Active NPI 1124021746 Individual Practitioner Male Practitioner

Dr. John Burley Cotter , MD

Ophthalmology • Santa Maria, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Cotter, MD is a certified Ophthalmology practicing in Santa Maria, CA. With approximately 54 years of clinical experience since graduating from University Of Kansas School Of Med (Kc/Wich/Sal) in 1972, Dr. Cotter delivers high-quality medical care to the local community at 525 PLAZA DR STE 304.

Dr. Cotter is affiliated with Paul J Dougherty M D Inc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

525 Plaza Dr Ste 304

Santa Maria, CA 934546955

Telephone 8059875300

Fax 8056217737

Associated Practice Facility / Clinic

🏢 Adv Vision Llc Facility NPI 1588194104

Medicare Profile & Education

Medical School

University Of Kansas School Of Med (Kc/wich/sal)

Graduation Year

1972

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Santa Maria, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

54 Yrs +21.7 yrs vs City Avg

City Avg: 32.3 Yrs

State Avg: 29.5 Yrs

Regional Practice Density

7 Specialists

Practicing in Santa Maria, CA (3116 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cotter (54 Years) 54 Yrs

Santa Maria Specialty Average (32.3 Years) 32.3 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	181	116	$169.53	$94.21
92014 Established patient complete exam of visual system	130	120	$327.73	$133.81
92134 Imaging of retina	100	85	$106.36	$42.71
68761 Closure of tear duct opening using plug	83	28	$314.00	$114.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	73	$427.70	$133.99
92133 Imaging of optic nerve	66	57	$115.00	$38.32
92012 Established patient problem focused exam of visual system	41	41	$265.71	$95.51
92083 Exam of visual field with extended testing	18	17	$129.33	$48.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	241	130	$153.00	$93.74
68761 Closure of tear duct opening using plug	174	40	$314.00	$110.63
92014 Established patient complete exam of visual system	169	131	$263.00	$134.31
92134 Imaging of retina	88	71	$87.00	$42.69
92133 Imaging of optic nerve	40	36	$87.00	$38.53
92012 Established patient problem focused exam of visual system	36	32	$182.00	$95.65
92083 Exam of visual field with extended testing	16	13	$138.00	$64.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$225.00	$132.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	244	142	$153.00	$93.43
68761 Closure of tear duct opening using plug	194	50	$314.00	$111.00
92014 Established patient complete exam of visual system	146	125	$263.00	$134.69
92134 Imaging of retina	101	84	$87.00	$42.84
92012 Established patient problem focused exam of visual system	95	70	$182.00	$93.47
92133 Imaging of optic nerve	42	39	$87.00	$38.21
92250 Photography of the retina	31	31	$139.71	$38.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	27	$225.00	$133.47
92083 Exam of visual field with extended testing	24	23	$138.00	$65.02
92025 Ct scan of cornea	15	15	$81.00	$38.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	166	137	$263.00	$135.60
68761 Closure of tear duct opening using plug	153	42	$314.00	$116.06
99213 Established patient office or other outpatient visit, typically 15 minutes	140	94	$153.00	$94.90
92134 Imaging of retina	97	83	$87.00	$43.41
92012 Established patient problem focused exam of visual system	33	32	$182.00	$96.27
92133 Imaging of optic nerve	29	25	$87.00	$39.04
92025 Ct scan of cornea	27	24	$81.00	$38.75
92286 Imaging of front third of eye using a special microscope	22	20	$150.00	$42.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$225.00	$136.08
92083 Exam of visual field with extended testing	13	11	$133.46	$65.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
68761 Closure of tear duct opening using plug	275	78	$314.00	$112.55
92014 Established patient complete exam of visual system	268	212	$263.00	$129.65
99213 Established patient office or other outpatient visit, typically 15 minutes	267	184	$153.00	$73.96
92134 Imaging of retina	180	150	$87.00	$41.01
92025 Ct scan of cornea	106	82	$81.00	$36.90
92133 Imaging of optic nerve	88	69	$87.00	$37.52
92012 Established patient problem focused exam of visual system	79	59	$182.00	$85.53
92286 Imaging of front third of eye using a special microscope	51	40	$150.00	$36.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	32	$225.00	$110.45
67820 Removal of eyelashes using forceps	26	22	$114.15	$26.78
92083 Exam of visual field with extended testing	26	22	$138.00	$64.65
92136 Measurement of corneal curvature and depth of eye	24	19	$147.13	$57.01
66984 Removal of cataract with insertion of lens	22	20	$1796.00	$552.65
92250 Photography of the retina	21	20	$142.00	$45.28
92004 New patient complete exam of visual system	14	14	$316.00	$155.89
66821 Removal of recurring cataract in lens capsule using a laser	14	13	$707.14	$321.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	425	219	$153.00	$76.06
68761 Closure of tear duct opening using plug	374	92	$314.00	$115.51
92014 Established patient complete exam of visual system	336	256	$263.00	$132.23
92134 Imaging of retina	234	176	$87.00	$42.23
92133 Imaging of optic nerve	109	77	$87.00	$38.44
92025 Ct scan of cornea	106	79	$81.00	$37.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	82	$225.00	$112.86
92012 Established patient problem focused exam of visual system	87	60	$182.00	$92.98
92286 Imaging of front third of eye using a special microscope	70	60	$150.00	$38.74
92083 Exam of visual field with extended testing	44	39	$138.00	$66.59
67820 Removal of eyelashes using forceps	34	27	$115.35	$32.67
92136 Measurement of corneal curvature and depth of eye	30	28	$170.47	$69.02
92004 New patient complete exam of visual system	25	25	$316.00	$157.98
66984 Removal of cataract with insertion of lens	24	22	$1796.00	$632.54
92250 Photography of the retina	23	22	$138.91	$52.93
66821 Removal of recurring cataract in lens capsule using a laser	20	20	$660.00	$322.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	532	258	$153.00	$69.54
68761 Closure of tear duct opening using plug	330	87	$314.00	$109.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	256	200	$225.00	$104.39
92134 Imaging of retina	236	195	$87.00	$40.45
92014 Established patient complete exam of visual system	181	163	$263.00	$125.28
92133 Imaging of optic nerve	94	70	$87.00	$37.00
92025 Ct scan of cornea	91	74	$81.00	$36.63
92012 Established patient problem focused exam of visual system	82	62	$182.00	$84.87
92286 Imaging of front third of eye using a special microscope	75	65	$150.00	$36.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	44	$92.00	$42.13
67820 Removal of eyelashes using forceps	49	26	$116.82	$33.87
92083 Exam of visual field with extended testing	39	35	$138.00	$64.18
92136 Measurement of corneal curvature and depth of eye	31	24	$135.94	$65.56
66821 Removal of recurring cataract in lens capsule using a laser	31	29	$681.29	$308.83
66984 Removal of cataract with insertion of lens	23	19	$1796.00	$588.18
92004 New patient complete exam of visual system	17	17	$316.00	$150.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$342.00	$156.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	474	251	$153.00	$70.31
68761 Closure of tear duct opening using plug	342	87	$314.00	$109.11
92014 Established patient complete exam of visual system	271	221	$263.00	$121.19
92134 Imaging of retina	251	194	$87.00	$39.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	241	200	$225.00	$103.82
92012 Established patient problem focused exam of visual system	127	87	$182.00	$82.82
92133 Imaging of optic nerve	117	87	$85.21	$36.54
92025 Ct scan of cornea	92	82	$81.00	$36.40
92286 Imaging of front third of eye using a special microscope	69	61	$143.16	$35.99
92083 Exam of visual field with extended testing	65	62	$138.00	$63.68
67820 Removal of eyelashes using forceps	39	28	$119.59	$48.10
66984 Removal of cataract with insertion of lens	39	33	$1796.00	$613.91
92136 Measurement of corneal curvature and depth of eye	36	31	$144.11	$71.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	36	$303.00	$140.47
66821 Removal of recurring cataract in lens capsule using a laser	28	25	$660.00	$303.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	23	$92.00	$41.76
92004 New patient complete exam of visual system	18	18	$316.00	$145.88
92275 Recording of retinal electrical responses to external stimuli	15	14	$320.00	$147.40
95930 Measurement of nerve conduction using visual stimulation testing with report	14	13	$281.00	$129.35
92132 Imaging of front third of eye	12	11	$66.00	$29.32

Medical Specialties & State Licenses

CMS Verified: 2025-08-01

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CA C39584

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

Commercial Insurance / Payer ID Tax Identification

770418808

Commercial Insurance / Payer ID State Medical License

C39584 (CA)

Hospital & Practice Group Affiliations

Paul J Dougherty M D Inc

525 Plaza Dr, Santa Maria, CA 934546955

Phone: 8059875300

Practice Associates & Co-Workers

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

17 Associated Practitioners

Dr. Xiaolin Zhang , MD

Ophthalmology

NPI 1063739928

Doctor of Medicine (M.D.)

Dr. Paul Dougherty , MD

Ophthalmology

NPI 1083744775

Doctor of Medicine (M.D.)

Dr. Margit Craig , OD

Optometrist

NPI 1124024294

Doctor of Optometry

Dr. Yanlei Wu , OD

Optometrist

NPI 1134964687

Doctor of Optometry

Dr. Matthew Johnson , MD

Ophthalmology

NPI 1356967863

Doctor of Medicine (M.D.)

Dr. Houman Vosoghi , MD

Ophthalmology - Glaucoma Specialist

NPI 1427279322

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location July 07, 2025

Registered at 525 PLAZA DR STE 304, SANTA MARIA, CA 934546955 (Tel: 8059875300)

📍

Updated Business Mailing Address July 07, 2025

Registered at 525 PLAZA DR STE 304, SANTA MARIA, CA 934546955 (Tel: 8059875300)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1270 PEACH ST, SAN LUIS OBISPO, CA 934012856 (Tel: 8055411342)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1270 PEACH ST, SAN LUIS OBISPO, CA 934012856 (Tel: 8055411342)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN COTTER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #C39584 in CA)

🟢

Initial NPI Registration & Enumeration May 27, 2005

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: 1124021746

Entity Type:

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

Enumeration Date: May 27, 2005

Last Update: August 01, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

525 Plaza Dr Ste 304

Santa Maria, CA 934546955

Phone: 8059875300

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.