Active NPI 1942237193 Individual Practitioner Female Practitioner

Dr. Ly Thi Nguyen , MD

Ophthalmology • St Cloud, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ly Nguyen, MD is a certified Ophthalmology practicing in St Cloud, FL. With approximately 20 years of clinical experience since completing medical education in 2006, Dr. Nguyen delivers high-quality medical care to the local community at 4691 OLD CANOE CREEK ROAD.

Dr. Nguyen accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

4691 Old Canoe Creek Road

St Cloud, FL 34769

Telephone 4078912010

Fax 4078918211

Associated Practice Facility / Clinic

🏢 St Cloud Eye Center Inc Facility NPI 1457509531

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in St Cloud, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs Matches City Avg

City Avg: 20.0 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

1 Specialists

Practicing in St Cloud, FL (1686 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nguyen (20 Years) 20 Yrs

St Cloud Specialty Average (20.0 Years) 20.0 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
92014 Established patient complete exam of visual system	1,369	618	$373.38	$126.32
92250 Photography of the retina	539	522	$118.14	$36.78
92134 Imaging of retina	319	249	$125.40	$39.98
92083 Exam of visual field with extended testing	318	278	$192.96	$63.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	177	177	$422.10	$172.35
92133 Imaging of optic nerve	168	161	$113.97	$34.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	67	$333.50	$131.47
92136 Measurement of corneal curvature and depth of eye	82	56	$160.77	$42.04
76514 Ultrasound scan of cornea to determine thickness	77	71	$34.00	$11.17
76512 Ultrasound of eye disease, growth, or structure	63	56	$145.17	$79.45
66984 Removal of cataract with insertion of lens	61	43	$1618.65	$549.11
92020 Examination of cornea and iris using lens device and slit lamp	60	58	$61.60	$27.71
66821 Removal of recurring cataract in lens capsule using a laser	49	38	$762.11	$337.98
99213 Established patient office or other outpatient visit, typically 15 minutes	43	34	$237.65	$93.89
76511 1d ultrasound scan of eye tissue and structures	35	32	$101.96	$58.07
68761 Closure of tear duct opening using plug	20	19	$359.84	$209.48
66982 Complex removal of cataract with insertion of prosthetic lens	14	11	$2219.16	$756.29
92025 Ct scan of cornea	13	11	$82.99	$35.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,081	578	$373.38	$122.77
92250 Photography of the retina	532	513	$118.14	$35.90
92134 Imaging of retina	345	270	$125.40	$38.55
92083 Exam of visual field with extended testing	300	274	$192.96	$60.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	193	193	$422.10	$166.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	188	143	$333.50	$126.78
92133 Imaging of optic nerve	141	136	$113.97	$33.98
92136 Measurement of corneal curvature and depth of eye	118	81	$160.77	$39.80
66821 Removal of recurring cataract in lens capsule using a laser	86	62	$762.11	$325.55
66984 Removal of cataract with insertion of lens	80	56	$1618.65	$532.54
76511 1d ultrasound scan of eye tissue and structures	58	55	$101.96	$55.10
76512 Ultrasound of eye disease, growth, or structure	55	50	$145.17	$68.74
76514 Ultrasound scan of cornea to determine thickness	54	41	$34.00	$10.75
92020 Examination of cornea and iris using lens device and slit lamp	45	41	$61.60	$26.99
92025 Ct scan of cornea	15	12	$82.99	$33.64
68761 Closure of tear duct opening using plug	14	14	$359.84	$198.44
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$237.65	$89.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	637	450	$373.09	$123.12
92250 Photography of the retina	450	444	$118.45	$35.56
92083 Exam of visual field with extended testing	349	286	$192.99	$58.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	337	246	$332.99	$126.60
92134 Imaging of retina	331	260	$125.40	$38.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	164	164	$419.48	$166.96
92133 Imaging of optic nerve	141	131	$113.76	$33.99
92136 Measurement of corneal curvature and depth of eye	121	91	$160.77	$41.31
76512 Ultrasound of eye disease, growth, or structure	80	74	$145.17	$73.69
66821 Removal of recurring cataract in lens capsule using a laser	75	55	$762.11	$325.26
66984 Removal of cataract with insertion of lens	64	49	$1618.65	$528.58
76511 1d ultrasound scan of eye tissue and structures	60	55	$101.96	$54.90
92020 Examination of cornea and iris using lens device and slit lamp	58	56	$61.60	$27.30
76514 Ultrasound scan of cornea to determine thickness	51	46	$34.00	$10.93
99213 Established patient office or other outpatient visit, typically 15 minutes	47	38	$237.65	$90.10
66984 Removal of cataract with insertion of lens	31	27	$1618.65	$529.12
66821 Removal of recurring cataract in lens capsule using a laser	17	17	$762.11	$302.83
92025 Ct scan of cornea	15	13	$82.99	$33.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	615	422	$280.38	$126.03
92250 Photography of the retina	408	392	$164.70	$38.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	392	273	$160.00	$131.52
92083 Exam of visual field with extended testing	360	285	$203.28	$61.79
92134 Imaging of retina	319	241	$101.91	$39.65
92133 Imaging of optic nerve	122	112	$99.46	$35.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	122	122	$207.00	$171.08
92136 Measurement of corneal curvature and depth of eye	113	87	$197.12	$49.04
76514 Ultrasound scan of cornea to determine thickness	68	57	$34.00	$11.43
76511 1d ultrasound scan of eye tissue and structures	63	61	$101.96	$57.87
76512 Ultrasound of eye disease, growth, or structure	62	55	$207.67	$84.22
66821 Removal of recurring cataract in lens capsule using a laser	56	44	$762.11	$334.62
92020 Examination of cornea and iris using lens device and slit lamp	52	50	$61.60	$27.88
66984 Removal of cataract with insertion of lens	48	32	$1803.44	$547.23
66821 Removal of recurring cataract in lens capsule using a laser	37	32	$762.11	$311.84
66984 Removal of cataract with insertion of lens	32	23	$1803.44	$547.28
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$105.00	$92.63
92286 Imaging of front third of eye using a special microscope	15	13	$92.32	$38.34
68761 Closure of tear duct opening using plug	14	12	$359.84	$224.78
92025 Ct scan of cornea	12	11	$82.99	$33.53
92082 Exam of visual field with intermediate testing	11	11	$144.86	$47.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	715	396	$280.38	$125.53
92250 Photography of the retina	305	285	$164.70	$43.71
92083 Exam of visual field with extended testing	282	238	$203.28	$62.38
92134 Imaging of retina	239	187	$101.91	$39.29
92133 Imaging of optic nerve	102	93	$99.46	$35.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$207.00	$167.36
76514 Ultrasound scan of cornea to determine thickness	73	46	$34.00	$11.78
92136 Measurement of corneal curvature and depth of eye	71	59	$197.12	$54.99
66821 Removal of recurring cataract in lens capsule using a laser	62	42	$762.11	$333.06
76512 Ultrasound of eye disease, growth, or structure	54	46	$207.67	$80.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	42	$160.00	$109.87
66984 Removal of cataract with insertion of lens	45	28	$1803.44	$554.08
76511 1d ultrasound scan of eye tissue and structures	36	35	$101.96	$62.06
92020 Examination of cornea and iris using lens device and slit lamp	33	32	$61.60	$27.68
92025 Ct scan of cornea	26	20	$82.99	$34.62
92286 Imaging of front third of eye using a special microscope	26	21	$92.32	$38.67
92082 Exam of visual field with intermediate testing	18	16	$144.86	$47.27
68761 Closure of tear duct opening using plug	18	16	$359.84	$206.51
66982 Complex removal of cataract with insertion of prosthetic lens	17	12	$2275.35	$758.39
66821 Removal of recurring cataract in lens capsule using a laser	17	16	$762.11	$314.21
65430 Scraping of cornea for diagnosis	12	11	$283.50	$117.72
92285 Photography of content of eyes	11	11	$55.88	$20.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	807	472	$280.38	$125.59
92250 Photography of the retina	340	323	$164.70	$48.89
92083 Exam of visual field with extended testing	303	252	$203.28	$63.02
92134 Imaging of retina	216	185	$101.91	$39.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	124	124	$207.00	$165.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	96	$160.00	$108.83
92136 Measurement of corneal curvature and depth of eye	105	88	$197.12	$63.30
92133 Imaging of optic nerve	98	93	$99.46	$35.01
66984 Removal of cataract with insertion of lens	88	56	$1803.44	$641.59
76514 Ultrasound scan of cornea to determine thickness	86	65	$34.00	$12.18
76511 1d ultrasound scan of eye tissue and structures	59	57	$101.96	$66.01
92020 Examination of cornea and iris using lens device and slit lamp	57	56	$61.60	$27.49
76512 Ultrasound of eye disease, growth, or structure	51	42	$207.67	$79.27
66821 Removal of recurring cataract in lens capsule using a laser	49	40	$762.11	$312.58
66821 Removal of recurring cataract in lens capsule using a laser	45	36	$762.11	$332.09
92286 Imaging of front third of eye using a special microscope	25	21	$92.32	$37.99
68761 Closure of tear duct opening using plug	23	22	$359.84	$190.13
92082 Exam of visual field with intermediate testing	22	19	$144.86	$47.21
92285 Photography of content of eyes	20	18	$55.88	$18.58
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$105.00	$74.28
92025 Ct scan of cornea	16	15	$82.99	$35.81
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	14	11	$718.57	$238.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,017	638	$280.38	$120.10
92083 Exam of visual field with extended testing	398	319	$203.28	$60.52
92250 Photography of the retina	387	374	$164.70	$52.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	386	298	$160.00	$103.50
92134 Imaging of retina	297	256	$101.91	$38.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	234	234	$207.00	$159.63
92136 Measurement of corneal curvature and depth of eye	175	113	$197.12	$56.38
92133 Imaging of optic nerve	143	137	$99.46	$34.32
76514 Ultrasound scan of cornea to determine thickness	120	97	$34.00	$14.23
66984 Removal of cataract with insertion of lens	117	72	$1803.44	$610.82
92020 Examination of cornea and iris using lens device and slit lamp	94	90	$61.60	$25.62
76512 Ultrasound of eye disease, growth, or structure	74	57	$207.67	$91.05
76511 1d ultrasound scan of eye tissue and structures	68	59	$101.96	$75.74
66982 Complex removal of cataract with insertion of prosthetic lens	54	38	$2275.35	$770.28
66821 Removal of recurring cataract in lens capsule using a laser	49	41	$762.11	$299.34
99213 Established patient office or other outpatient visit, typically 15 minutes	48	43	$105.00	$70.03
92285 Photography of content of eyes	35	29	$55.88	$17.50
92004 New patient complete exam of visual system	34	34	$331.80	$143.79
68761 Closure of tear duct opening using plug	33	31	$359.84	$174.26
92286 Imaging of front third of eye using a special microscope	33	30	$92.32	$36.15
92082 Exam of visual field with intermediate testing	32	32	$144.86	$45.63
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	26	15	$718.57	$228.40
67820 Removal of eyelashes using forceps	25	20	$120.26	$39.25
92025 Ct scan of cornea	21	19	$82.99	$34.74
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$207.99	$139.94
66821 Removal of recurring cataract in lens capsule using a laser	14	13	$762.11	$316.64
65430 Scraping of cornea for diagnosis	12	12	$283.50	$111.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$43.13	$41.97
15823 Removal of excessive skin and fat of upper eyelid	12	12	$3798.00	$717.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,214	688	$280.38	$117.05
92250 Photography of the retina	558	524	$164.70	$61.82
92083 Exam of visual field with extended testing	425	345	$203.28	$59.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	293	293	$207.00	$158.13
92134 Imaging of retina	291	241	$101.91	$38.20
92136 Measurement of corneal curvature and depth of eye	217	113	$197.12	$58.21
92133 Imaging of optic nerve	169	165	$99.46	$34.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	134	$160.00	$102.81
92020 Examination of cornea and iris using lens device and slit lamp	120	116	$61.60	$25.39
66984 Removal of cataract with insertion of lens	116	75	$1803.44	$613.87
76514 Ultrasound scan of cornea to determine thickness	108	92	$34.00	$13.75
66821 Removal of recurring cataract in lens capsule using a laser	107	69	$762.11	$295.31
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	78	42	$718.57	$224.35
76512 Ultrasound of eye disease, growth, or structure	68	53	$207.67	$105.15
76511 1d ultrasound scan of eye tissue and structures	58	55	$101.96	$90.17
99213 Established patient office or other outpatient visit, typically 15 minutes	50	39	$105.00	$69.94
66982 Complex removal of cataract with insertion of prosthetic lens	43	31	$2275.35	$762.59
92285 Photography of content of eyes	37	27	$55.88	$17.89
92082 Exam of visual field with intermediate testing	36	31	$144.86	$45.65
92025 Ct scan of cornea	33	32	$82.99	$34.55
67820 Removal of eyelashes using forceps	23	17	$120.26	$49.15
92132 Imaging of front third of eye	23	23	$76.62	$28.50
68761 Closure of tear duct opening using plug	17	12	$359.84	$181.03

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License FL ME 94908

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

Commercial Insurance / Payer ID Medical License Number

ME 94908 (FL)

Practice Associates & Co-Workers

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

4 Associated Practitioners

Tiago Sakumoto

Ophthalmology

NPI 1407670433

Massiel Mena , MDHSE

Ophthalmology

NPI 1508255415

Dr. Bao Truong , MD

Ophthalmology

NPI 1518487784

Doctor of Medicine (M.D.)

Dr. Jose Flores Guevara , MD

Ophthalmology

NPI 1922006337

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 June 20, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location June 20, 2013

Registered at 4691 OLD CANOE CREEK ROAD, ST CLOUD, FL 34769 (Tel: 4078912010)

📍

Updated Business Mailing Address June 20, 2013

Registered at 4691 OLD CANOE CREEK ROAD, ST CLOUD, FL 34769 (Tel: 4078912010)

👤

Provider Name / Credentials Updated June 20, 2013

Recorded as LY NGUYEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2013

Ophthalmology (License #ME 94908 in FL)

🟢

Initial NPI Registration & Enumeration June 26, 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: 1942237193

Entity Type:

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

Enumeration Date: June 26, 2006

Last Update: March 07, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4691 Old Canoe Creek Road

St Cloud, FL 34769

Phone: 4078912010

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.