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Active NPI 1437148509 Individual Practitioner Female Practitioner

Dr. Chequita Hilversum , OD

Optometrist • St Augustine, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Chequita Hilversum, OD is a certified Optometrist practicing in St Augustine, FL. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Hilversum delivers high-quality medical care to the local community at 212 STATE ROAD 312.

Dr. Hilversum is affiliated with Myeyedr Optometry Of Florida, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include 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

212 State Road 312

St Augustine, FL 320864241

Telephone 9048242021
Fax 9048242039
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

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
31 Yrs +11.6 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
30.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hilversum (31 Years) 31 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)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92004 New patient complete exam of visual system
11 11 $205.00 $141.76

Medical Specialties & State Licenses

CMS Verified: 2022-04-22
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL OPC2951

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License FL OPC-2951

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

Commercial Insurance / Payer ID Tricare
59359043 (FL)

Hospital & Practice Group Affiliations

Myeyedr Optometry Of Florida, Llc

212 State Rd, Saint Augustine, FL 320864241

Phone: 9048242021

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location April 22, 2022

Registered at 212 STATE ROAD 312, ST AUGUSTINE, FL 320864241 (Tel: 9048242021)

📍
Updated Business Mailing Address April 22, 2022

Registered at 1950 OLD GALLOWS RD, VIENNA, VA 221823990 (Tel: 7038478899)

📍
Updated Practice Location November 26, 2018

Registered at 1000 E 23RD ST STE 1A, PANAMA CITY, FL 324055301 (Tel: 8508721200)

📍
Updated Business Mailing Address November 26, 2018

Registered at 4738 CHEROKEE HEIGHTS RD, PANAMA CITY, FL 324042023 (Tel: 8508199450)

NPI Profile Active November 02, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2007

Registered at 851 E 23RD ST, PANAMA CITY, FL 324055311 (Tel: 8507740667)

📍
Updated Business Mailing Address November 02, 2007

Registered at 851 E 23RD ST, PANAMA CITY, FL 324055311 (Tel: 8507740667)

👤
Provider Name / Credentials Updated November 02, 2007

Recorded as CHEQUITA HILVERSUM, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2007

Optometrist (License #OPC-2951 in FL)

🟢
Initial NPI Registration & Enumeration October 20, 2005

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: 1437148509
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2005
Last Update: April 22, 2022
Sole Proprietor: No

Mailing Address

1950 Old Gallows Rd

Vienna, VA 221823990

Phone: 7038478899

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.