Active NPI 1871524611 Individual Practitioner Male Practitioner

Dr. Douglas O Fleming , OD

Optometrist • Sonora, CA

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Fleming, OD is a certified Optometrist practicing in Sonora, CA. With approximately 36 years of clinical experience since completing medical education in 1990, Dr. Fleming delivers high-quality medical care to the local community at 940 SYLVA LN STE H.

Dr. Fleming is affiliated with M A C T Health Board Incorporated and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, 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

940 Sylva Ln Ste H

Sonora, CA 953705969

Telephone 2095324123

Fax 2095326749

Associated Practice Facility / Clinic

🏢 Douglas O. Fleming, O.d., Inc. Facility NPI 1689896847

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Sonora, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +10.2 yrs vs City Avg

City Avg: 25.8 Yrs

State Avg: 21.9 Yrs

Regional Practice Density

9 Specialists

Practicing in Sonora, CA (8588 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

27.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fleming (36 Years) 36 Yrs

Sonora Specialty Average (25.8 Years) 25.8 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	56	56	$199.00	$123.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$89.00	$55.16
92014 Established patient complete exam of visual system	18	18	$131.00	$124.17

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	205	205	$132.33	$119.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	67	$67.60	$57.47
92250 Photography of the retina	60	58	$71.93	$38.87
92133 Imaging of optic nerve	19	19	$64.21	$37.40
92083 Exam of visual field with extended testing	16	15	$63.56	$62.74
92134 Imaging of retina	13	13	$66.62	$40.86
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$94.33	$84.62

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	230	230	$120.00	$118.91
92250 Photography of the retina	99	98	$72.00	$38.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	95	74	$60.00	$58.58
92133 Imaging of optic nerve	23	20	$65.00	$38.40
92083 Exam of visual field with extended testing	18	17	$66.00	$65.35
66984 Removal of cataract with insertion of lens	15	15	$137.00	$111.26
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$85.00	$84.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$130.00	$115.41
92134 Imaging of retina	11	11	$65.00	$41.63

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	372	$112.69	$112.69
92250 Photography of the retina	147	145	$72.00	$41.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	113	90	$53.72	$53.28
92133 Imaging of optic nerve	26	25	$65.00	$39.03
66984 Removal of cataract with insertion of lens	21	21	$137.00	$113.08
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$79.76	$79.76
92083 Exam of visual field with extended testing	21	20	$66.00	$66.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$124.21	$116.57
92134 Imaging of retina	15	13	$65.00	$42.85

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	461	459	$110.00	$109.76
92250 Photography of the retina	155	153	$72.00	$47.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	108	83	$50.00	$47.64
92133 Imaging of optic nerve	30	27	$65.00	$39.26
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$75.00	$74.86
92083 Exam of visual field with extended testing	25	25	$66.00	$65.87
92134 Imaging of retina	20	20	$65.00	$42.26
66984 Removal of cataract with insertion of lens	18	18	$137.00	$113.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$120.00	$111.82

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	586	581	$110.00	$105.88
92250 Photography of the retina	185	182	$72.00	$52.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	157	106	$50.00	$45.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$120.00	$109.10
99213 Established patient office or other outpatient visit, typically 15 minutes	37	36	$75.00	$71.88
92133 Imaging of optic nerve	35	30	$65.00	$38.00
92134 Imaging of retina	29	27	$65.00	$41.29
92083 Exam of visual field with extended testing	28	27	$66.00	$63.37
66984 Removal of cataract with insertion of lens	17	17	$137.00	$128.07

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	576	573	$107.20	$103.20
92250 Photography of the retina	162	159	$72.00	$57.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	94	74	$50.00	$43.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$117.25	$104.51
99213 Established patient office or other outpatient visit, typically 15 minutes	37	32	$75.00	$71.25
92134 Imaging of retina	25	23	$65.00	$40.35
92083 Exam of visual field with extended testing	24	23	$66.00	$64.32
66984 Removal of cataract with insertion of lens	19	19	$137.00	$125.61
92133 Imaging of optic nerve	19	19	$65.00	$37.11

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	564	563	$100.01	$97.54
92250 Photography of the retina	177	175	$72.00	$67.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	114	89	$49.95	$43.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$108.00	$105.01
99213 Established patient office or other outpatient visit, typically 15 minutes	31	29	$75.81	$72.84
92133 Imaging of optic nerve	27	23	$65.00	$37.84
66984 Removal of cataract with insertion of lens	24	24	$137.00	$127.40
92083 Exam of visual field with extended testing	23	21	$66.00	$64.09
92134 Imaging of retina	18	18	$65.00	$40.73

Medical Specialties & State Licenses

CMS Verified: 2024-03-08

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 9525T

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

GSD000290 (CA)

Hospital & Practice Group Affiliations

M A C T Health Board Incorporated

940 Sylva Ln, Sonora, CA 953705969

Phone: 2092886530

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. James Laffin , OD

Optometrist

NPI 1144432378

Doctor of Optometry

Dr. Rachna Narula , OD

Optometrist

NPI 1295890911

Doctor of Optometry

Dr. Livia Galli Rasmussen , OD, MS

Optometrist

NPI 1417618117

Doctor of Optometry, Master of Science

Dr. Russell Cotteral , OD

Optometrist

NPI 1619911047

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 July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 940 SYLVA LN STE H, SONORA, CA 953705969 (Tel: 2095324123)

📍

Updated Business Mailing Address July 09, 2007

Registered at 940 SYLVA LN STE H, SONORA, CA 953705969 (Tel: 2095324123)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as DOUGLAS FLEMING, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Optometrist (License #9525T in CA)

🟢

Initial NPI Registration & Enumeration July 06, 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: 1871524611

Entity Type:

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

Enumeration Date: July 06, 2006

Last Update: March 08, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

940 Sylva Ln Ste H

Sonora, CA 953705969

Phone: 2095324123

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.