Active NPI 1003941766 Individual Practitioner Male Practitioner

Dr. Carl H. Jacobsen , OD

Optometrist • Berkeley, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Carl Jacobsen, OD is a certified Optometrist practicing in Berkeley, CA. With approximately 34 years of clinical experience since graduating from University Of California - School Of Optometry in 1992, Dr. Jacobsen delivers high-quality medical care to the local community at 200 MINOR HALL.

Dr. Jacobsen is affiliated with Regents Of The University Of California At Berkeley and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, exam of visual field with extended testing, 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

200 Minor Hall
Uc Berkeley

Berkeley, CA 947202020

Telephone 5106439826

Fax 5106424025

Associated Practice Facility / Clinic

🏢 Regents Of The University Of California At Berkeley Facility NPI 1306908058

Medicare Profile & Education

Medical School

University Of California - School Of Optometry

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Berkeley, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +23.4 yrs vs City Avg

City Avg: 10.6 Yrs

State Avg: 21.9 Yrs

Regional Practice Density

127 Specialists

Practicing in Berkeley, CA (8588 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

29.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jacobsen (34 Years) 34 Yrs

Berkeley Specialty Average (10.6 Years) 10.6 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	587	338	$128.10	$109.34
92083 Exam of visual field with extended testing	227	177	$114.00	$82.07
92014 Established patient complete exam of visual system	220	219	$110.75	$109.28
92133 Imaging of optic nerve	136	132	$114.00	$44.84
92134 Imaging of retina	110	97	$114.00	$50.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	93	$191.17	$153.54
92004 New patient complete exam of visual system	94	94	$108.79	$107.49
92250 Photography of the retina	80	78	$138.00	$45.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	62	$77.46	$69.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$288.33	$197.03
92020 Examination of cornea and iris using lens device and slit lamp	14	14	$45.57	$33.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$175.62	$132.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	736	408	$123.08	$107.14
92083 Exam of visual field with extended testing	258	195	$114.00	$79.75
92014 Established patient complete exam of visual system	216	215	$105.22	$103.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	177	148	$75.03	$68.34
92133 Imaging of optic nerve	154	151	$114.00	$44.38
92134 Imaging of retina	129	116	$114.00	$49.50
92004 New patient complete exam of visual system	79	79	$108.08	$106.60
92250 Photography of the retina	76	74	$138.00	$45.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	57	$187.13	$150.66
92020 Examination of cornea and iris using lens device and slit lamp	37	36	$45.00	$33.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$180.00	$131.95
76514 Ultrasound scan of cornea to determine thickness	31	31	$26.00	$12.87
92060 Exam to measure eye deviation and range of motion	31	24	$115.00	$78.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$290.69	$193.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	568	289	$123.00	$106.88
92083 Exam of visual field with extended testing	202	152	$114.00	$78.80
92014 Established patient complete exam of visual system	147	147	$106.99	$105.99
92133 Imaging of optic nerve	107	101	$114.00	$44.29
92134 Imaging of retina	87	76	$114.00	$49.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	86	72	$75.00	$67.61
92250 Photography of the retina	63	62	$138.00	$44.40
92004 New patient complete exam of visual system	44	44	$109.32	$108.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$180.00	$145.11
92020 Examination of cornea and iris using lens device and slit lamp	26	25	$45.00	$33.75
76514 Ultrasound scan of cornea to determine thickness	12	11	$26.00	$13.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	412	206	$123.00	$108.42
92083 Exam of visual field with extended testing	150	117	$114.00	$80.32
92014 Established patient complete exam of visual system	142	139	$104.32	$104.32
92133 Imaging of optic nerve	89	81	$114.00	$44.99
92134 Imaging of retina	72	57	$114.00	$49.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	59	$75.72	$67.91
92250 Photography of the retina	49	48	$138.00	$47.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	28	$180.00	$153.22
92004 New patient complete exam of visual system	15	15	$104.00	$104.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	272	160	$123.00	$89.32
92014 Established patient complete exam of visual system	87	86	$104.53	$104.23
92083 Exam of visual field with extended testing	86	73	$115.00	$79.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	67	$75.00	$55.03
92133 Imaging of optic nerve	68	68	$114.00	$45.54
92134 Imaging of retina	35	31	$114.00	$49.70
92250 Photography of the retina	26	26	$138.00	$55.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	21	$180.00	$129.04
92004 New patient complete exam of visual system	15	15	$104.00	$103.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	544	266	$123.00	$87.55
92083 Exam of visual field with extended testing	185	143	$114.00	$80.15
92014 Established patient complete exam of visual system	174	172	$104.00	$102.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	164	121	$75.00	$54.28
92133 Imaging of optic nerve	95	90	$114.00	$44.15
92134 Imaging of retina	86	76	$114.00	$49.37
92250 Photography of the retina	55	55	$138.00	$61.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$180.00	$127.45
92004 New patient complete exam of visual system	28	28	$104.00	$102.83
92020 Examination of cornea and iris using lens device and slit lamp	18	18	$45.00	$33.06
76514 Ultrasound scan of cornea to determine thickness	16	16	$26.00	$14.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	453	263	$123.03	$82.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	228	157	$75.21	$50.57
92083 Exam of visual field with extended testing	190	148	$114.00	$77.08
92014 Established patient complete exam of visual system	175	174	$104.00	$101.34
92133 Imaging of optic nerve	101	99	$114.00	$42.98
92250 Photography of the retina	68	68	$138.00	$67.24
92134 Imaging of retina	61	54	$114.00	$48.38
92004 New patient complete exam of visual system	40	40	$104.00	$101.58
76514 Ultrasound scan of cornea to determine thickness	27	27	$26.00	$16.58
92020 Examination of cornea and iris using lens device and slit lamp	27	27	$45.00	$30.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$177.30	$120.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	345	222	$113.34	$77.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	187	138	$75.00	$47.33
92083 Exam of visual field with extended testing	155	131	$114.00	$72.02
92014 Established patient complete exam of visual system	119	118	$102.61	$98.99
92133 Imaging of optic nerve	69	67	$114.00	$40.64
92134 Imaging of retina	57	50	$114.00	$44.87
92250 Photography of the retina	39	39	$130.82	$75.50
92004 New patient complete exam of visual system	26	26	$108.12	$101.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$159.05	$114.72
92020 Examination of cornea and iris using lens device and slit lamp	14	14	$35.71	$26.07
76514 Ultrasound scan of cornea to determine thickness	12	12	$24.00	$15.73

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA OPT10030TLG

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.

Hospital & Practice Group Affiliations

Regents Of The University Of California At Berkeley

200 Optometry Ln, Berkeley, CA 947200001

Regents Of The University Of California At Berkeley

200 Minor Hall, Berkeley, CA 947202020

Phone: 5106422020

Regents Of The University Of California At Berkeley

200 Minor Hall, Berkeley, CA 947200001

Regents Of The University Of California At Berkeley

200 Minor Hall, Berkeley, CA 947202020

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Christina Trifiletti , OD

Optometrist

NPI 1720237050

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 July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 200 MINOR HALL, UC BERKELEY, BERKELEY, CA 947202020 (Tel: 5106439826)

📍

Updated Business Mailing Address July 08, 2007

Registered at 200 MINOR HALL, UC BERKELEY, BERKELEY, CA 947202020 (Tel: 5106439826)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as CARL JACOBSEN, O.D.

🎓

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

Optometrist (License #OPT10030TLG in CA)

🟢

Initial NPI Registration & Enumeration February 22, 2007

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: 1003941766

Entity Type:

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

Enumeration Date: February 22, 2007

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 Minor Hall, Uc Berkeley

Berkeley, CA 947202020

Phone: 5106439826

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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