Active NPI 1104252147 Individual Practitioner Male Practitioner

Dr. Thomas Riggio , OD

Optometrist • Cool, CA

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Riggio, OD is a certified Optometrist practicing in Cool, CA. With approximately 13 years of clinical experience since completing medical education in 2013, Dr. Riggio delivers high-quality medical care to the local community at 5020 ELLINGHOUSE DR.

Dr. Riggio does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, photography of the retina, 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

5020 Ellinghouse Dr
Ste A

Cool, CA 956149569

Telephone 5308878048

Fax 8777212722

Associated Practice Facility / Clinic

🏢 Cool Optometry Facility NPI 1285064378

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Cool, CA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs Matches City Avg

City Avg: 13.0 Yrs

State Avg: 21.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Cool, CA (8588 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

21.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Riggio (13 Years) 13 Yrs

Cool Specialty Average (13.0 Years) 13.0 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	148	102	$100.00	$91.26
92250 Photography of the retina	122	112	$78.00	$37.76
92014 Established patient complete exam of visual system	115	113	$135.00	$129.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	43	$140.00	$128.70
92004 New patient complete exam of visual system	55	55	$165.00	$152.70
92083 Exam of visual field with extended testing	34	32	$90.00	$66.17
92133 Imaging of optic nerve	30	28	$49.00	$36.15
92012 Established patient problem focused exam of visual system	29	25	$120.00	$92.06
92134 Imaging of retina	26	22	$49.00	$41.08
66984 Removal of cataract with insertion of lens	21	13	$200.00	$108.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	140	94	$100.00	$90.09
92014 Established patient complete exam of visual system	77	77	$135.00	$128.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	49	$140.00	$127.03
92250 Photography of the retina	68	62	$78.00	$37.79
92004 New patient complete exam of visual system	42	42	$165.00	$152.25
66984 Removal of cataract with insertion of lens	34	22	$200.00	$101.17
92134 Imaging of retina	31	20	$49.00	$40.59
92083 Exam of visual field with extended testing	30	29	$90.00	$64.45
92133 Imaging of optic nerve	26	24	$49.00	$36.65
92012 Established patient problem focused exam of visual system	17	16	$120.00	$92.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	147	102	$100.00	$90.28
92014 Established patient complete exam of visual system	104	102	$135.00	$127.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	29	$140.00	$127.09
92134 Imaging of retina	41	32	$49.00	$40.59
92250 Photography of the retina	39	38	$78.00	$37.20
92133 Imaging of optic nerve	36	30	$49.00	$36.17
92083 Exam of visual field with extended testing	33	25	$90.00	$63.80
92004 New patient complete exam of visual system	30	30	$165.00	$151.23
92012 Established patient problem focused exam of visual system	17	17	$120.00	$90.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	139	101	$98.79	$90.60
92014 Established patient complete exam of visual system	109	109	$135.00	$128.80
92250 Photography of the retina	53	49	$78.00	$39.06
92012 Established patient problem focused exam of visual system	40	38	$120.00	$91.40
92133 Imaging of optic nerve	39	31	$49.00	$36.76
92134 Imaging of retina	32	26	$49.00	$41.50
92004 New patient complete exam of visual system	29	29	$165.00	$152.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	19	$140.00	$129.51
92083 Exam of visual field with extended testing	23	18	$90.00	$64.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	110	107	$135.14	$128.00
99213 Established patient office or other outpatient visit, typically 15 minutes	93	61	$80.00	$74.86
92012 Established patient problem focused exam of visual system	57	48	$120.00	$89.87
92250 Photography of the retina	41	38	$78.00	$45.74
92004 New patient complete exam of visual system	38	38	$164.61	$152.45
92133 Imaging of optic nerve	33	27	$59.82	$37.32
92134 Imaging of retina	23	19	$51.22	$40.65
92083 Exam of visual field with extended testing	17	15	$90.00	$64.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	130	74	$79.20	$71.72
92014 Established patient complete exam of visual system	120	120	$134.87	$124.27
92012 Established patient problem focused exam of visual system	77	57	$109.73	$86.68
92250 Photography of the retina	62	58	$78.00	$49.82
92004 New patient complete exam of visual system	44	44	$164.16	$149.04
92133 Imaging of optic nerve	41	36	$100.00	$35.57
92134 Imaging of retina	38	31	$100.00	$40.11
92083 Exam of visual field with extended testing	29	29	$90.00	$63.28
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$78.00	$73.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	118	117	$133.08	$120.35
92012 Established patient problem focused exam of visual system	82	56	$92.00	$83.36
99213 Established patient office or other outpatient visit, typically 15 minutes	63	39	$76.19	$68.45
92250 Photography of the retina	58	57	$78.90	$54.79
92133 Imaging of optic nerve	33	28	$100.00	$35.65
92004 New patient complete exam of visual system	30	30	$162.60	$144.81
92083 Exam of visual field with extended testing	28	22	$89.57	$61.66
92134 Imaging of retina	24	23	$98.96	$39.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	85	85	$133.00	$119.08
99213 Established patient office or other outpatient visit, typically 15 minutes	75	41	$76.09	$69.60
92012 Established patient problem focused exam of visual system	73	54	$92.88	$82.49
92250 Photography of the retina	60	59	$77.87	$64.29
92004 New patient complete exam of visual system	47	47	$162.23	$144.28
92083 Exam of visual field with extended testing	22	22	$90.00	$62.00
92133 Imaging of optic nerve	14	14	$100.00	$36.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$111.31	$102.46

Medical Specialties & State Licenses

CMS Verified: 2020-05-27

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 14774

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

6121840 (CA)

Secondary Practice Locations

5020 Ellinghouse Dr Ste A

Cool, CA 95614

Phone: 5308878048

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location May 27, 2020

Registered at 5020 ELLINGHOUSE DR, STE A, COOL, CA 956149569 (Tel: 5308878048)

📍

Updated Business Mailing Address May 27, 2020

Registered at 5020 ELLINGHOUSE DR, STE A, COOL, CA 956149569 (Tel: 5303331730)

📍

Updated Business Mailing Address February 25, 2019

Registered at PO BOX 796, GEORGETOWN, CA 956340796 (Tel: 5303331730)

✅

NPI Profile Active September 26, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 26, 2016

Registered at 6325 CA-193, GEORGETOWN, CA 956340796 (Tel: 5303331730)

📍

Updated Business Mailing Address September 26, 2016

Registered at 6325 HIGHWAY 193, GEORGETOWN, CA 956340796 (Tel: 5303331730)

👤

Provider Name / Credentials Updated September 26, 2016

Recorded as THOMAS RIGGIO, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2016

Optometrist (License #14774 in CA)

🟢

Initial NPI Registration & Enumeration September 23, 2013

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: 1104252147

Entity Type:

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

Enumeration Date: September 23, 2013

Last Update: May 27, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5020 Ellinghouse Dr, Ste A

Cool, CA 956149569

Phone: 5303331730

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.