Active NPI 1083609101 Individual Practitioner Male Practitioner

Dr. Duane Phillip Gibson , OD

Optometrist • Jackson, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Duane Gibson, OD is a certified Optometrist practicing in Jackson, CA. With approximately 33 years of clinical experience since completing medical education in 1993, Dr. Gibson delivers high-quality medical care to the local community at 817 COURT ST.

Dr. Gibson accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of cataract with insertion of lens, exam of visual field with extended testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

817 Court St
Suite 10

Jackson, CA 956422156

Telephone 2092232020

Fax 2092232046

Associated Practice Facility / Clinic

🏢 Sierra Eyecare Associates Facility NPI 1699854158

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Jackson, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +11.7 yrs vs City Avg

City Avg: 21.3 Yrs

State Avg: 21.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Jackson, CA (8588 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

25.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gibson (33 Years) 33 Yrs

Jackson Specialty Average (21.3 Years) 21.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	480	433	$87.00	$86.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	141	114	$54.00	$53.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	122	$129.96	$128.67
66984 Removal of cataract with insertion of lens	91	57	$260.00	$109.96
92083 Exam of visual field with extended testing	37	36	$98.00	$66.49
92134 Imaging of retina	36	35	$109.00	$41.91
92250 Photography of the retina	36	35	$66.67	$37.90
92014 Established patient complete exam of visual system	32	31	$129.84	$128.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$125.00	$113.42
92133 Imaging of optic nerve	29	29	$55.00	$37.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$186.00	$169.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	412	369	$86.89	$85.77
92014 Established patient complete exam of visual system	128	128	$124.65	$123.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	109	$124.73	$122.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	101	84	$53.97	$53.26
66984 Removal of cataract with insertion of lens	93	56	$260.00	$110.48
92133 Imaging of optic nerve	46	44	$55.00	$38.16
92250 Photography of the retina	40	40	$68.40	$38.91
92083 Exam of visual field with extended testing	39	36	$98.00	$65.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$125.00	$114.38
92134 Imaging of retina	29	26	$109.00	$42.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$181.00	$169.11
92004 New patient complete exam of visual system	11	11	$134.09	$132.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	275	270	$83.00	$82.64
92014 Established patient complete exam of visual system	205	205	$115.00	$114.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	154	125	$53.00	$52.82
66984 Removal of cataract with insertion of lens	116	77	$260.00	$112.00
92012 Established patient problem focused exam of visual system	111	99	$93.00	$92.58
92250 Photography of the retina	54	54	$68.81	$39.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	49	$115.00	$114.86
92083 Exam of visual field with extended testing	49	45	$98.00	$66.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$125.00	$116.07
92133 Imaging of optic nerve	40	39	$55.00	$38.73
92134 Imaging of retina	39	36	$109.00	$42.62
92004 New patient complete exam of visual system	17	17	$125.00	$124.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	403	384	$83.00	$83.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	170	135	$53.00	$53.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	125	$115.00	$115.00
92250 Photography of the retina	92	92	$70.00	$41.51
66984 Removal of cataract with insertion of lens	84	60	$260.00	$112.63
92012 Established patient problem focused exam of visual system	55	52	$93.00	$93.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$125.00	$116.57
92133 Imaging of optic nerve	36	33	$55.00	$39.00
92083 Exam of visual field with extended testing	32	32	$98.00	$67.39
92014 Established patient complete exam of visual system	28	28	$115.00	$115.00
92134 Imaging of retina	19	18	$109.00	$43.12

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	465	462	$115.00	$114.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	193	133	$53.00	$48.15
99213 Established patient office or other outpatient visit, typically 15 minutes	140	126	$83.00	$79.03
66984 Removal of cataract with insertion of lens	73	53	$260.00	$116.06
92250 Photography of the retina	71	68	$70.00	$48.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$125.00	$113.07
92133 Imaging of optic nerve	43	41	$55.00	$39.55
92083 Exam of visual field with extended testing	38	37	$98.00	$67.97
92134 Imaging of retina	18	16	$109.00	$43.07
76514 Ultrasound scan of cornea to determine thickness	14	14	$30.00	$12.34

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	495	493	$115.00	$113.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	234	167	$53.00	$47.42
99213 Established patient office or other outpatient visit, typically 15 minutes	151	130	$83.00	$77.62
66984 Removal of cataract with insertion of lens	76	52	$260.00	$134.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$125.00	$112.60
92250 Photography of the retina	61	59	$68.95	$53.61
92133 Imaging of optic nerve	49	46	$55.00	$39.32
92083 Exam of visual field with extended testing	49	47	$98.00	$68.64
92134 Imaging of retina	22	21	$109.00	$43.16
76514 Ultrasound scan of cornea to determine thickness	14	14	$30.00	$12.93
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$90.00	$79.85

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	446	441	$115.00	$111.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	181	133	$53.00	$45.65
99213 Established patient office or other outpatient visit, typically 15 minutes	161	149	$83.00	$75.38
66984 Removal of cataract with insertion of lens	78	60	$260.00	$133.27
92250 Photography of the retina	78	74	$69.17	$59.74
92133 Imaging of optic nerve	71	63	$55.00	$39.43
92083 Exam of visual field with extended testing	65	60	$98.00	$68.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$125.00	$111.06
92134 Imaging of retina	23	17	$109.00	$43.39
76514 Ultrasound scan of cornea to determine thickness	20	20	$30.00	$15.83
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$90.00	$77.98

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	471	470	$115.00	$107.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	222	160	$53.00	$43.92
99213 Established patient office or other outpatient visit, typically 15 minutes	149	137	$83.00	$73.05
66984 Removal of cataract with insertion of lens	71	51	$260.00	$128.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$125.00	$107.96
92133 Imaging of optic nerve	66	59	$55.00	$38.14
92250 Photography of the retina	54	52	$70.00	$67.66
92083 Exam of visual field with extended testing	54	50	$98.00	$65.62
92134 Imaging of retina	25	21	$109.00	$41.63
76514 Ultrasound scan of cornea to determine thickness	20	20	$30.00	$14.66
92014 Established patient complete exam of visual system	14	14	$150.00	$125.93

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 10077T

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

SD0100771 (CA)

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Richard Vanbuskirk , OD

Optometrist - Low Vision Rehabilitation

NPI 1316917479

Doctor of Optometry

Mason Womack

Optometrist

NPI 1417478835

Dr. Steven Fronk , OD

Optometrist

NPI 1417927161

Doctor of Optometry

Dr. Michael Merry , OD

Optometrist

NPI 1669725008

Doctor of Optometry

Dr. Jerry Jolley , OD

Optometrist

NPI 1841261187

Doctor of Optometry

Dr. Janice Mc George , OD

Optometrist

NPI 1992754246

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 December 12, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location December 12, 2007

Registered at 817 COURT ST, SUITE 10, JACKSON, CA 956422156 (Tel: 2092232020)

📍

Updated Business Mailing Address December 12, 2007

Registered at 817 COURT ST, SUITE 10, JACKSON, CA 956422156 (Tel: 2092232020)

👤

Provider Name / Credentials Updated December 12, 2007

Recorded as DUANE GIBSON, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2007

Optometrist (License #10077T in CA)

🟢

Initial NPI Registration & Enumeration September 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1083609101

Entity Type:

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

Enumeration Date: September 14, 2005

Last Update: December 12, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

817 Court St, Suite 10

Jackson, CA 956422156

Phone: 2092232020

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.