR 720343684 (Tel: 5013299851)

📍

Updated Business Mailing Address October 18, 2007

Registered at 3005 FOUNTAIN DRIVE, CONWAY, AR 720343684 (Tel: 5013299851)

👤

Provider Name / Credentials Updated October 18, 2007

Recorded as SHANE FORD, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2007

Optometrist (License #2505 in AR)

🟢

Initial NPI Registration & Enumeration March 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: 1497714075

Entity Type:

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

Enumeration Date: March 21, 2006

Last Update: October 18, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3005 Fountain Drive

Conway, AR 720343684

Phone: 5013299851

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.