Active NPI 1669470183 Individual Practitioner Male Practitioner

Dr. Chris E Deitrick , OD

Optometrist • Mountain View, AR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Chris Deitrick, OD is a certified Optometrist practicing in Mountain View, AR. With approximately 25 years of clinical experience since graduating from Southern College Of Optometry in 2001, Dr. Deitrick delivers high-quality medical care to the local community at 101 CASE COMMONS DR..

Dr. Deitrick accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

101 Case Commons Dr.

Mountain View, AR 72560

Telephone 8702693610

Fax 8702695086

Associated Practice Facility / Clinic

🏢 Chris Deitrick Od Pa Facility NPI 1780773481

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Mountain View, AR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs Matches City Avg

City Avg: 25.0 Yrs

State Avg: 24.2 Yrs

Regional Practice Density

2 Specialists

Practicing in Mountain View, AR (569 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Deitrick (25 Years) 25 Yrs

Mountain View Specialty Average (25.0 Years) 25.0 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
92250 Photography of the retina	377	362	$110.00	$31.23
99213 Established patient office or other outpatient visit, typically 15 minutes	313	213	$105.00	$77.91
92014 Established patient complete exam of visual system	240	238	$200.21	$107.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	177	160	$175.28	$110.68
92134 Imaging of retina	141	110	$88.87	$29.91
92133 Imaging of optic nerve	93	88	$106.56	$28.30
92083 Exam of visual field with extended testing	88	83	$110.00	$52.96
92004 New patient complete exam of visual system	68	68	$250.00	$128.74
66984 Removal of cataract with insertion of lens	66	39	$250.00	$88.09
68761 Closure of tear duct opening using plug	39	26	$325.77	$178.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$225.00	$144.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	27	$73.57	$47.98
66821 Removal of recurring cataract in lens capsule using a laser	28	20	$575.00	$279.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$175.00	$95.69
92012 Established patient problem focused exam of visual system	15	15	$150.00	$76.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	304	227	$105.00	$81.67
92250 Photography of the retina	235	231	$110.45	$33.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	200	170	$174.38	$116.01
92134 Imaging of retina	172	118	$79.07	$31.57
92014 Established patient complete exam of visual system	133	129	$200.00	$113.46
92083 Exam of visual field with extended testing	117	105	$108.72	$54.82
92133 Imaging of optic nerve	105	98	$85.81	$29.41
66984 Removal of cataract with insertion of lens	91	57	$250.00	$95.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$225.00	$151.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	44	$70.00	$50.66
68761 Closure of tear duct opening using plug	37	28	$320.68	$188.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$174.32	$101.35
92004 New patient complete exam of visual system	25	25	$245.40	$134.92
92012 Established patient problem focused exam of visual system	15	15	$150.00	$80.12
66821 Removal of recurring cataract in lens capsule using a laser	14	11	$575.00	$295.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	355	241	$94.80	$82.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	273	233	$139.49	$117.40
92134 Imaging of retina	203	142	$69.41	$32.16
92250 Photography of the retina	199	195	$129.35	$33.23
92083 Exam of visual field with extended testing	128	108	$99.06	$55.54
92133 Imaging of optic nerve	123	114	$74.07	$29.24
92014 Established patient complete exam of visual system	98	97	$184.90	$114.72
66984 Removal of cataract with insertion of lens	74	44	$239.59	$96.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$214.51	$152.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$140.00	$100.18
68761 Closure of tear duct opening using plug	43	32	$302.91	$187.75
66821 Removal of recurring cataract in lens capsule using a laser	22	18	$547.73	$287.04
92012 Established patient problem focused exam of visual system	21	20	$125.00	$80.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$59.76	$50.93
92004 New patient complete exam of visual system	19	19	$240.00	$136.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	389	247	$90.03	$83.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	290	254	$135.00	$119.13
92250 Photography of the retina	200	198	$120.00	$35.34
92134 Imaging of retina	147	106	$64.49	$31.94
92083 Exam of visual field with extended testing	119	113	$94.45	$56.51
92133 Imaging of optic nerve	107	104	$72.24	$30.54
66984 Removal of cataract with insertion of lens	80	47	$225.00	$96.31
92014 Established patient complete exam of visual system	60	60	$175.00	$115.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$135.10	$102.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	38	$54.90	$51.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$205.00	$154.74
68761 Closure of tear duct opening using plug	41	32	$278.66	$193.66
66821 Removal of recurring cataract in lens capsule using a laser	26	21	$484.62	$275.44
92020 Examination of cornea and iris using lens device and slit lamp	13	13	$50.00	$25.78
92012 Established patient problem focused exam of visual system	12	11	$120.00	$81.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	298	205	$89.78	$69.11
92014 Established patient complete exam of visual system	206	204	$175.27	$116.56
92250 Photography of the retina	189	187	$120.00	$40.96
92134 Imaging of retina	126	95	$65.87	$32.93
92083 Exam of visual field with extended testing	124	115	$94.56	$57.06
92133 Imaging of optic nerve	116	114	$74.57	$31.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	96	$135.00	$100.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	62	$55.00	$41.40
92012 Established patient problem focused exam of visual system	66	65	$120.00	$81.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$135.00	$99.43
68761 Closure of tear duct opening using plug	37	29	$291.89	$198.56
66984 Removal of cataract with insertion of lens	34	20	$225.00	$98.29
92004 New patient complete exam of visual system	33	33	$230.00	$139.53
66821 Removal of recurring cataract in lens capsule using a laser	16	14	$100.00	$60.09
92002 New patient problem focused exam of visual system	11	11	$125.00	$77.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	394	261	$90.00	$68.47
92250 Photography of the retina	237	230	$120.00	$45.48
92014 Established patient complete exam of visual system	223	218	$175.00	$116.49
92083 Exam of visual field with extended testing	198	162	$94.34	$57.86
92134 Imaging of retina	179	115	$66.70	$33.38
92133 Imaging of optic nerve	155	138	$74.68	$31.63
92012 Established patient problem focused exam of visual system	134	127	$120.00	$81.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	121	89	$55.00	$41.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	103	$135.00	$100.67
66984 Removal of cataract with insertion of lens	47	27	$225.00	$116.56
68761 Closure of tear duct opening using plug	36	22	$292.50	$198.91
92004 New patient complete exam of visual system	33	33	$230.00	$139.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$135.00	$99.59
92002 New patient problem focused exam of visual system	16	16	$125.00	$77.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	322	227	$90.00	$63.66
92014 Established patient complete exam of visual system	222	217	$175.00	$110.03
92133 Imaging of optic nerve	179	151	$75.00	$30.67
92134 Imaging of retina	175	111	$72.14	$34.71
92250 Photography of the retina	172	171	$120.00	$48.83
92083 Exam of visual field with extended testing	172	144	$95.00	$55.15
92012 Established patient problem focused exam of visual system	129	125	$120.00	$76.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	129	89	$55.00	$37.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	95	$135.00	$94.46
66984 Removal of cataract with insertion of lens	101	56	$225.00	$111.44
92004 New patient complete exam of visual system	62	62	$230.00	$132.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$135.00	$93.80
68761 Closure of tear duct opening using plug	29	16	$281.38	$192.54
92002 New patient problem focused exam of visual system	27	27	$125.00	$72.72
66821 Removal of recurring cataract in lens capsule using a laser	24	17	$100.00	$58.64
76514 Ultrasound scan of cornea to determine thickness	18	18	$25.00	$12.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	293	223	$90.00	$62.84
92014 Established patient complete exam of visual system	284	278	$175.00	$106.50
92134 Imaging of retina	198	107	$55.30	$25.96
92250 Photography of the retina	166	162	$120.00	$55.19
92083 Exam of visual field with extended testing	159	140	$94.56	$54.07
92133 Imaging of optic nerve	156	139	$75.00	$30.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	138	107	$55.00	$36.96
92012 Established patient problem focused exam of visual system	135	134	$120.00	$73.23
66984 Removal of cataract with insertion of lens	125	73	$225.00	$108.96
92004 New patient complete exam of visual system	91	91	$230.00	$127.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	81	$135.00	$92.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$135.00	$92.62
66821 Removal of recurring cataract in lens capsule using a laser	34	29	$102.94	$55.31
92002 New patient problem focused exam of visual system	24	24	$125.00	$70.14
76514 Ultrasound scan of cornea to determine thickness	13	13	$25.00	$12.17

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License AR 2516

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 2516

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

145299722 (AR)

Commercial Insurance / Payer ID Tax Id #

431988740 (AR)

Commercial Insurance / Payer ID Medicare Dmepos Id #

4709560001 (AR)

Commercial Insurance / Payer ID Qualchoice Id #

19930000041 (AR)

Commercial Insurance / Payer ID Medicare Rr Id#

410049416 (AR)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Evan Isbell

Optometrist

NPI 1316873086

Dr. Kenny Wyatt , OD

Optometrist - Corneal and Contact Management

NPI 1427056951

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location August 14, 2023

Registered at 101 CASE COMMONS DR., MOUNTAIN VIEW, AR 72560 (Tel: 8702693610)

📍

Updated Business Mailing Address August 14, 2023

Registered at PO BOX 1460, 101 CASE COMMONS DRIVE, MOUNTAIN VIEW, AR 725601460 (Tel: 8702693610)

👤

Provider Name / Credentials Updated August 14, 2023

Recorded as CHRIS DEITRICK, O.D.

✅

NPI Profile Active February 15, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location February 15, 2008

Registered at 202 PEABODY, MOUNTAIN VIEW, AR 72560 (Tel: 8702693610)

📍

Updated Business Mailing Address February 15, 2008

Registered at PO BOX 1460, MOUNTAIN VIEW, AR 725601460 (Tel: 8702693610)

👤

Provider Name / Credentials Updated February 15, 2008

Recorded as CHRIS DEITRICK, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2008

Optometrist (License #2516 in AR)

🟢

Initial NPI Registration & Enumeration July 08, 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: 1669470183

Entity Type:

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

Enumeration Date: July 08, 2005

Last Update: August 14, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 1460, 101 Case Commons Drive

Mountain View, AR 725601460

Phone: 8702693610

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.