Deactivated NPI 1790778017 Deactivated / Inactive NPI Male Practitioner

Dr. Brian Calvert , OD

Optometrist • Fortuna, CA

✓ Accepts Medicare Assignment

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Brian Calvert has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 23, 2005

NPI Deactivation Date March 27, 2006

Total Practice Duration ~8 Years of Practice (1998 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Brian Calvert, OD was a registered Optometrist in Fortuna, CA. Prior to record deactivation on 2006-03-27, Dr. Calvert completed approximately 8 years of clinical practice following graduation from University Of California - School Of Optometry in 1998.

Dr. Calvert accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient outpatient office visit, photography of the retina, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3429 Renner Dr

Fortuna, CA 955403104

Telephone 7077255255

Fax 7077258833

Associated Practice Facility / Clinic

🏢 Humboldt Neurohealth Therapeutic Services Facility NPI 1710459292

Medicare Profile & Education

Medical School

University Of California - School Of Optometry

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Fortuna, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +0.7 yrs vs City Avg

City Avg: 27.3 Yrs

State Avg: 21.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Fortuna, CA (8588 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

18.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Calvert (28 Years) 28 Yrs

Fortuna Specialty Average (27.3 Years) 27.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	377	355	$139.97	$130.64
99213 Established patient office or other outpatient visit, typically 15 minutes	172	99	$100.00	$92.65
92250 Photography of the retina	163	156	$70.00	$38.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$150.00	$148.68
92083 Exam of visual field with extended testing	45	40	$80.00	$66.42
92134 Imaging of retina	43	32	$70.00	$41.76
92133 Imaging of optic nerve	31	29	$70.00	$36.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	380	350	$140.00	$130.95
99213 Established patient office or other outpatient visit, typically 15 minutes	192	123	$100.00	$92.54
92250 Photography of the retina	130	126	$70.00	$38.78
92134 Imaging of retina	65	49	$70.00	$41.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$150.00	$148.18
92083 Exam of visual field with extended testing	49	44	$80.00	$65.21
92133 Imaging of optic nerve	42	38	$70.00	$36.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$65.00	$58.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	348	331	$140.00	$132.71
99213 Established patient office or other outpatient visit, typically 15 minutes	156	98	$100.00	$93.82
92250 Photography of the retina	155	153	$70.00	$38.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$150.00	$149.02
92134 Imaging of retina	56	40	$70.00	$42.45
92083 Exam of visual field with extended testing	39	33	$80.00	$66.26
92133 Imaging of optic nerve	36	29	$70.00	$37.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$65.00	$58.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	340	319	$140.00	$134.89
99213 Established patient office or other outpatient visit, typically 15 minutes	133	81	$100.00	$95.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$150.00	$150.00
92133 Imaging of optic nerve	45	37	$70.00	$38.10
92134 Imaging of retina	32	28	$70.00	$43.19
92250 Photography of the retina	32	32	$95.00	$41.39
92083 Exam of visual field with extended testing	27	24	$65.19	$61.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	283	271	$140.00	$113.50
99213 Established patient office or other outpatient visit, typically 15 minutes	95	71	$100.00	$78.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$150.00	$149.83
92134 Imaging of retina	46	38	$70.00	$43.18
92133 Imaging of optic nerve	24	22	$70.00	$38.76
92083 Exam of visual field with extended testing	16	15	$60.00	$58.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	372	345	$139.68	$112.47
99213 Established patient office or other outpatient visit, typically 15 minutes	137	97	$99.60	$76.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$149.63	$148.15
92134 Imaging of retina	57	44	$70.00	$43.07
92133 Imaging of optic nerve	51	38	$70.00	$37.80
92083 Exam of visual field with extended testing	26	23	$60.00	$56.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	311	303	$134.60	$105.38
99213 Established patient office or other outpatient visit, typically 15 minutes	127	89	$95.00	$71.34
92133 Imaging of optic nerve	51	39	$70.00	$36.21
92134 Imaging of retina	50	34	$70.00	$40.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$144.22	$142.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	21	$60.00	$43.12
92083 Exam of visual field with extended testing	23	18	$60.00	$58.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	293	288	$130.00	$104.54
99213 Established patient office or other outpatient visit, typically 15 minutes	103	81	$95.00	$71.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$140.00	$137.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	31	$60.00	$42.59
92134 Imaging of retina	33	30	$70.00	$38.61
92133 Imaging of optic nerve	29	27	$70.00	$36.24
92083 Exam of visual field with extended testing	22	21	$60.00	$57.09

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 11045

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

SD0110451 (CA)

Practice Associates & Co-Workers

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

12 Associated Practitioners

Katherine Maxey , MA

Counselor - Mental Health

NPI 1194471623

Master of Arts

Dr. Katherine Estlin , MD

Family Medicine

NPI 1255574885

Doctor of Medicine (M.D.)

Felice Philips

Case Manager/Care Coordinator

NPI 1265303119

Rochelle Trochtenberg

Social Worker - Clinical

NPI 1285222513

Adalizette Aguilar

Case Manager/Care Coordinator

NPI 1285505503

Alyse Laverne , LMFT

Marriage & Family Therapist

NPI 1336762376

Licensed Marriage and Family Therapist

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location May 05, 2008

Registered at 3429 RENNER DR, FORTUNA, CA 955403104 (Tel: 7077255255)

📍

Updated Business Mailing Address May 05, 2008

Registered at 3429 RENNER DR, FORTUNA, CA 955403104 (Tel: 7077255255)

👤

Provider Name / Credentials Updated May 05, 2008

Recorded as BRIAN CALVERT, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2008

Optometrist (License #11045 in CA)

🔄

NPI Profile Reactivated April 12, 2006

Record officially reactivated for active practice on April 12, 2006

⚠️

NPI Profile Deactivated March 27, 2006

Record deactivated on March 27, 2006

🟢

Initial NPI Registration & Enumeration August 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Brian Calvert. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1790778017

Entity Type:

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

Enumeration Date: August 23, 2005

Last Update: May 05, 2008

Deactivation Date: March 27, 2006

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3429 Renner Dr

Fortuna, CA 955403104

Phone: 7077255255

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.