Active NPI 1295733137 Individual Practitioner Male Practitioner

Dr. Kent M Sieboldt , OD

Optometrist • Brandon, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kent Sieboldt, OD is a certified Optometrist practicing in Brandon, FL. With approximately 41 years of clinical experience since graduating from Indiana University - School Of Optometry in 1985, Dr. Sieboldt delivers high-quality medical care to the local community at 324 E BLOOMINGDALE AVE.

Dr. Sieboldt accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

324 E Bloomingdale Ave

Brandon, FL 335118155

Telephone 8136852646

Fax 8136816821

Associated Practice Facility / Clinic

🏢 Kent M. Sieboldt, Od, Pa Facility NPI 1134441132

Medicare Profile & Education

Medical School

Indiana University - School Of Optometry

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Brandon, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +16.0 yrs vs City Avg

City Avg: 25.0 Yrs

State Avg: 22.7 Yrs

Regional Practice Density

37 Specialists

Practicing in Brandon, FL (3724 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

23.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sieboldt (41 Years) 41 Yrs

Brandon Specialty Average (25.0 Years) 25.0 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
92250 Photography of the retina	401	398	$79.00	$32.64
92083 Exam of visual field with extended testing	391	388	$70.10	$59.78
92014 Established patient complete exam of visual system	308	308	$109.00	$107.54
66984 Removal of cataract with insertion of lens	52	32	$200.00	$102.71
92004 New patient complete exam of visual system	46	46	$109.00	$107.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	25	$35.00	$34.50
92201 Extended exam of the back part of the eye with retinal drawing	16	16	$20.00	$19.72
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$50.00	$49.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	454	450	$79.00	$33.33
92083 Exam of visual field with extended testing	422	418	$70.00	$59.76
92014 Established patient complete exam of visual system	333	332	$107.00	$105.56
92004 New patient complete exam of visual system	64	64	$107.00	$105.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	33	$35.00	$34.50
66984 Removal of cataract with insertion of lens	28	16	$200.00	$103.58
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$50.00	$49.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	428	425	$79.00	$33.70
92083 Exam of visual field with extended testing	369	367	$70.00	$60.61
92014 Established patient complete exam of visual system	318	317	$100.04	$99.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	33	$35.00	$34.70
92004 New patient complete exam of visual system	37	37	$100.19	$99.31
66984 Removal of cataract with insertion of lens	20	12	$200.00	$105.17
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$50.00	$49.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	407	403	$79.00	$35.81
92083 Exam of visual field with extended testing	349	346	$70.00	$61.70
92014 Established patient complete exam of visual system	285	285	$100.00	$100.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	43	$35.00	$35.00
92004 New patient complete exam of visual system	47	47	$100.00	$100.00
66984 Removal of cataract with insertion of lens	35	23	$200.00	$104.26
92012 Established patient problem focused exam of visual system	13	13	$70.00	$70.00
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$50.00	$50.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	379	375	$79.00	$40.86
92083 Exam of visual field with extended testing	297	296	$72.15	$61.91
92014 Established patient complete exam of visual system	281	280	$99.91	$99.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	51	$35.00	$34.90
92004 New patient complete exam of visual system	41	41	$99.85	$99.62
66984 Removal of cataract with insertion of lens	25	15	$200.00	$108.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	391	381	$79.00	$46.64
92014 Established patient complete exam of visual system	304	304	$94.00	$92.85
92083 Exam of visual field with extended testing	209	208	$70.00	$62.40
92004 New patient complete exam of visual system	53	53	$94.00	$92.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	41	$35.00	$34.62
66984 Removal of cataract with insertion of lens	39	24	$200.00	$125.91
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$50.00	$49.24
92226 Examination of eye by ophthalmoscope with retinal drawing	20	20	$20.00	$19.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	376	364	$79.00	$50.79
92014 Established patient complete exam of visual system	297	297	$94.00	$92.20
92083 Exam of visual field with extended testing	108	108	$70.00	$59.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	50	$35.00	$34.25
92004 New patient complete exam of visual system	55	55	$94.00	$92.28
92226 Examination of eye by ophthalmoscope with retinal drawing	31	31	$20.00	$19.57
99213 Established patient office or other outpatient visit, typically 15 minutes	26	21	$50.00	$48.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	279	273	$79.00	$59.77
92014 Established patient complete exam of visual system	269	269	$94.00	$91.74
92226 Examination of eye by ophthalmoscope with retinal drawing	174	173	$20.00	$19.50
92083 Exam of visual field with extended testing	63	63	$70.00	$55.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	41	$35.00	$34.01
92004 New patient complete exam of visual system	45	45	$94.00	$91.81
92225 Examination of eye by ophthalmoscope with retinal drawing	31	31	$20.00	$19.51
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$50.00	$48.65

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL 2120

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

086169300 (FL)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 17, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location February 17, 2010

Registered at 324 E BLOOMINGDALE AVE, BRANDON, FL 335118155 (Tel: 8136852646)

📍

Updated Business Mailing Address February 17, 2010

Registered at 324 E BLOOMINGDALE AVE, BRANDON, FL 335118155 (Tel: 8136852646)

👤

Provider Name / Credentials Updated February 17, 2010

Recorded as KENT SIEBOLDT, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2010

Optometrist (License #2120 in FL)

🟢

Initial NPI Registration & Enumeration July 13, 2005

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: 1295733137

Entity Type:

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

Enumeration Date: July 13, 2005

Last Update: February 17, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

324 E Bloomingdale Ave

Brandon, FL 335118155

Phone: 8136852646

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.