Active NPI 1932117363 Individual Practitioner Male Practitioner

Dr. Paul J Cone , OD

Optometrist • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Paul Cone, OD is a registered healthcare professional specializing in Optometrist in Jacksonville, FL. Practice services are available at 961 CESERY BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, new 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

961 Cesery Blvd
Suite A

Jacksonville, FL 322115607

Telephone 9047431311

Fax 9047432802

Associated Practice Facility / Clinic

🏢 Dr Paul J Cone Eye Pa Facility NPI 1386887164

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Jacksonville, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.6 Yrs

State Avg: 22.7 Yrs

Regional Practice Density

180 Specialists

Practicing in Jacksonville, FL (3724 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

0.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	18	18	$97.78	$97.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	92	91	$94.13	$93.25
99213 Established patient office or other outpatient visit, typically 15 minutes	24	22	$78.33	$76.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	84	83	$90.89	$90.89
99213 Established patient office or other outpatient visit, typically 15 minutes	27	21	$77.22	$76.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	99	99	$89.75	$89.50
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$74.55	$70.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	117	117	$88.80	$87.62
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$70.68	$64.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$58.57	$42.16
92004 New patient complete exam of visual system	12	12	$95.00	$93.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	148	147	$86.76	$85.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$48.04	$38.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	171	171	$88.54	$86.21
99213 Established patient office or other outpatient visit, typically 15 minutes	33	29	$60.76	$52.78
92004 New patient complete exam of visual system	25	25	$85.00	$82.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$45.42	$37.89

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL OPC 912

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

084457800 (FL)

Commercial Insurance / Payer ID Tricare South Region

593674223 (FL)

Commercial Insurance / Payer ID Icare Health Solutions

1327

Commercial Insurance / Payer ID Advantica

PV00000103078

Commercial Insurance / Payer ID Premier Eye Care

0003780741 (FL)

Commercial Insurance / Payer ID Eyemed

FL3973

Commercial Insurance / Payer ID Apwu Health Plan

007832827

Commercial Insurance / Payer ID Florida Blue

07GRB

Commercial Insurance / Payer ID Railroad Medicare

410046556 (FL)

Commercial Insurance / Payer ID Davis Vision

66703 (FL)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Patrick Reardon , OD

Optometrist

NPI 1831189646

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 September 27, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 27, 2016

Registered at 961 CESERY BLVD, SUITE A, JACKSONVILLE, FL 322115607 (Tel: 9047431311)

📍

Updated Business Mailing Address September 27, 2016

Registered at 961 CESERY BLVD, SUITE A, JACKSONVILLE, FL 322115607 (Tel: 9047431311)

👤

Provider Name / Credentials Updated September 27, 2016

Recorded as PAUL CONE, O. D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2016

Optometrist (License #OPC 912 in FL)

🟢

Initial NPI Registration & Enumeration August 03, 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: 1932117363

Entity Type:

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

Enumeration Date: August 03, 2006

Last Update: September 27, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

961 Cesery Blvd, Suite A

Jacksonville, FL 322115607

Phone: 9047431311

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.