Active NPI 1205898681 Individual Practitioner Male Practitioner

Dr. William Andrew Maxwell , MD

Ophthalmology • Fresno, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. William Maxwell, MD is a certified Ophthalmology practicing in Fresno, CA. With approximately 50 years of clinical experience since graduating from University Of South Carolina School Of Medicine in 1976, Dr. Maxwell delivers high-quality medical care to the local community at 1360 E HERNDON AVE.

Dr. Maxwell is affiliated with Insight Vision Center Medical Group Inc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1360 E Herndon Ave
Suite 401

Fresno, CA 937203326

Telephone 5594495010

Fax 5594495014

Associated Practice Facility / Clinic

🏢 Fogg Remington Eyecare Inc Facility NPI 1023070869

Medicare Profile & Education

Medical School

University Of South Carolina School Of Medicine

Graduation Year

1976

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Fresno, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

50 Yrs +22.1 yrs vs City Avg

City Avg: 27.9 Yrs

State Avg: 29.5 Yrs

Regional Practice Density

47 Specialists

Practicing in Fresno, CA (3116 Statewide)

Telehealth Adoption Rate

2.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Maxwell (50 Years) 50 Yrs

Fresno Specialty Average (27.9 Years) 27.9 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	332	331	$205.11	$131.36
99213 Established patient office or other outpatient visit, typically 15 minutes	165	126	$150.00	$93.06
92250 Photography of the retina	70	70	$80.00	$38.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	38	$200.00	$130.85
92004 New patient complete exam of visual system	39	39	$240.00	$154.89
92134 Imaging of retina	22	21	$65.00	$41.88
92133 Imaging of optic nerve	18	16	$60.00	$37.16
66821 Removal of recurring cataract in lens capsule using a laser	15	13	$1125.33	$357.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$175.00	$113.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$260.00	$170.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	356	354	$204.90	$133.92
99213 Established patient office or other outpatient visit, typically 15 minutes	169	117	$149.44	$93.92
92250 Photography of the retina	68	68	$75.44	$39.49
92004 New patient complete exam of visual system	57	57	$240.00	$158.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	32	$200.14	$132.69
66984 Removal of cataract with insertion of lens	31	23	$3015.00	$553.09
92134 Imaging of retina	26	21	$65.00	$42.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$175.00	$115.95
92136 Measurement of corneal curvature and depth of eye	19	19	$77.11	$49.90
92133 Imaging of optic nerve	17	14	$60.00	$38.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	307	306	$200.02	$134.08
99213 Established patient office or other outpatient visit, typically 15 minutes	170	124	$145.00	$94.31
92004 New patient complete exam of visual system	82	82	$240.00	$158.70
92250 Photography of the retina	79	78	$65.00	$39.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	54	$205.00	$132.08
66984 Removal of cataract with insertion of lens	52	40	$3015.00	$563.22
92136 Measurement of corneal curvature and depth of eye	39	38	$113.97	$52.00
66821 Removal of recurring cataract in lens capsule using a laser	33	33	$1124.24	$334.91
92134 Imaging of retina	33	23	$65.00	$42.95
92136 Measurement of corneal curvature and depth of eye	22	22	$100.00	$31.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$175.00	$116.14
92133 Imaging of optic nerve	20	19	$60.00	$38.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$260.00	$173.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	347	345	$200.12	$135.45
99213 Established patient office or other outpatient visit, typically 15 minutes	140	108	$144.46	$96.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	70	$204.53	$136.51
92250 Photography of the retina	66	66	$65.91	$41.38
92004 New patient complete exam of visual system	61	61	$240.00	$160.75
66984 Removal of cataract with insertion of lens	54	38	$3015.00	$572.60
92136 Measurement of corneal curvature and depth of eye	43	41	$111.86	$56.88
66821 Removal of recurring cataract in lens capsule using a laser	40	36	$1113.00	$339.37
92134 Imaging of retina	32	28	$65.00	$43.62
92133 Imaging of optic nerve	18	14	$60.00	$38.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$259.71	$175.45
92136 Measurement of corneal curvature and depth of eye	15	15	$100.00	$32.23
92083 Exam of visual field with extended testing	13	12	$100.38	$68.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$174.62	$117.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	407	404	$167.41	$136.31
99213 Established patient office or other outpatient visit, typically 15 minutes	278	249	$115.06	$81.00
92012 Established patient problem focused exam of visual system	240	197	$119.27	$94.49
66984 Removal of cataract with insertion of lens	120	82	$2016.37	$582.57
92136 Measurement of corneal curvature and depth of eye	93	70	$101.83	$53.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	78	$160.00	$123.54
92004 New patient complete exam of visual system	72	72	$206.53	$163.97
92133 Imaging of optic nerve	45	43	$85.96	$40.74
66821 Removal of recurring cataract in lens capsule using a laser	35	31	$635.00	$332.06
92134 Imaging of retina	34	28	$75.35	$43.28
92002 New patient problem focused exam of visual system	33	33	$117.70	$90.29
99423 Online digital evaluation and management service for an established patient for up to 7 days, total time 21 or more minutes	31	31	$60.00	$51.39
92083 Exam of visual field with extended testing	28	28	$101.18	$68.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$180.20	$116.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$240.00	$176.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$72.38	$48.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	694	688	$164.00	$134.05
92012 Established patient problem focused exam of visual system	505	353	$119.00	$93.36
99213 Established patient office or other outpatient visit, typically 15 minutes	411	306	$111.00	$77.62
92136 Measurement of corneal curvature and depth of eye	226	163	$95.53	$59.95
66984 Removal of cataract with insertion of lens	190	128	$1717.00	$664.60
92002 New patient problem focused exam of visual system	119	119	$117.00	$88.72
92004 New patient complete exam of visual system	117	117	$199.00	$157.75
66821 Removal of recurring cataract in lens capsule using a laser	83	75	$635.00	$327.50
92133 Imaging of optic nerve	79	78	$74.00	$39.28
92134 Imaging of retina	79	65	$74.00	$42.93
92083 Exam of visual field with extended testing	67	67	$99.00	$68.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$178.00	$110.78
66982 Complex removal of cataract with insertion of prosthetic lens	24	19	$2800.00	$835.87
67820 Removal of eyelashes using forceps	16	14	$89.00	$34.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	721	709	$141.52	$132.19
92012 Established patient problem focused exam of visual system	503	331	$99.82	$92.02
99213 Established patient office or other outpatient visit, typically 15 minutes	449	333	$85.87	$74.78
92136 Measurement of corneal curvature and depth of eye	329	235	$93.19	$63.58
66984 Removal of cataract with insertion of lens	311	213	$2221.77	$660.41
92004 New patient complete exam of visual system	182	182	$165.79	$157.98
66821 Removal of recurring cataract in lens capsule using a laser	95	89	$972.53	$327.79
92133 Imaging of optic nerve	88	82	$88.36	$39.50
92002 New patient problem focused exam of visual system	81	81	$100.16	$88.00
92134 Imaging of retina	78	58	$86.72	$43.49
92083 Exam of visual field with extended testing	71	68	$115.56	$68.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$123.13	$110.98
66982 Complex removal of cataract with insertion of prosthetic lens	31	25	$2800.00	$826.20
67820 Removal of eyelashes using forceps	16	13	$145.44	$44.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	725	716	$135.00	$129.24
99213 Established patient office or other outpatient visit, typically 15 minutes	551	407	$80.00	$74.55
92012 Established patient problem focused exam of visual system	473	335	$95.00	$89.13
92136 Measurement of corneal curvature and depth of eye	306	220	$96.21	$73.25
66984 Removal of cataract with insertion of lens	290	191	$2350.00	$660.95
92004 New patient complete exam of visual system	119	119	$160.00	$155.99
92225 Examination of eye by ophthalmoscope with retinal drawing	106	68	$81.00	$28.07
66821 Removal of recurring cataract in lens capsule using a laser	91	76	$1012.00	$325.20
92133 Imaging of optic nerve	78	72	$90.00	$39.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$115.00	$110.32
92134 Imaging of retina	67	58	$90.00	$41.61
92083 Exam of visual field with extended testing	66	66	$120.00	$67.58
92002 New patient problem focused exam of visual system	49	49	$95.00	$84.10
67820 Removal of eyelashes using forceps	15	15	$163.00	$52.12

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CA G35175

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

GR0078922 (CA)

Medicaid State Provider ID

GR0078920 (CA)

Medicaid State Provider ID

GR0078924 (CA)

Medicaid State Provider ID

GR0078921 (CA)

Medicaid State Provider ID

00G351750 (CA)

Medicaid State Provider ID

GR0078923 (CA)

Commercial Insurance / Payer ID Cigna Medicare Dmerc

1304310001 (CA)

Commercial Insurance / Payer ID Cigna Medicare Dmerc

1304310002 (CA)

Commercial Insurance / Payer ID Cigna Medicare Dmerc

1304310005 (CA)

Commercial Insurance / Payer ID Cigna Medicare Dmerc

1304310003 (CA)

Hospital & Practice Group Affiliations

Insight Vision Center Medical Group Inc

1360 E Herndon Ave, Fresno, CA 937203326

Phone: 5594495050

Practice Associates & Co-Workers

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

18 Associated Practitioners

Dr. Thomas Pearson , OD

Optometrist

NPI 1023071362

Doctor of Optometry

Dr. Heather Bowlin , OD

Optometrist

NPI 1144290966

Doctor of Optometry

Dr. Gary Fogg , MD

Ophthalmology

NPI 1235191206

Doctor of Medicine (M.D.)

Dr. Pearl Thai , OD

Optometrist

NPI 1295288272

Doctor of Optometry

Dr. Karen Sanghera , OD

Optometrist

NPI 1467884817

Doctor of Optometry

Camilo Garcia

Optometrist

NPI 1497607238

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 27, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location August 27, 2008

Registered at 1360 E HERNDON AVE, SUITE 401, FRESNO, CA 937203326 (Tel: 5594495010)

📍

Updated Business Mailing Address August 27, 2008

Registered at 1360 E HERNDON AVE, SUITE 401, FRESNO, CA 937203326 (Tel: 5594495010)

👤

Provider Name / Credentials Updated August 27, 2008

Recorded as WILLIAM MAXWELL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2008

Ophthalmology (License #G35175 in CA)

🟢

Initial NPI Registration & Enumeration April 03, 2006

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: 1205898681

Entity Type:

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

Enumeration Date: April 03, 2006

Last Update: August 27, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1360 E Herndon Ave, Suite 401

Fresno, CA 937203326

Phone: 5594495010

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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