Active NPI 1356315394 Individual Practitioner Male Practitioner

Dr. Troy D Raber , OD

Optometrist • Dover, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Troy Raber, OD is a certified Optometrist practicing in Dover, DE. With approximately 30 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 1996, Dr. Raber delivers high-quality medical care to the local community at 885 S GOVERNORS AVE.

Dr. Raber is affiliated with Simon Eye Associates Pa and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

885 S Governors Ave

Dover, DE 199044158

Telephone 3027345861

Fax 3027341921

Associated Practice Facility / Clinic

🏢 Halpern Eye Associates, P. A. Facility NPI 1306187620

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Dover, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +7.7 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 19.5 Yrs

Regional Practice Density

29 Specialists

Practicing in Dover, DE (166 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

21.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Raber (30 Years) 30 Yrs

Dover Specialty Average (22.3 Years) 22.3 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
92014 Established patient complete exam of visual system	292	291	$132.00	$123.30
92134 Imaging of retina	153	132	$60.59	$39.23
99213 Established patient office or other outpatient visit, typically 15 minutes	116	104	$95.00	$88.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	73	$135.00	$125.77
92133 Imaging of optic nerve	91	86	$60.33	$33.85
92004 New patient complete exam of visual system	82	82	$157.00	$145.75
92083 Exam of visual field with extended testing	70	68	$80.00	$61.86
66984 Removal of cataract with insertion of lens	13	11	$195.00	$105.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	251	251	$132.00	$125.89
99213 Established patient office or other outpatient visit, typically 15 minutes	148	117	$95.00	$89.52
92134 Imaging of retina	108	99	$63.33	$40.25
92004 New patient complete exam of visual system	101	101	$157.00	$149.60
92133 Imaging of optic nerve	73	70	$60.41	$34.55
92083 Exam of visual field with extended testing	68	67	$81.10	$62.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	56	$135.00	$127.09
92250 Photography of the retina	13	13	$80.00	$37.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	214	213	$132.00	$128.13
99213 Established patient office or other outpatient visit, typically 15 minutes	153	118	$95.00	$91.64
92004 New patient complete exam of visual system	102	102	$157.00	$152.74
92134 Imaging of retina	95	87	$64.11	$41.27
92133 Imaging of optic nerve	67	65	$61.57	$35.77
92083 Exam of visual field with extended testing	47	45	$80.96	$64.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	28	$135.00	$123.38
92250 Photography of the retina	24	24	$80.00	$38.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	192	191	$132.08	$129.78
99213 Established patient office or other outpatient visit, typically 15 minutes	142	109	$90.01	$89.74
92004 New patient complete exam of visual system	140	140	$157.03	$154.59
92133 Imaging of optic nerve	62	59	$62.90	$35.58
92134 Imaging of retina	61	56	$62.70	$41.99
92083 Exam of visual field with extended testing	53	52	$82.55	$65.25
92250 Photography of the retina	31	29	$80.48	$40.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$125.00	$125.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92004 New patient complete exam of visual system	214	214	$158.00	$154.52
92014 Established patient complete exam of visual system	183	182	$140.00	$129.85
99213 Established patient office or other outpatient visit, typically 15 minutes	133	99	$90.00	$75.47
92134 Imaging of retina	64	61	$150.00	$41.76
92133 Imaging of optic nerve	60	57	$150.00	$36.55
92250 Photography of the retina	51	51	$95.00	$46.40
92083 Exam of visual field with extended testing	41	40	$125.00	$65.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$70.00	$36.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	338	290	$101.08	$75.16
92014 Established patient complete exam of visual system	101	100	$139.41	$126.96
92004 New patient complete exam of visual system	73	73	$157.89	$153.40
92083 Exam of visual field with extended testing	70	70	$121.93	$65.17
92133 Imaging of optic nerve	59	58	$104.24	$34.28
92250 Photography of the retina	49	49	$95.00	$51.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$124.21	$110.49
92134 Imaging of retina	34	33	$121.32	$41.12
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$100.00	$77.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$141.00	$110.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	345	295	$103.58	$72.23
92083 Exam of visual field with extended testing	76	74	$125.00	$63.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$123.94	$107.22
92004 New patient complete exam of visual system	60	60	$157.62	$147.20
92133 Imaging of optic nerve	54	54	$94.44	$34.93
92014 Established patient complete exam of visual system	43	43	$137.91	$124.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	39	$144.23	$106.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	29	$75.86	$43.55
92134 Imaging of retina	22	20	$129.55	$40.53
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$100.00	$74.34
92250 Photography of the retina	12	11	$95.00	$56.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	317	276	$105.44	$72.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$125.00	$107.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	73	$145.40	$107.47
92083 Exam of visual field with extended testing	60	55	$125.00	$64.59
92133 Imaging of optic nerve	58	54	$75.00	$34.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	50	$75.45	$43.55
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$100.00	$74.85
92250 Photography of the retina	17	16	$95.00	$66.07
92014 Established patient complete exam of visual system	16	16	$131.25	$123.98

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License DE I3-0001252

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

0000982522 (DE)

Commercial Insurance / Payer ID Caqh

11220801

Commercial Insurance / Payer ID Bcbsde

161525705 (DE)

Commercial Insurance / Payer ID Mamsi

510270915 (DE)

Hospital & Practice Group Affiliations

Simon Eye Associates Pa

820 Walker Rd, Dover, DE 199042727

Phone: 3022391933

Simon Eye Associates Pa

912 N Union St, Wilmington, DE 198055326

Phone: 3022391933

Simon Eye Associates Pa

800 Airport Rd, Milford, DE 199636469

Phone: 3022391933

Simon Eye Associates Pa

19266 Coastal Hwy, Rehoboth Beach, DE 199716117

Phone: 3022391933

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Priti Patel , OD

Optometrist

NPI 1093895260

Doctor of Optometry

Dr. Patricia Sparks , OD

Optometrist

NPI 1124128715

Doctor of Optometry

Dr. Dennis Mirra , OD

Optometrist

NPI 1295720522

Doctor of Optometry

Dr. Timothy Smith , OD

Optometrist

NPI 1356573141

Doctor of Optometry

Dr. Robert Wagoner , OD

Optometrist

NPI 1568551265

Doctor of Optometry

Dr. Jessica Vanek , OD

Optometrist

NPI 1578753984

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 October 12, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location October 12, 2010

Registered at 885 S GOVERNORS AVE, DOVER, DE 199044158 (Tel: 3027345861)

📍

Updated Business Mailing Address October 12, 2010

Registered at 885 S GOVERNORS AVE, DOVER, DE 199044158 (Tel: 3027345861)

👤

Provider Name / Credentials Updated October 12, 2010

Recorded as TROY RABER, O. D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2010

Optometrist (License #I3-0001252 in DE)

🟢

Initial NPI Registration & Enumeration February 15, 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: 1356315394

Entity Type:

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

Enumeration Date: February 15, 2006

Last Update: October 12, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

885 S Governors Ave

Dover, DE 199044158

Phone: 3027345861

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.