Active NPI 1275739864 Individual Practitioner Male Practitioner

Dr. Alan Jay Margolis , MD

Specialist • Lone Tree, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Alan Margolis, MD is a certified Specialist practicing in Lone Tree, CO. With approximately 41 years of clinical experience since graduating from State University Of New York Downstate Medical Center in 1985, Dr. Margolis delivers high-quality medical care to the local community at 10999 RIDGE GATE PARKWAY.

Dr. Margolis accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, exam of visual field with extended testing, 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

10999 Ridge Gate Parkway
Ste 365

Lone Tree, CO 80124

Telephone 3037971150

Fax 3037971150

Associated Practice Facility / Clinic

🏢 Alan J Margolis Md Pc Facility NPI 1427000868

Medicare Profile & Education

Medical School

State University Of New York Downstate Medical Center

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Lone Tree, CO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs Matches City Avg

City Avg: 41.0 Yrs

State Avg: 33.7 Yrs

Regional Practice Density

6 Specialists

Practicing in Lone Tree, CO (1204 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

34.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Margolis (41 Years) 41 Yrs

Lone Tree Specialty Average (41.0 Years) 41.0 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	231	121	$92.18	$85.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	100	$139.42	$121.77
92083 Exam of visual field with extended testing	68	63	$147.00	$60.68
92133 Imaging of optic nerve	64	59	$63.00	$34.25
92134 Imaging of retina	41	29	$63.00	$37.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$217.16	$154.40
92250 Photography of the retina	32	30	$100.00	$35.17
83516 Analysis of substance using immunoassay technique	26	13	$16.00	$11.30
76514 Ultrasound scan of cornea to determine thickness	18	15	$19.00	$10.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$143.92	$104.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	234	117	$92.11	$90.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	135	110	$139.42	$129.03
92083 Exam of visual field with extended testing	69	61	$147.00	$64.25
92133 Imaging of optic nerve	68	66	$63.00	$37.19
92134 Imaging of retina	65	47	$63.00	$40.80
92250 Photography of the retina	48	46	$100.00	$38.02
92136 Measurement of corneal curvature and depth of eye	43	20	$108.32	$30.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$217.16	$167.81
66984 Removal of cataract with insertion of lens	20	14	$2000.00	$544.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$56.96	$56.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	253	120	$92.55	$90.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	133	$139.42	$129.18
92083 Exam of visual field with extended testing	68	61	$147.00	$64.70
92133 Imaging of optic nerve	66	64	$63.00	$37.88
92134 Imaging of retina	61	45	$63.00	$41.68
92250 Photography of the retina	46	44	$100.00	$38.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$217.16	$169.16
92136 Measurement of corneal curvature and depth of eye	28	14	$108.32	$30.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$56.96	$56.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	223	121	$92.18	$92.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	143	$139.42	$134.17
92083 Exam of visual field with extended testing	92	83	$147.00	$66.37
92133 Imaging of optic nerve	77	76	$63.00	$38.50
92250 Photography of the retina	61	58	$100.00	$40.96
92134 Imaging of retina	47	40	$63.00	$42.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$217.16	$173.00
92012 Established patient problem focused exam of visual system	35	31	$124.00	$94.17
92136 Measurement of corneal curvature and depth of eye	29	17	$115.79	$39.05
76514 Ultrasound scan of cornea to determine thickness	27	27	$19.00	$11.50
65855 Laser repair to improve eye fluid flow	21	16	$393.00	$258.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$56.96	$57.54
92014 Established patient complete exam of visual system	16	16	$170.00	$132.13
66821 Removal of recurring cataract in lens capsule using a laser	13	13	$430.00	$325.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	260	126	$123.75	$92.23
92014 Established patient complete exam of visual system	149	135	$169.68	$131.36
92133 Imaging of optic nerve	79	76	$62.89	$38.83
92083 Exam of visual field with extended testing	71	66	$146.41	$65.94
92250 Photography of the retina	47	47	$99.97	$46.76
92134 Imaging of retina	38	33	$62.92	$42.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	28	$217.16	$164.95
66821 Removal of recurring cataract in lens capsule using a laser	24	20	$427.50	$325.03
66984 Removal of cataract with insertion of lens	23	14	$1978.26	$570.52
65855 Laser repair to improve eye fluid flow	22	15	$393.00	$256.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$139.42	$113.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	389	179	$115.85	$89.67
92014 Established patient complete exam of visual system	249	212	$162.00	$128.68
92083 Exam of visual field with extended testing	98	89	$140.00	$64.87
92250 Photography of the retina	97	96	$99.50	$51.43
92133 Imaging of optic nerve	94	91	$60.00	$37.57
92134 Imaging of retina	67	56	$60.00	$41.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$206.82	$166.35
66984 Removal of cataract with insertion of lens	28	18	$1500.00	$652.32
66821 Removal of recurring cataract in lens capsule using a laser	22	19	$410.00	$318.33
92136 Measurement of corneal curvature and depth of eye	17	17	$103.16	$71.34
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	15	15	$120.00	$80.88
76514 Ultrasound scan of cornea to determine thickness	13	12	$18.10	$12.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	359	181	$112.18	$86.39
92014 Established patient complete exam of visual system	245	223	$162.00	$123.99
92133 Imaging of optic nerve	112	110	$60.00	$36.44
92083 Exam of visual field with extended testing	107	97	$140.00	$61.28
92250 Photography of the retina	90	89	$99.50	$56.30
92275 Recording of retinal electrical responses to external stimuli	77	77	$215.35	$148.29
92134 Imaging of retina	62	54	$60.00	$40.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$206.82	$161.62
66984 Removal of cataract with insertion of lens	36	24	$1500.00	$633.06
66821 Removal of recurring cataract in lens capsule using a laser	26	23	$410.00	$308.47
92136 Measurement of corneal curvature and depth of eye	22	22	$103.16	$77.46
76514 Ultrasound scan of cornea to determine thickness	17	16	$18.10	$14.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	478	213	$105.66	$83.58
92014 Established patient complete exam of visual system	289	249	$158.93	$121.13
92275 Recording of retinal electrical responses to external stimuli	139	128	$215.35	$145.64
92250 Photography of the retina	136	130	$97.09	$63.35
92083 Exam of visual field with extended testing	120	111	$140.00	$60.68
92133 Imaging of optic nerve	99	96	$60.00	$35.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$199.97	$160.55
66984 Removal of cataract with insertion of lens	58	36	$1500.00	$627.47
92134 Imaging of retina	51	47	$60.00	$39.29
92136 Measurement of corneal curvature and depth of eye	33	33	$103.16	$87.49
76514 Ultrasound scan of cornea to determine thickness	18	18	$18.10	$14.04
66821 Removal of recurring cataract in lens capsule using a laser	18	16	$410.00	$304.99

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CO 30863

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1308634 (CO)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 03, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 03, 2012

Registered at 10999 RIDGE GATE PARKWAY, STE 365, LONE TREE, CO 80124 (Tel: 3037971150)

📍

Updated Business Mailing Address January 03, 2012

Registered at 10999 RIDGEGATE PARKWAY, STE 365, LONE TREE, CO 80124 (Tel: 3037971150)

👤

Provider Name / Credentials Updated January 03, 2012

Recorded as ALAN MARGOLIS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2012

Specialist (License #30863 in CO)

🟢

Initial NPI Registration & Enumeration June 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1275739864

Entity Type:

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

Enumeration Date: June 21, 2007

Last Update: January 03, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

10999 Ridgegate Parkway, Ste 365

Lone Tree, CO 80124

Phone: 3037971150

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.