Active NPI 1669586541 Individual Practitioner Male Practitioner

Dr. Michael David Spanfelner , OD

Optometrist • Oroville, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Spanfelner, OD is a certified Optometrist practicing in Oroville, CA. With approximately 33 years of clinical experience since graduating from University Of California - School Of Optometry in 1993, Dr. Spanfelner delivers high-quality medical care to the local community at 1550 MYERS ST.

Dr. Spanfelner is affiliated with Rocchi And Spanfelner Optometrists and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1550 Myers St
Ste A

Oroville, CA 959654689

Telephone 5305336604

Fax 5305336568

Associated Practice Facility / Clinic

🏢 Rocchi And Spanfelner Optometrists Facility NPI 1679613707

Medicare Profile & Education

Medical School

University Of California - School Of Optometry

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Oroville, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs -5.3 yrs vs City Avg

City Avg: 38.3 Yrs

State Avg: 21.9 Yrs

Regional Practice Density

4 Specialists

Practicing in Oroville, CA (8588 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

12.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Spanfelner (33 Years) 33 Yrs

Oroville Specialty Average (38.3 Years) 38.3 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	401	312	$95.00	$92.50
92250 Photography of the retina	284	276	$73.00	$38.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	74	$135.00	$130.34
92133 Imaging of optic nerve	64	64	$50.00	$35.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$120.00	$113.23
92083 Exam of visual field with extended testing	50	49	$75.00	$66.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$61.00	$58.09
92134 Imaging of retina	17	16	$50.00	$41.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	407	327	$95.00	$87.32
92250 Photography of the retina	291	284	$73.00	$36.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	77	$135.00	$123.22
92133 Imaging of optic nerve	62	62	$50.00	$34.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$120.00	$108.31
92083 Exam of visual field with extended testing	49	48	$75.00	$61.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	36	$61.00	$54.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$175.00	$152.94
92134 Imaging of retina	12	12	$50.00	$39.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	377	301	$95.00	$91.00
92250 Photography of the retina	261	255	$73.00	$37.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	64	$134.87	$128.91
92133 Imaging of optic nerve	54	54	$50.00	$35.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$119.17	$112.86
92083 Exam of visual field with extended testing	43	43	$75.00	$64.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	34	$61.00	$56.55
92134 Imaging of retina	19	18	$50.00	$40.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	348	292	$94.54	$94.54
92250 Photography of the retina	256	253	$73.00	$41.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	95	$131.24	$131.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$114.81	$114.81
92133 Imaging of optic nerve	49	48	$50.00	$37.25
92083 Exam of visual field with extended testing	34	34	$75.00	$67.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	24	$61.00	$58.83
92134 Imaging of retina	21	21	$50.00	$42.98
76514 Ultrasound scan of cornea to determine thickness	12	12	$15.00	$11.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$165.00	$165.00

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	289	289	$105.00	$104.51
92250 Photography of the retina	272	263	$73.00	$47.81
99213 Established patient office or other outpatient visit, typically 15 minutes	107	88	$75.00	$74.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	54	$45.00	$44.39
92133 Imaging of optic nerve	48	48	$50.00	$37.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$165.00	$164.79
92083 Exam of visual field with extended testing	34	34	$75.00	$67.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$105.00	$104.79
92134 Imaging of retina	18	17	$50.00	$42.83

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	274	273	$105.00	$103.66
92250 Photography of the retina	251	248	$73.00	$53.35
99213 Established patient office or other outpatient visit, typically 15 minutes	132	109	$75.00	$73.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	61	$45.00	$44.37
92133 Imaging of optic nerve	70	69	$50.00	$37.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$105.00	$103.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$165.00	$162.67
92083 Exam of visual field with extended testing	40	40	$75.00	$67.91
76514 Ultrasound scan of cornea to determine thickness	20	20	$15.00	$12.24
92134 Imaging of retina	14	13	$50.00	$42.79

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	231	231	$105.00	$102.86
92250 Photography of the retina	215	212	$73.00	$57.39
99213 Established patient office or other outpatient visit, typically 15 minutes	120	95	$75.00	$71.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$105.00	$103.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	34	$45.00	$43.16
92133 Imaging of optic nerve	25	25	$50.00	$36.27
92083 Exam of visual field with extended testing	23	21	$75.00	$64.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$165.00	$159.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	209	199	$73.00	$65.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	183	182	$105.00	$102.25
99213 Established patient office or other outpatient visit, typically 15 minutes	164	147	$75.00	$71.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	41	$45.00	$42.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$105.00	$102.64
92133 Imaging of optic nerve	41	41	$50.00	$35.47
92083 Exam of visual field with extended testing	32	31	$75.00	$62.85

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 10240T

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

GSD001930 (CA)

Commercial Insurance / Payer ID Medicare Railroad Carrier

P00479427 (CA)

Commercial Insurance / Payer ID Blue Shield Of California

ZZZ55000Y (CA)

Hospital & Practice Group Affiliations

Rocchi And Spanfelner Optometrists

1550 Myers St, Oroville, CA 959654689

Phone: 5305336604

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Steven Rocchi , OD

Optometrist

NPI 1184632077

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 January 02, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 02, 2013

Registered at 1550 MYERS ST, STE A, OROVILLE, CA 959654689 (Tel: 5305336604)

📍

Updated Business Mailing Address January 02, 2013

Registered at 1550 MYERS ST, STE A, OROVILLE, CA 959654689 (Tel: 5305336604)

👤

Provider Name / Credentials Updated January 02, 2013

Recorded as MICHAEL SPANFELNER, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2013

Optometrist (License #10240T in CA)

🟢

Initial NPI Registration & Enumeration August 18, 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: 1669586541

Entity Type:

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

Enumeration Date: August 18, 2006

Last Update: January 02, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1550 Myers St, Ste A

Oroville, CA 959654689

Phone: 5305336604

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.