Active NPI 1184628547 Individual Practitioner Male Practitioner

Dr. Mitchell Robert Petit , OD

Optometrist • St Petersburg, FL

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Mitchell Petit, OD is a registered Optometrist practitioner in St Petersburg, FL. With approximately 33 years of clinical practice since completing medical education in 1993, Dr. Petit provides healthcare services at the registered practice location at 2000 66TH ST N.

Dr. Petit maintains professional affiliations with Southeast Eye Institute Pa, Antonio Prado Md Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, 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

2000 66th St N

St Petersburg, FL 337104710

Telephone 7273411987

Fax 7273477297

Associated Practice Facility / Clinic

🏢 Luxottica Of America Inc Facility NPI 1376686675

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in St Petersburg, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +11.8 yrs vs City Avg

City Avg: 21.2 Yrs

State Avg: 22.7 Yrs

Regional Practice Density

57 Specialists

Practicing in St Petersburg, FL (3724 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Petit (33 Years) 33 Yrs

St Petersburg Specialty Average (21.2 Years) 21.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	49	47	$251.69	$124.55
92012 Established patient problem focused exam of visual system	48	37	$176.73	$87.15
92134 Imaging of retina	22	22	$82.16	$40.08
92202 Extended exam of the back part of the eye with optic nerve drawing	21	21	$33.57	$16.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	313	181	$179.30	$86.29
92014 Established patient complete exam of visual system	239	216	$258.41	$124.59
92225 Examination of eye by ophthalmoscope with retinal drawing	128	64	$64.38	$27.25
92226 Examination of eye by ophthalmoscope with retinal drawing	119	58	$64.03	$25.37
92134 Imaging of retina	77	72	$89.35	$40.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$339.09	$161.71
92133 Imaging of optic nerve	32	31	$79.38	$36.41
92250 Photography of the retina	24	24	$111.25	$49.57
68761 Closure of tear duct opening using plug	18	11	$302.78	$179.48
92083 Exam of visual field with extended testing	15	13	$130.00	$62.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$220.00	$107.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	303	174	$167.05	$85.51
92014 Established patient complete exam of visual system	207	189	$243.13	$123.90
92226 Examination of eye by ophthalmoscope with retinal drawing	147	73	$74.26	$24.65
92225 Examination of eye by ophthalmoscope with retinal drawing	124	62	$57.30	$26.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$306.09	$164.90
92134 Imaging of retina	49	48	$85.33	$40.83
92133 Imaging of optic nerve	29	26	$79.79	$35.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$206.50	$104.86
68761 Closure of tear duct opening using plug	21	14	$300.06	$207.37
92083 Exam of visual field with extended testing	18	15	$118.88	$62.63
76514 Ultrasound scan of cornea to determine thickness	13	13	$29.46	$14.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	322	179	$128.52	$78.62
92014 Established patient complete exam of visual system	211	200	$187.44	$113.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$251.47	$154.43
92225 Examination of eye by ophthalmoscope with retinal drawing	70	36	$40.22	$24.78
68761 Closure of tear duct opening using plug	55	20	$319.23	$113.52
92134 Imaging of retina	30	30	$90.00	$36.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$164.30	$101.68
92250 Photography of the retina	24	24	$105.67	$57.44
92133 Imaging of optic nerve	17	17	$90.00	$31.97
67820 Removal of eyelashes using forceps	16	11	$95.37	$46.73
92083 Exam of visual field with extended testing	15	13	$103.16	$58.37

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL OPC 3419

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

620670100 (FL)

Commercial Insurance / Payer ID Allied Eyecare

593651926 (FL)

Commercial Insurance / Payer ID Spectera

11436 (FL)

Commercial Insurance / Payer ID Nva

487101 (FL)

Commercial Insurance / Payer ID Clarity Vision Plan

261355 (FL)

Commercial Insurance / Payer ID Cole Vision Plan

261355 (FL)

Commercial Insurance / Payer ID Humana

410001004 (FL)

Commercial Insurance / Payer ID Avesis

VFL000856 (FL)

Commercial Insurance / Payer ID Ecpa

3419 (FL)

Hospital & Practice Group Affiliations

Antonio Prado Md Pa

206 Buckingham Pl, Brandon, FL 335114910

Phone: 8136532020

Southeast Eye Institute Pa

13161 Cortez Blvd, Brooksville, FL 346137804

Phone: 3525970410

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 04, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 04, 2016

Registered at 2000 66TH ST N, ST PETERSBURG, FL 337104710 (Tel: 7273411987)

📍

Updated Business Mailing Address February 04, 2016

Registered at 3115 W SWANN AVE, STE 200, TAMPA, FL 336094617 (Tel: 8139082020)

👤

Provider Name / Credentials Updated February 04, 2016

Recorded as MITCHELL PETIT, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2016

Optometrist (License #OPC 3419 in FL)

🟢

Initial NPI Registration & Enumeration June 13, 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: 1184628547

Entity Type:

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

Enumeration Date: June 13, 2005

Last Update: February 04, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3115 W Swann Ave, Ste 200

Tampa, FL 336094617

Phone: 8139082020

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.