Active NPI 1609850916 Individual Practitioner Male Practitioner

Dr. Bryan Scott Koontz , OD

Optometrist • Conway, AR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Bryan Koontz, OD is a certified Optometrist practicing in Conway, AR. With approximately 27 years of clinical experience since graduating from Southern College Of Optometry in 1999, Dr. Koontz delivers high-quality medical care to the local community at 924 MAIN ST.

Dr. Koontz 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, established patient problem focused exam of visual system, 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

924 Main St

Conway, AR 720325424

Telephone 5013274444

Fax 5013273962

Associated Practice Facility / Clinic

🏢 Magie Mabrey Eye Clinic, P A Facility NPI 1588648992

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

1999

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

27 Yrs +5.5 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

61.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Koontz (27 Years) 27 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	472	443	$260.00	$112.29
92012 Established patient problem focused exam of visual system	280	214	$182.00	$79.21
99213 Established patient office or other outpatient visit, typically 15 minutes	198	180	$137.00	$81.88
92134 Imaging of retina	160	145	$154.00	$35.58
92133 Imaging of optic nerve	132	123	$146.00	$31.25
92083 Exam of visual field with extended testing	102	94	$171.00	$55.62
92250 Photography of the retina	96	96	$188.00	$32.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$302.00	$150.94
92004 New patient complete exam of visual system	79	79	$311.00	$133.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$200.00	$113.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$197.00	$99.89
67820 Removal of eyelashes using forceps	18	15	$145.00	$17.02
76514 Ultrasound scan of cornea to determine thickness	17	17	$48.00	$9.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	488	471	$259.81	$113.12
92012 Established patient problem focused exam of visual system	425	326	$181.68	$79.60
92134 Imaging of retina	161	149	$153.91	$35.61
92250 Photography of the retina	141	138	$187.82	$32.61
92004 New patient complete exam of visual system	118	118	$311.00	$131.48
92133 Imaging of optic nerve	105	100	$146.00	$31.21
92083 Exam of visual field with extended testing	99	83	$171.00	$54.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	34	$200.00	$115.72
67820 Removal of eyelashes using forceps	20	15	$145.00	$17.57
76514 Ultrasound scan of cornea to determine thickness	18	18	$48.00	$9.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$197.00	$100.52
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$78.00	$23.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	468	451	$229.07	$115.44
92012 Established patient problem focused exam of visual system	426	303	$159.00	$81.22
92250 Photography of the retina	164	163	$175.08	$33.49
92134 Imaging of retina	112	103	$140.00	$36.80
92083 Exam of visual field with extended testing	98	86	$151.00	$55.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	86	$170.00	$118.95
92004 New patient complete exam of visual system	93	93	$285.00	$136.87
92133 Imaging of optic nerve	90	83	$134.00	$31.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$258.00	$155.02
76514 Ultrasound scan of cornea to determine thickness	22	22	$27.00	$10.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$169.00	$102.90
68761 Closure of tear duct opening using plug	16	16	$744.00	$201.17
92020 Examination of cornea and iris using lens device and slit lamp	15	15	$62.00	$24.69
67820 Removal of eyelashes using forceps	15	15	$128.00	$17.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	486	470	$229.00	$116.79
92012 Established patient problem focused exam of visual system	320	227	$159.00	$82.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	152	144	$170.00	$120.64
92134 Imaging of retina	129	120	$140.00	$37.44
92250 Photography of the retina	116	116	$175.00	$35.61
92004 New patient complete exam of visual system	112	112	$285.00	$138.80
92133 Imaging of optic nerve	100	96	$134.00	$32.89
92083 Exam of visual field with extended testing	95	85	$151.00	$57.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$258.00	$156.18
76514 Ultrasound scan of cornea to determine thickness	23	23	$27.00	$10.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$169.00	$104.20
92020 Examination of cornea and iris using lens device and slit lamp	12	12	$62.00	$26.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	421	405	$229.00	$117.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	315	271	$170.00	$100.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	127	127	$258.00	$152.57
92134 Imaging of retina	114	106	$140.00	$37.44
92012 Established patient problem focused exam of visual system	113	79	$159.00	$82.17
92133 Imaging of optic nerve	96	95	$133.74	$33.18
92083 Exam of visual field with extended testing	95	90	$151.00	$56.76
92250 Photography of the retina	80	80	$175.00	$41.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$169.00	$100.12
76514 Ultrasound scan of cornea to determine thickness	27	27	$27.00	$9.99
92020 Examination of cornea and iris using lens device and slit lamp	15	15	$62.00	$26.18
67820 Removal of eyelashes using forceps	13	13	$128.00	$24.82
92004 New patient complete exam of visual system	11	11	$285.00	$132.28
65210 Removal of foreign body from external eye (conjunctiva or sclera)	11	11	$164.00	$39.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	443	421	$215.12	$117.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	399	322	$162.00	$101.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	179	179	$252.00	$154.04
92012 Established patient problem focused exam of visual system	176	111	$147.00	$81.49
92133 Imaging of optic nerve	128	121	$129.00	$32.91
92250 Photography of the retina	122	122	$150.00	$46.16
92083 Exam of visual field with extended testing	121	106	$150.00	$58.41
92134 Imaging of retina	115	103	$129.00	$37.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$163.00	$100.59
76514 Ultrasound scan of cornea to determine thickness	58	57	$27.00	$11.27
67820 Removal of eyelashes using forceps	31	27	$132.13	$31.37
92020 Examination of cornea and iris using lens device and slit lamp	29	29	$60.00	$25.26
92004 New patient complete exam of visual system	21	21	$283.00	$141.20
68761 Closure of tear duct opening using plug	11	11	$710.18	$175.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	471	451	$215.00	$116.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	313	265	$162.00	$99.62
92012 Established patient problem focused exam of visual system	194	132	$147.00	$80.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	178	178	$252.00	$152.17
92133 Imaging of optic nerve	112	106	$129.00	$33.26
92134 Imaging of retina	111	100	$129.00	$38.02
92083 Exam of visual field with extended testing	100	88	$150.00	$57.95
92250 Photography of the retina	93	93	$150.00	$51.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$163.00	$99.20
76514 Ultrasound scan of cornea to determine thickness	31	31	$27.00	$13.47
92004 New patient complete exam of visual system	18	18	$283.00	$139.54
67820 Removal of eyelashes using forceps	16	16	$128.00	$36.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	460	437	$215.00	$112.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	321	282	$162.00	$98.00
92012 Established patient problem focused exam of visual system	305	175	$146.85	$76.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	142	142	$252.00	$150.57
92250 Photography of the retina	122	120	$150.00	$58.51
92133 Imaging of optic nerve	121	116	$129.00	$32.30
92083 Exam of visual field with extended testing	105	87	$150.00	$57.91
92134 Imaging of retina	84	81	$129.00	$37.11
76514 Ultrasound scan of cornea to determine thickness	32	32	$27.00	$12.73
99213 Established patient office or other outpatient visit, typically 15 minutes	21	14	$110.00	$57.63
92020 Examination of cornea and iris using lens device and slit lamp	20	20	$60.00	$24.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$163.00	$98.93
67820 Removal of eyelashes using forceps	13	12	$137.85	$48.39
68761 Closure of tear duct opening using plug	12	11	$620.00	$172.66
65210 Removal of foreign body from external eye (conjunctiva or sclera)	11	11	$164.00	$63.00

Medical Specialties & State Licenses

CMS Verified: 2020-01-23

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License AR 2494

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

137583722 (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

6 Associated Practitioners

Dr. Melanie Smith , MD

Ophthalmology

NPI 1023092343

Doctor of Medicine (M.D.)

Dr. Laura Wooten , OD

Optometrist

NPI 1275029258

Doctor of Optometry

Dr. Stephen Magie , MD

Ophthalmology - Retina Specialist

NPI 1306820360

Doctor of Medicine (M.D.)

Dr. Alice Kennedy , MD

Ophthalmology - Retina Specialist

NPI 1396130555

Doctor of Medicine (M.D.)

Dr. Justin Charton , MD

Ophthalmology

NPI 1881897817

Doctor of Medicine (M.D.)

Dr. Jeffrey Strossner , OD

Optometrist

NPI 1902880214

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 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 08, 2007

Registered at 924 MAIN ST, CONWAY, AR 720325424 (Tel: 5013274444)

📍

Updated Business Mailing Address October 08, 2007

Registered at 924 MAIN ST, CONWAY, AR 720325424 (Tel: 5013274444)

👤

Provider Name / Credentials Updated October 08, 2007

Recorded as BRYAN KOONTZ, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2007

Optometrist (License #2494 in AR)

🟢

Initial NPI Registration & Enumeration November 30, 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: 1609850916

Entity Type:

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

Enumeration Date: November 30, 2005

Last Update: January 23, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

924 Main St

Conway, AR 720325424

Phone: 5013274444

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.