Active NPI 1003944703 Individual Practitioner Male Practitioner

Michael Zwolinski

Optometrist • St Augustine, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Zwolinski is a certified Optometrist practicing in St Augustine, FL. With approximately 39 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 1987, Michael Zwolinski delivers high-quality medical care to the local community at 1815 US HIGHWAY 1 S.

Michael Zwolinski accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1815 Us Highway 1 S

St Augustine, FL 320844240

Telephone 9045472594

Fax 9045472644

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in St Augustine, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +19.6 yrs vs City Avg

City Avg: 19.4 Yrs

State Avg: 22.7 Yrs

Regional Practice Density

29 Specialists

Practicing in St Augustine, FL (3724 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

14.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Zwolinski (39 Years) 39 Yrs

St Augustine Specialty Average (19.4 Years) 19.4 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	646	565	$77.00	$35.24
92014 Established patient complete exam of visual system	443	412	$106.98	$104.75
99213 Established patient office or other outpatient visit, typically 15 minutes	140	90	$70.14	$69.08
92004 New patient complete exam of visual system	119	119	$130.00	$128.19
67820 Removal of eyelashes using forceps	49	42	$50.82	$17.62
92072 Fitting of contact lens for management of corneal degeneration	24	16	$60.67	$59.70
65222 Removal of foreign body, external eye, cornea with slit lamp examination	21	19	$78.10	$64.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$106.79	$104.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	571	504	$77.00	$36.00
92014 Established patient complete exam of visual system	396	366	$105.38	$103.79
99213 Established patient office or other outpatient visit, typically 15 minutes	139	78	$70.00	$68.92
92004 New patient complete exam of visual system	109	109	$130.00	$128.17
67820 Removal of eyelashes using forceps	26	25	$50.00	$17.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$110.26	$106.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	560	496	$77.00	$36.23
92014 Established patient complete exam of visual system	398	377	$106.44	$105.23
99213 Established patient office or other outpatient visit, typically 15 minutes	102	69	$70.25	$69.40
92004 New patient complete exam of visual system	97	97	$129.45	$128.32
67820 Removal of eyelashes using forceps	33	32	$50.61	$17.86
92072 Fitting of contact lens for management of corneal degeneration	25	15	$59.20	$58.54
65222 Removal of foreign body, external eye, cornea with slit lamp examination	15	14	$76.53	$66.43
92083 Exam of visual field with extended testing	14	14	$70.00	$61.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	760	681	$77.00	$38.41
92014 Established patient complete exam of visual system	523	508	$107.06	$106.60
99213 Established patient office or other outpatient visit, typically 15 minutes	175	139	$70.20	$70.12
92004 New patient complete exam of visual system	115	115	$130.00	$130.00
92083 Exam of visual field with extended testing	30	28	$70.00	$61.70
92072 Fitting of contact lens for management of corneal degeneration	23	12	$60.00	$60.00
67820 Removal of eyelashes using forceps	19	17	$50.00	$19.35
65222 Removal of foreign body, external eye, cornea with slit lamp examination	19	18	$76.00	$65.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	637	588	$77.00	$42.83
92014 Established patient complete exam of visual system	506	491	$384.84	$103.93
99213 Established patient office or other outpatient visit, typically 15 minutes	177	126	$70.00	$67.33
92004 New patient complete exam of visual system	52	52	$130.00	$125.68
92083 Exam of visual field with extended testing	15	15	$70.47	$59.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$109.00	$99.00
65222 Removal of foreign body, external eye, cornea with slit lamp examination	11	11	$73.45	$64.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	899	801	$76.99	$49.10
92014 Established patient complete exam of visual system	686	646	$121.64	$105.30
99213 Established patient office or other outpatient visit, typically 15 minutes	300	194	$70.00	$68.94
92004 New patient complete exam of visual system	116	116	$130.00	$128.25
92083 Exam of visual field with extended testing	51	48	$70.41	$62.34
67820 Removal of eyelashes using forceps	32	31	$50.94	$30.83
92072 Fitting of contact lens for management of corneal degeneration	18	13	$60.56	$59.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$113.33	$103.26
65222 Removal of foreign body, external eye, cornea with slit lamp examination	15	14	$76.00	$67.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	867	794	$76.92	$52.20
92014 Established patient complete exam of visual system	569	541	$104.68	$102.48
99213 Established patient office or other outpatient visit, typically 15 minutes	267	184	$70.26	$68.18
92004 New patient complete exam of visual system	236	236	$128.69	$126.06
92083 Exam of visual field with extended testing	81	75	$70.00	$59.03
67820 Removal of eyelashes using forceps	74	69	$50.00	$36.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	31	$105.29	$100.70
65222 Removal of foreign body, external eye, cornea with slit lamp examination	31	26	$75.45	$63.36
92072 Fitting of contact lens for management of corneal degeneration	21	16	$61.05	$59.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$105.00	$101.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	837	767	$76.86	$59.77
92014 Established patient complete exam of visual system	512	496	$144.36	$102.36
99213 Established patient office or other outpatient visit, typically 15 minutes	336	211	$70.44	$67.48
92004 New patient complete exam of visual system	247	247	$129.37	$126.26
92083 Exam of visual field with extended testing	86	79	$70.08	$53.89
92072 Fitting of contact lens for management of corneal degeneration	35	16	$60.83	$58.93
65222 Removal of foreign body, external eye, cornea with slit lamp examination	29	24	$77.90	$61.46
67820 Removal of eyelashes using forceps	24	19	$52.92	$47.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$106.32	$99.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$105.00	$100.75

Medical Specialties & State Licenses

CMS Verified: 2023-06-14

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL OPC2730

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

620958100 (FL)

Commercial Insurance / Payer ID Spectera

03492 (FL)

Commercial Insurance / Payer ID Aetna

2784940 (FL)

Commercial Insurance / Payer ID Blue Cross & Blue Shield

20566 (FL)

Commercial Insurance / Payer ID United Healthcare

593549151 (FL)

Commercial Insurance / Payer ID Palmetto Gba

410042741 (FL)

Commercial Insurance / Payer ID Cigna

593549151 (FL)

Commercial Insurance / Payer ID Humana

593549151 (FL)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location June 14, 2023

Registered at 1815 US HIGHWAY 1 S, ST AUGUSTINE, FL 320844240 (Tel: 9045472594)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 2355 US HIGHWAY 1 S, ST AUGUSTINE, FL 320866072 (Tel: 9047941085)

📍

Updated Business Mailing Address July 08, 2007

Registered at 312 2ND ST, ST AUGUSTINE, FL 320847307 (Tel: 9047941085)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL ZWOLINSKI

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #OPC2730 in FL)

🟢

Initial NPI Registration & Enumeration March 02, 2007

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: 1003944703

Entity Type:

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

Enumeration Date: March 02, 2007

Last Update: June 14, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

312 2nd St

St Augustine, FL 320847307

Phone: 9047941085

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.