Active NPI 1194961151 Individual Practitioner Male Practitioner

Dr. William Lewis Gilmer , MD

Ophthalmology • Port Orange, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. William Gilmer, MD is a certified Ophthalmology practicing in Port Orange, FL. With approximately 21 years of clinical experience since graduating from Georgetown University School Of Medicine in 2005, Dr. Gilmer delivers high-quality medical care to the local community at 5111 S RIDGEWOOD AVE.

Dr. Gilmer accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of retina, examination of cornea and iris using lens device and slit lamp. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5111 S Ridgewood Ave
Suite 104

Port Orange, FL 321275169

Telephone 3862561212

Fax 3862561213

Associated Practice Facility / Clinic

🏢 Neurology & Spine Disorders Llc Facility NPI 1790008811

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Port Orange, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -0.3 yrs vs City Avg

City Avg: 21.3 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Port Orange, FL (1686 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

26.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gilmer (21 Years) 21 Yrs

Port Orange Specialty Average (21.3 Years) 21.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,118	646	$165.17	$124.62
92134 Imaging of retina	808	613	$51.33	$38.37
92020 Examination of cornea and iris using lens device and slit lamp	466	412	$35.16	$26.09
92250 Photography of the retina	442	364	$50.90	$32.81
92083 Exam of visual field with extended testing	429	354	$78.79	$59.71
92012 Established patient problem focused exam of visual system	277	201	$113.90	$84.40
92285 Photography of content of eyes	149	107	$31.07	$21.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	135	135	$216.62	$163.74
92133 Imaging of optic nerve	131	122	$46.64	$34.43
92014 Established patient complete exam of visual system	128	106	$159.94	$119.53
76514 Ultrasound scan of cornea to determine thickness	87	86	$14.90	$10.54
67820 Removal of eyelashes using forceps	53	44	$26.50	$19.18
65855 Laser repair to improve eye fluid flow	40	24	$313.74	$234.37
66821 Removal of recurring cataract in lens capsule using a laser	28	26	$424.21	$317.52
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	20	18	$25.00	$16.08
68761 Closure of tear duct opening using plug	14	11	$185.66	$129.42
92202 Extended exam of the back part of the eye with optic nerve drawing	12	12	$19.96	$14.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,207	642	$152.99	$126.37
92134 Imaging of retina	559	453	$47.30	$39.11
92020 Examination of cornea and iris using lens device and slit lamp	449	404	$32.82	$26.90
92250 Photography of the retina	389	332	$44.35	$34.13
92083 Exam of visual field with extended testing	372	320	$73.39	$60.26
92133 Imaging of optic nerve	298	270	$43.17	$35.55
92012 Established patient problem focused exam of visual system	225	174	$104.14	$87.11
92285 Photography of content of eyes	171	106	$37.46	$22.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	154	154	$198.61	$165.78
76514 Ultrasound scan of cornea to determine thickness	98	97	$13.67	$10.79
66984 Removal of cataract with insertion of lens	80	48	$650.95	$98.61
67820 Removal of eyelashes using forceps	63	44	$31.24	$19.37
92014 Established patient complete exam of visual system	39	34	$146.00	$122.33
65855 Laser repair to improve eye fluid flow	31	21	$286.56	$242.25
66821 Removal of recurring cataract in lens capsule using a laser	25	20	$392.01	$308.84
92201 Extended exam of the back part of the eye with retinal drawing	18	16	$29.61	$24.28
92202 Extended exam of the back part of the eye with optic nerve drawing	16	16	$17.86	$15.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,093	577	$158.17	$125.25
92134 Imaging of retina	456	355	$51.27	$39.41
92020 Examination of cornea and iris using lens device and slit lamp	383	349	$34.72	$27.27
92250 Photography of the retina	369	322	$47.32	$35.29
92133 Imaging of optic nerve	316	283	$45.78	$35.88
92083 Exam of visual field with extended testing	301	266	$77.39	$60.59
92012 Established patient problem focused exam of visual system	169	132	$112.17	$86.97
92285 Photography of content of eyes	135	90	$28.96	$22.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	134	134	$212.37	$167.37
67820 Removal of eyelashes using forceps	70	54	$42.02	$19.23
92014 Established patient complete exam of visual system	63	60	$156.30	$123.63
76514 Ultrasound scan of cornea to determine thickness	46	46	$14.81	$10.98
99213 Established patient office or other outpatient visit, typically 15 minutes	45	42	$86.88	$83.72
66984 Removal of cataract with insertion of lens	43	30	$683.40	$97.29
92202 Extended exam of the back part of the eye with optic nerve drawing	43	43	$23.13	$15.49
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	40	22	$370.23	$293.14
65855 Laser repair to improve eye fluid flow	34	23	$315.38	$244.31
92201 Extended exam of the back part of the eye with retinal drawing	23	23	$31.61	$24.30
66821 Removal of recurring cataract in lens capsule using a laser	18	15	$413.10	$319.31
92132 Imaging of front third of eye	13	13	$38.56	$30.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	690	534	$140.54	$124.82
92012 Established patient problem focused exam of visual system	503	322	$100.20	$88.36
92134 Imaging of retina	409	336	$47.22	$40.34
92250 Photography of the retina	389	316	$47.30	$36.38
92020 Examination of cornea and iris using lens device and slit lamp	318	297	$31.23	$27.59
92083 Exam of visual field with extended testing	315	272	$70.15	$61.89
92133 Imaging of optic nerve	314	281	$41.61	$36.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	222	143	$129.38	$121.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	117	117	$188.60	$169.16
92285 Photography of content of eyes	72	58	$26.41	$22.18
76514 Ultrasound scan of cornea to determine thickness	53	52	$13.58	$11.22
65855 Laser repair to improve eye fluid flow	49	34	$276.31	$246.23
66984 Removal of cataract with insertion of lens	39	25	$829.09	$105.49
67820 Removal of eyelashes using forceps	38	27	$28.54	$21.08
99213 Established patient office or other outpatient visit, typically 15 minutes	37	32	$83.03	$80.25
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	24	14	$342.30	$298.88
66821 Removal of recurring cataract in lens capsule using a laser	19	17	$371.44	$331.46
92004 New patient complete exam of visual system	18	18	$173.49	$148.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	587	461	$258.63	$125.76
92012 Established patient problem focused exam of visual system	563	324	$176.49	$87.93
92133 Imaging of optic nerve	263	250	$77.02	$37.15
92083 Exam of visual field with extended testing	258	231	$134.98	$62.59
92134 Imaging of retina	255	229	$84.87	$40.68
92020 Examination of cornea and iris using lens device and slit lamp	237	228	$56.29	$27.75
92250 Photography of the retina	221	214	$134.71	$42.52
92004 New patient complete exam of visual system	111	111	$274.62	$149.92
92285 Photography of content of eyes	86	60	$46.89	$21.16
99213 Established patient office or other outpatient visit, typically 15 minutes	72	67	$213.60	$63.55
92202 Extended exam of the back part of the eye with optic nerve drawing	62	62	$44.72	$16.09
76514 Ultrasound scan of cornea to determine thickness	59	59	$27.73	$11.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	27	$212.01	$110.18
99422 Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes	42	42	$99.52	$31.36
66984 Removal of cataract with insertion of lens	38	23	$911.33	$110.32
65855 Laser repair to improve eye fluid flow	37	25	$380.60	$250.45
67820 Removal of eyelashes using forceps	25	18	$51.54	$26.81
92002 New patient problem focused exam of visual system	19	19	$182.84	$83.62
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	19	11	$458.20	$298.98
66821 Removal of recurring cataract in lens capsule using a laser	15	14	$552.35	$335.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	634	482	$368.40	$124.89
92012 Established patient problem focused exam of visual system	589	346	$254.15	$86.95
92083 Exam of visual field with extended testing	329	290	$190.25	$62.78
92134 Imaging of retina	315	266	$122.34	$40.48
92226 Examination of eye by ophthalmoscope with retinal drawing	301	270	$74.01	$45.57
92133 Imaging of optic nerve	276	253	$111.81	$36.63
92020 Examination of cornea and iris using lens device and slit lamp	245	229	$80.48	$27.33
92004 New patient complete exam of visual system	104	104	$443.79	$149.36
92225 Examination of eye by ophthalmoscope with retinal drawing	84	84	$80.43	$46.87
76514 Ultrasound scan of cornea to determine thickness	82	80	$45.90	$11.93
92285 Photography of content of eyes	74	60	$61.80	$20.57
66984 Removal of cataract with insertion of lens	35	23	$840.93	$127.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	21	$323.07	$108.22
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	17	11	$884.76	$306.24
67820 Removal of eyelashes using forceps	16	12	$151.17	$33.49
66821 Removal of recurring cataract in lens capsule using a laser	16	12	$986.79	$329.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	604	463	$368.40	$123.97
92012 Established patient problem focused exam of visual system	562	308	$254.07	$85.93
92134 Imaging of retina	297	249	$122.34	$40.83
92226 Examination of eye by ophthalmoscope with retinal drawing	286	251	$74.01	$43.85
92083 Exam of visual field with extended testing	285	237	$190.53	$62.61
92133 Imaging of optic nerve	263	243	$111.81	$37.06
92020 Examination of cornea and iris using lens device and slit lamp	188	175	$80.40	$26.43
92004 New patient complete exam of visual system	98	98	$443.79	$148.47
76514 Ultrasound scan of cornea to determine thickness	90	87	$45.90	$14.38
92225 Examination of eye by ophthalmoscope with retinal drawing	73	73	$80.43	$48.03
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	44	26	$884.76	$293.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	28	$323.07	$106.56
92285 Photography of content of eyes	31	19	$61.80	$19.97
67820 Removal of eyelashes using forceps	29	21	$151.17	$41.67
66984 Removal of cataract with insertion of lens	19	15	$1196.32	$126.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$497.10	$164.41
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$219.51	$72.13
92002 New patient problem focused exam of visual system	12	12	$241.11	$81.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	547	413	$301.95	$121.10
92226 Examination of eye by ophthalmoscope with retinal drawing	417	314	$74.15	$37.53
92012 Established patient problem focused exam of visual system	389	227	$211.40	$83.46
92134 Imaging of retina	334	253	$101.63	$40.03
92083 Exam of visual field with extended testing	189	160	$158.94	$62.46
92133 Imaging of optic nerve	179	166	$94.77	$36.57
92004 New patient complete exam of visual system	123	123	$345.17	$146.08
92020 Examination of cornea and iris using lens device and slit lamp	123	114	$67.33	$26.40
92225 Examination of eye by ophthalmoscope with retinal drawing	114	112	$75.48	$40.56
76514 Ultrasound scan of cornea to determine thickness	73	73	$40.03	$14.11
92285 Photography of content of eyes	66	50	$54.76	$19.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	31	$283.39	$105.98
67820 Removal of eyelashes using forceps	33	29	$142.01	$51.86
99213 Established patient office or other outpatient visit, typically 15 minutes	25	19	$172.68	$72.19
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	22	12	$723.89	$287.56
66984 Removal of cataract with insertion of lens	16	11	$933.13	$112.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$378.74	$163.36

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License FL ME0111581

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

008424200 (FL)

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Lars Landers , DC

Chiropractor - Neurology

NPI 1275818874

Doctor of Chiropractic

Dr. Ralph Zwolinski , MD

Psychiatry & Neurology - Neurology

NPI 1528049327

Doctor of Medicine (M.D.)

Dr. Matthew Lowry , DC

Chiropractor

NPI 1770917882

Doctor of Chiropractic

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 18, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 18, 2016

Registered at 5111 S RIDGEWOOD AVE, SUITE 104, PORT ORANGE, FL 321275169 (Tel: 3862561212)

📍

Updated Business Mailing Address March 18, 2016

Registered at 5111 S RIDGEWOOD AVE, SUITE 104, PORT ORANGE, FL 321275169 (Tel: 3862561212)

👤

Provider Name / Credentials Updated March 18, 2016

Recorded as WILLIAM GILMER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2016

Ophthalmology (License #ME0111581 in FL)

🟢

Initial NPI Registration & Enumeration December 22, 2008

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: 1194961151

Entity Type:

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

Enumeration Date: December 22, 2008

Last Update: March 18, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5111 S Ridgewood Ave, Suite 104

Port Orange, FL 321275169

Phone: 3862561212

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.