Dr. Benjamin John Konynenbelt , OD
Optometrist • Estero, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Benjamin Konynenbelt has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Benjamin Konynenbelt, OD was a registered Optometrist in Estero, FL. Prior to record deactivation on 2024-11-20, Dr. Konynenbelt completed approximately 9 years of clinical practice following graduation from Indiana University - School Of Optometry in 2015.
Dr. Konynenbelt was affiliated with Edison Eye Care Pllc and accepted Medicare assignment.
Historical Medicare Part B clinical services included new patient outpatient office visit, exam to measure eye deviation and range of motion, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
19527 Highland Oaks Dr Ste 203
Estero, FL 339289637
Medicare Profile & Education
Indiana University - School Of Optometry
2015
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Optometrist in Estero, FL
Practicing in Estero, FL (3724 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
36 | 36 | $200.00 | $170.18 |
|
92060
Exam to measure eye deviation and range of motion
|
31 | 22 | $95.00 | $62.82 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
21 | 15 | $123.81 | $91.69 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
16 | 13 | $175.00 | $129.41 |
|
92004
New patient complete exam of visual system
|
12 | 12 | $161.25 | $139.36 |
|
92134
Imaging of retina
|
12 | 12 | $62.50 | $38.07 |
Medical Specialties & State Licenses
CMS Verified: 2024-12-11NUCC Taxonomy Code: 152W00000X
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
Edison Eye Care Pllc
19527 Highland Oaks Dr, Estero, FL 339289637
Phone: 2393178200
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Optometrist
Doctor of Optometry
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 19527 HIGHLAND OAKS DR STE 203, ESTERO, FL 339289637 (Tel: 2393178200)
Registered at 19527 HIGHLAND OAKS DR STE 203, ESTERO, FL 339289637 (Tel: 2393178200)
Optometrist (License #OPC5272 in FL)
Record officially reactivated for active practice on November 27, 2024
Record deactivated on November 20, 2024
Optometrist (License #3237 in TN)
NPI status registered as active in NPPES database
Registered at 2551 DREW ST, CLEARWATER, FL 337652839 (Tel: 7277911214)
Registered at 1950 OLD GALLOWS RD STE 520, VIENNA, VA 221823970 (Tel: (703) 847-8899)
Recorded as BENJAMIN KONYNENBELT, O.D.
Optometrist (License #OPC5272 in FL)
NPI status registered as active in NPPES database
Registered at 1245 MADISON AVE, MEMPHIS, TN 381042211 (Tel: 9017223200)
Registered at 1690 HUNTERS TRACE DR APT 302, MEMPHIS, TN 381204475 (Tel: 6168342598)
Recorded as BENJAMIN KONYNENBELT, O.D.
Optometrist (License #3237 in TN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
19527 Highland Oaks Dr Ste 203
Estero, FL 339289637
Phone: 2393178200
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