Active NPI 1700316593 Individual Practitioner Male Practitioner

Dr. Charles Nolan Philpy , OD

Optometrist • Lamar, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Philpy, OD is a certified Optometrist practicing in Lamar, CO. With approximately 9 years of clinical experience since completing medical education in 2017, Dr. Philpy delivers high-quality medical care to the local community at 1607 S MAIN ST.

Dr. Philpy is affiliated with Ballantyne Vision Care Llc 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

1607 S Main St

Lamar, CO 81052

Telephone 7193363311

Fax 7193363172

Associated Practice Facility / Clinic

🏢 Ballantyne Vision Care Llc Facility NPI 1154994549

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Lamar, CO

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs Matches City Avg

City Avg: 9.0 Yrs

State Avg: 19.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Lamar, CO (1307 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

23.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Philpy (9 Years) 9 Yrs

Lamar Specialty Average (9.0 Years) 9.0 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	417	257	$90.42	$81.97
92014 Established patient complete exam of visual system	365	363	$132.00	$115.00
92134 Imaging of retina	121	91	$50.00	$36.69
66984 Removal of cataract with insertion of lens	117	77	$175.13	$94.29
92004 New patient complete exam of visual system	67	67	$157.00	$136.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	43	$58.00	$51.07
92133 Imaging of optic nerve	54	44	$50.00	$31.81
92250 Photography of the retina	41	34	$63.00	$33.27
92083 Exam of visual field with extended testing	33	29	$75.00	$57.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	32	$130.45	$115.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	416	414	$132.00	$122.95
99213 Established patient office or other outpatient visit, typically 15 minutes	229	177	$93.98	$86.75
66984 Removal of cataract with insertion of lens	167	103	$150.16	$102.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	140	89	$58.00	$54.59
92004 New patient complete exam of visual system	98	98	$157.00	$145.28
92134 Imaging of retina	76	62	$50.00	$38.81
92133 Imaging of optic nerve	39	30	$50.00	$33.75
92083 Exam of visual field with extended testing	31	29	$75.00	$61.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$133.00	$122.53
92250 Photography of the retina	24	22	$63.00	$36.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$116.00	$107.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	401	399	$132.00	$124.15
99213 Established patient office or other outpatient visit, typically 15 minutes	153	129	$94.00	$87.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	121	94	$58.00	$54.94
92004 New patient complete exam of visual system	116	116	$157.00	$146.82
66984 Removal of cataract with insertion of lens	100	72	$150.00	$102.86
92133 Imaging of optic nerve	53	42	$50.00	$34.27
92083 Exam of visual field with extended testing	39	34	$75.00	$61.84
92250 Photography of the retina	34	33	$62.91	$36.48
92134 Imaging of retina	32	29	$50.00	$39.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$116.00	$108.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	373	368	$130.14	$125.09
92004 New patient complete exam of visual system	183	183	$156.01	$148.43
66984 Removal of cataract with insertion of lens	157	101	$150.00	$104.83
99213 Established patient office or other outpatient visit, typically 15 minutes	144	119	$75.13	$75.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	143	110	$46.18	$46.13
92250 Photography of the retina	92	80	$60.00	$38.69
92133 Imaging of optic nerve	57	49	$50.00	$34.51
92083 Exam of visual field with extended testing	48	45	$75.00	$62.91
92134 Imaging of retina	28	25	$50.00	$40.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$111.00	$111.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	186	185	$130.14	$123.89
92004 New patient complete exam of visual system	131	131	$156.00	$147.52
66984 Removal of cataract with insertion of lens	83	58	$150.00	$103.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	45	$46.00	$44.57
92134 Imaging of retina	53	50	$50.00	$40.12
92012 Established patient problem focused exam of visual system	45	36	$92.00	$86.92
92250 Photography of the retina	42	40	$60.00	$44.31
92083 Exam of visual field with extended testing	31	29	$75.00	$62.39
99213 Established patient office or other outpatient visit, typically 15 minutes	26	26	$75.00	$73.28
92133 Imaging of optic nerve	21	21	$50.00	$34.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$170.00	$160.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$111.00	$106.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	25	18	$62.00	$23.13
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$110.00	$75.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$74.00	$45.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$110.00	$108.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	30	$70.09	$44.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$105.06	$103.47
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	27	20	$59.11	$21.84
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$105.00	$73.35
92250 Photography of the retina	11	11	$37.73	$37.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$105.00	$101.95

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CO 0003310

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.

Hospital & Practice Group Affiliations

Ballantyne Vision Care Llc

302 W 3rd St, La Junta, CO 810501430

Phone: 7193830134

Secondary Practice Locations

226 Lusher Ct., Suite 203

Frisco, CO 80443

Phone: 9702629272

302 W 3rd St

La Junta, CO 810501430

Phone: 7193830134

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Patrick Mcgrath , OD

Optometrist

NPI 1093763138

Doctor of Optometry

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location November 18, 2019

Registered at 1607 S MAIN ST, LAMAR, CO 81052 (Tel: 7193363311)

📍

Updated Business Mailing Address November 18, 2019

Registered at 1607 S MAIN ST, LAMAR, CO 810523825 (Tel: 7193363311)

✅

NPI Profile Active June 14, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 14, 2017

Registered at 226 LUSHER CT., SUITE 203, FRISCO, CO 80443 (Tel: 9702629272)

📍

Updated Business Mailing Address June 14, 2017

Registered at PO BOX 5390, FRISCO, CO 804435390 (Tel: 9702629272)

👤

Provider Name / Credentials Updated June 14, 2017

Recorded as CHARLES PHILPY, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2017

Optometrist (License #0003310 in CO)

🟢

Initial NPI Registration & Enumeration June 14, 2017

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: 1700316593

Entity Type:

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

Enumeration Date: June 14, 2017

Last Update: November 18, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1607 S Main St

Lamar, CO 810523825

Phone: 7193363311

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.