Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114945300 Individual Practitioner Male Practitioner

Dr. Tony Y.t. Chen , MD

Ophthalmology • Sebring, FL

Professional Overview & Biography Verified Profile Summary

Dr. Tony Chen, MD is a registered healthcare professional specializing in Ophthalmology in Sebring, FL. Practice services are available at 6801 US HIGHWAY 27 N under active NPI credentials.

Frequently performed procedures and clinical services include photography of the retina, examination of eye by ophthalmoscope with retinal drawing, 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

6801 Us Highway 27 N
Suite D-1

Sebring, FL 338707840

Telephone 8633853535
Fax 8633850355
Associated Practice Facility / Clinic
🏢 D.m. Upadhyaya, M.d., P.a. Facility NPI 1598799520

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Sebring, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.5 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Sebring, FL (1686 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
17.6% 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 (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92250 Photography of the retina
241 120 $30.88 $25.07
92226 Examination of eye by ophthalmoscope with retinal drawing
218 154 $61.01 $50.25
92014 Established patient complete exam of visual system
216 165 $151.00 $125.54
92083 Exam of visual field with extended testing
161 81 $38.24 $31.75
92133 Imaging of optic nerve
159 80 $22.64 $17.11
99213 Established patient office or other outpatient visit, typically 15 minutes
84 79 $88.93 $74.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
53 40 $130.09 $105.23
92285 Photography of content of eyes
48 24 $12.98 $10.11
92004 New patient complete exam of visual system
36 36 $180.00 $150.06
92225 Examination of eye by ophthalmoscope with retinal drawing
23 23 $66.00 $54.99

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License FL ME0022284

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
053973200 (FL)
Commercial Insurance / Payer ID Railroad Medicare
180043159 (FL)

Practice Associates & Co-Workers

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

11 Associated Practitioners
Dr. Guillermo Arias-Howard , MD

Internal Medicine - Critical Care Medicine

NPI 1134312168

Doctor of Medicine (M.D.)

Dr. Bronislaw Partyka , MD

Emergency Medicine

NPI 1275580292

Doctor of Medicine (M.D.)

Dr. Dipakkumar Upadhyaya , MD

Obstetrics & Gynecology

NPI 1427076769

Doctor of Medicine (M.D.)

Terry Jackson , LMHC

Counselor - Mental Health

NPI 1447590468

Licensed Mental Health Counselor

Dr. Ray Tangunan , MD

Family Medicine

NPI 1649248345

Doctor of Medicine (M.D.)

Dr. Percival Tamayo , MD

Internal Medicine

NPI 1679588933

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 August 28, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2012

Registered at 6801 US HIGHWAY 27 N, SUITE D-1, SEBRING, FL 338707840 (Tel: 8633853535)

📍
Updated Business Mailing Address August 28, 2012

Registered at 6801 US HIGHWAY 27 N, SUITE D-1, SEBRING, FL 338707840 (Tel: 8633853535)

👤
Provider Name / Credentials Updated August 28, 2012

Recorded as TONY CHEN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2012

Ophthalmology (License #ME0022284 in FL)

🟢
Initial NPI Registration & Enumeration July 17, 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: 1114945300
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: August 28, 2012
Sole Proprietor: Yes

Mailing Address

6801 Us Highway 27 N, Suite D-1

Sebring, FL 338707840

Phone: 8633853535

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.