Active NPI 1578652293 Individual Practitioner Male Practitioner

Dr. Adam K Schmidt , OD

Optometrist • Rehoboth Beach, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Adam Schmidt, OD is a certified Optometrist practicing in Rehoboth Beach, DE. With approximately 21 years of clinical experience since graduating from Southern College Of Optometry in 2005, Dr. Schmidt delivers high-quality medical care to the local community at 18791 JOHN J. WILLIAMS HIGHWAY.

Dr. Schmidt is affiliated with Delaware Eye Care Center Pa and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

18791 John J. Williams Highway

Rehoboth Beach, DE 199714401

Telephone 3026452300

Fax 3026452329

Associated Practice Facility / Clinic

🏢 Delaware Eye Surgery Center, Llc Facility NPI 1770570467

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Rehoboth Beach, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -5.5 yrs vs City Avg

City Avg: 26.5 Yrs

State Avg: 19.5 Yrs

Regional Practice Density

4 Specialists

Practicing in Rehoboth Beach, DE (166 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Schmidt (21 Years) 21 Yrs

Rehoboth Beach Specialty Average (26.5 Years) 26.5 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	1,057	1,053	$256.00	$123.54
99213 Established patient office or other outpatient visit, typically 15 minutes	530	422	$182.00	$89.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	272	263	$114.00	$55.74
92083 Exam of visual field with extended testing	198	190	$125.73	$62.11
92004 New patient complete exam of visual system	188	188	$302.00	$146.45
92133 Imaging of optic nerve	183	176	$74.00	$35.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	147	$258.00	$125.76
92250 Photography of the retina	130	127	$76.00	$36.18
92134 Imaging of retina	65	65	$82.00	$39.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$226.00	$110.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$336.00	$164.55
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$146.00	$71.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	994	991	$192.71	$126.49
99213 Established patient office or other outpatient visit, typically 15 minutes	394	326	$144.68	$89.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	240	234	$90.52	$56.45
92004 New patient complete exam of visual system	169	169	$219.66	$149.49
92250 Photography of the retina	164	162	$80.39	$37.27
92083 Exam of visual field with extended testing	157	149	$119.87	$62.67
92133 Imaging of optic nerve	135	134	$74.42	$36.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	130	$194.02	$127.74
92134 Imaging of retina	55	55	$79.33	$40.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$263.20	$166.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$210.07	$112.14
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$112.45	$72.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	970	967	$135.00	$128.94
99213 Established patient office or other outpatient visit, typically 15 minutes	405	326	$95.00	$91.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	222	214	$65.00	$57.25
92004 New patient complete exam of visual system	167	167	$160.00	$152.80
92250 Photography of the retina	160	159	$85.00	$37.78
92083 Exam of visual field with extended testing	140	136	$110.00	$64.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	136	$150.00	$129.93
92133 Imaging of optic nerve	121	120	$75.00	$37.52
92134 Imaging of retina	54	54	$75.00	$41.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$180.00	$169.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$140.00	$113.67
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$85.00	$74.15
67820 Removal of eyelashes using forceps	23	15	$115.00	$19.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	863	860	$135.00	$129.87
99213 Established patient office or other outpatient visit, typically 15 minutes	416	315	$95.00	$93.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	218	$150.00	$131.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	225	214	$65.00	$57.55
92004 New patient complete exam of visual system	213	213	$160.00	$154.59
92250 Photography of the retina	144	142	$85.00	$40.06
92133 Imaging of optic nerve	141	136	$75.00	$37.97
92083 Exam of visual field with extended testing	125	118	$110.00	$65.25
92134 Imaging of retina	50	50	$75.00	$42.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$140.00	$113.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$180.00	$171.36
67820 Removal of eyelashes using forceps	25	18	$115.00	$21.50
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$85.00	$74.75
76514 Ultrasound scan of cornea to determine thickness	14	14	$25.00	$11.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	713	707	$135.00	$130.29
99213 Established patient office or other outpatient visit, typically 15 minutes	267	182	$80.00	$77.17
92012 Established patient problem focused exam of visual system	223	207	$95.00	$91.02
92004 New patient complete exam of visual system	206	206	$160.00	$154.86
92250 Photography of the retina	137	134	$85.00	$46.14
92083 Exam of visual field with extended testing	122	118	$110.00	$65.05
92133 Imaging of optic nerve	99	97	$75.00	$37.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	71	$50.00	$47.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	64	$125.00	$111.41
92134 Imaging of retina	37	35	$75.00	$42.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$140.00	$111.42
92002 New patient problem focused exam of visual system	21	21	$90.00	$87.35
67820 Removal of eyelashes using forceps	14	11	$115.00	$27.61
76514 Ultrasound scan of cornea to determine thickness	12	12	$25.00	$11.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	848	835	$135.00	$129.60
99213 Established patient office or other outpatient visit, typically 15 minutes	636	493	$80.00	$75.71
92004 New patient complete exam of visual system	339	339	$160.00	$154.14
92083 Exam of visual field with extended testing	199	196	$110.00	$65.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	192	187	$50.00	$46.08
92250 Photography of the retina	186	185	$85.00	$51.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	126	$125.00	$109.39
92133 Imaging of optic nerve	107	107	$75.00	$37.83
83861 Microfluid analysis of tears	100	50	$30.00	$22.03
92012 Established patient problem focused exam of visual system	100	99	$95.00	$90.41
76514 Ultrasound scan of cornea to determine thickness	75	75	$25.00	$12.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$140.00	$111.06
92134 Imaging of retina	57	55	$75.00	$42.01
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$85.00	$78.31
67820 Removal of eyelashes using forceps	13	11	$115.00	$33.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	849	840	$137.22	$126.76
99213 Established patient office or other outpatient visit, typically 15 minutes	516	416	$83.35	$72.67
92004 New patient complete exam of visual system	431	431	$165.38	$152.15
92012 Established patient problem focused exam of visual system	281	271	$98.93	$88.22
92250 Photography of the retina	235	228	$90.06	$56.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	223	208	$52.01	$44.12
83861 Microfluid analysis of tears	185	93	$30.00	$22.03
92083 Exam of visual field with extended testing	149	148	$113.39	$64.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	138	$135.38	$107.89
76514 Ultrasound scan of cornea to determine thickness	98	96	$26.02	$14.78
92134 Imaging of retina	88	84	$95.80	$41.82
92133 Imaging of optic nerve	86	86	$85.64	$37.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$145.47	$109.11
99202 New patient office or other outpatient visit, typically 20 minutes	57	57	$85.96	$74.34
67820 Removal of eyelashes using forceps	17	11	$127.65	$42.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$180.00	$165.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	536	532	$135.00	$121.68
99213 Established patient office or other outpatient visit, typically 15 minutes	377	303	$80.00	$71.82
92004 New patient complete exam of visual system	368	368	$160.00	$146.91
92012 Established patient problem focused exam of visual system	313	296	$95.00	$83.98
92250 Photography of the retina	218	213	$85.00	$64.92
83861 Microfluid analysis of tears	205	100	$30.00	$22.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	180	169	$50.00	$43.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	135	$125.00	$105.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$140.22	$107.37
92083 Exam of visual field with extended testing	82	77	$110.00	$61.38
76514 Ultrasound scan of cornea to determine thickness	61	61	$25.00	$14.56
92134 Imaging of retina	41	41	$75.00	$40.21
92133 Imaging of optic nerve	38	37	$75.00	$37.03
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$85.00	$73.48
67820 Removal of eyelashes using forceps	16	14	$122.19	$51.08

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License DE I3-0001303

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

1000039159 (DE)

Commercial Insurance / Payer ID Caqh

11534561 (DE)

Commercial Insurance / Payer ID State License

I3-0001303 (DE)

Commercial Insurance / Payer ID Medicare

221583YEW4 (MD)

Commercial Insurance / Payer ID Medicare Group Pin

G00016 (DE)

Commercial Insurance / Payer ID State License Md

TA2231 (MD)

Commercial Insurance / Payer ID Medicare

221583ZERR (MD)

Commercial Insurance / Payer ID Eyemed

DE0005

Commercial Insurance / Payer ID Medicare

221583ZERF (MD)

Commercial Insurance / Payer ID Medicare

221583ZERG (MD)

Hospital & Practice Group Affiliations

Delaware Eye Care Center Pa

18791 John J Williams Hwy, Rehoboth Beach, DE 199714401

Phone: 3026452300

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Jason Ross , MD

Ophthalmology

NPI 1295706570

Doctor of Medicine (M.D.)

Dr. Charles Curry , MD

Ophthalmology

NPI 1528066917

Doctor of Medicine (M.D.)

Dr. Scott Fudemberg , MD

Ophthalmology

NPI 1568510675

Doctor of Medicine (M.D.)

Dr. Arthur Belson , MD

Ophthalmology

NPI 1578593331

Doctor of Medicine (M.D.)

Dr. David Robinson , MD

Ophthalmology

NPI 1700872819

Doctor of Medicine (M.D.)

Dr. Frederick Cook , MD

Ophthalmology

NPI 1720076045

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 18, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 18, 2014

Registered at 18791 JOHN J. WILLIAMS HIGHWAY, REHOBOTH BEACH, DE 199714401 (Tel: 3026452300)

📍

Updated Business Mailing Address September 18, 2014

Registered at 18791 JOHN J WILLIAMS HWY, REHOBOTH BEACH, DE 199714401 (Tel: 3026452300)

👤

Provider Name / Credentials Updated September 18, 2014

Recorded as ADAM SCHMIDT, O. D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2014

Optometrist (License #I3-0001303 in DE)

🟢

Initial NPI Registration & Enumeration October 12, 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: 1578652293

Entity Type:

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

Enumeration Date: October 12, 2006

Last Update: September 18, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

18791 John J Williams Hwy

Rehoboth Beach, DE 199714401

Phone: 3026452300

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.