Active NPI 1295960946 Individual Practitioner Male Practitioner

Dr. Derek Hunter Ohlstein , MD

Ophthalmology • Vero Beach, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Derek Ohlstein, MD is a certified Ophthalmology practicing in Vero Beach, FL. With approximately 17 years of clinical experience since graduating from Tulane University School Of Medicine in 2009, Dr. Ohlstein delivers high-quality medical care to the local community at 3500 US HIGHWAY 1.

Dr. Ohlstein is affiliated with William J. Mallon, Md and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, closure of tear duct opening using plug, 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

3500 Us Highway 1

Vero Beach, FL 329604511

Telephone 7722991404

Fax 7722991455

Associated Practice Facility / Clinic

🏢 Advanced Eye Surgery Center, Llc Facility NPI 1942242441

Medicare Profile & Education

Medical School

Tulane University School Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Vero Beach, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -13.2 yrs vs City Avg

City Avg: 30.2 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

17 Specialists

Practicing in Vero Beach, FL (1686 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ohlstein (17 Years) 17 Yrs

Vero Beach Specialty Average (30.2 Years) 30.2 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,364	742	$262.10	$129.10
68761 Closure of tear duct opening using plug	911	194	$292.93	$108.33
92014 Established patient complete exam of visual system	706	674	$251.74	$123.71
99213 Established patient office or other outpatient visit, typically 15 minutes	702	521	$185.85	$91.59
92133 Imaging of optic nerve	652	591	$73.17	$35.78
92083 Exam of visual field with extended testing	321	311	$126.83	$62.38
92134 Imaging of retina	281	236	$80.98	$39.45
68841 Insertion of drug delivery implant into tear duct of eye	164	90	$75.01	$16.15
66984 Removal of cataract with insertion of lens	142	79	$1095.42	$537.15
66821 Removal of recurring cataract in lens capsule using a laser	140	97	$500.93	$307.57
67820 Removal of eyelashes using forceps	108	83	$53.88	$18.85
92136 Measurement of corneal curvature and depth of eye	102	100	$93.77	$45.51
76514 Ultrasound scan of cornea to determine thickness	99	95	$23.58	$11.05
92250 Photography of the retina	95	91	$74.53	$36.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$339.61	$169.95
65855 Laser repair to improve eye fluid flow	71	50	$400.00	$204.76
92285 Photography of content of eyes	64	60	$47.37	$23.22
92004 New patient complete exam of visual system	61	61	$295.41	$146.94
68760 Repair duct opening	24	12	$440.58	$167.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$228.97	$113.46
92132 Imaging of front third of eye	18	16	$63.23	$30.88
65205 Removal of foreign body in external eye, conjunctiva	13	13	$57.79	$27.38
65222 Removal of foreign body, external eye, cornea with slit lamp examination	11	11	$136.54	$64.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,350	742	$264.28	$130.36
92133 Imaging of optic nerve	556	508	$74.83	$36.71
92014 Established patient complete exam of visual system	553	519	$255.88	$125.59
68761 Closure of tear duct opening using plug	485	120	$298.90	$109.23
99213 Established patient office or other outpatient visit, typically 15 minutes	482	367	$187.06	$91.75
92083 Exam of visual field with extended testing	308	293	$126.99	$62.40
92134 Imaging of retina	271	222	$82.28	$39.65
68841 Insertion of drug delivery implant into tear duct of eye	205	114	$75.00	$16.54
66984 Removal of cataract with insertion of lens	164	97	$1112.12	$546.19
66821 Removal of recurring cataract in lens capsule using a laser	125	93	$500.00	$310.80
92250 Photography of the retina	118	115	$76.14	$37.29
92136 Measurement of corneal curvature and depth of eye	111	111	$95.75	$47.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$346.76	$171.54
65855 Laser repair to improve eye fluid flow	88	58	$400.00	$205.89
92004 New patient complete exam of visual system	81	81	$302.14	$149.91
67820 Removal of eyelashes using forceps	70	57	$56.98	$19.98
92285 Photography of content of eyes	69	64	$47.82	$23.43
76514 Ultrasound scan of cornea to determine thickness	48	47	$24.09	$11.34
66175 Dilation with insertion of device or stent to improve eye fluid flow	28	15	$1250.00	$664.92
66982 Complex removal of cataract with insertion of prosthetic lens	25	22	$1524.43	$750.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$234.75	$115.90
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	23	12	$1395.88	$343.39
92132 Imaging of front third of eye	17	14	$64.69	$31.63
65205 Removal of foreign body in external eye, conjunctiva	12	12	$60.36	$28.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,442	754	$266.55	$133.66
92133 Imaging of optic nerve	599	542	$75.92	$37.83
92014 Established patient complete exam of visual system	517	492	$259.49	$130.21
99213 Established patient office or other outpatient visit, typically 15 minutes	409	329	$189.79	$95.05
68761 Closure of tear duct opening using plug	402	92	$305.94	$115.35
92083 Exam of visual field with extended testing	327	307	$128.64	$64.57
92134 Imaging of retina	267	218	$83.60	$41.37
68841 Insertion of drug delivery implant into tear duct of eye	144	84	$73.22	$16.96
66984 Removal of cataract with insertion of lens	126	73	$1123.28	$560.37
67820 Removal of eyelashes using forceps	119	92	$51.38	$20.58
92004 New patient complete exam of visual system	105	105	$304.08	$154.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$353.56	$177.21
66821 Removal of recurring cataract in lens capsule using a laser	102	76	$500.00	$316.31
92136 Measurement of corneal curvature and depth of eye	98	90	$101.88	$51.15
65855 Laser repair to improve eye fluid flow	89	66	$400.00	$211.31
92250 Photography of the retina	84	83	$75.31	$38.16
76514 Ultrasound scan of cornea to determine thickness	78	76	$24.58	$11.88
65205 Removal of foreign body in external eye, conjunctiva	35	32	$65.20	$29.00
92012 Established patient problem focused exam of visual system	32	31	$183.84	$92.24
92285 Photography of content of eyes	25	22	$48.30	$23.92
66982 Complex removal of cataract with insertion of prosthetic lens	24	16	$1538.78	$772.50
92132 Imaging of front third of eye	18	17	$61.37	$32.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$237.94	$119.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,029	672	$125.41	$92.50
92014 Established patient complete exam of visual system	842	765	$157.38	$130.45
92133 Imaging of optic nerve	566	507	$75.32	$38.01
92083 Exam of visual field with extended testing	374	348	$105.24	$65.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	335	272	$250.63	$135.93
76514 Ultrasound scan of cornea to determine thickness	312	296	$20.13	$11.74
92134 Imaging of retina	236	201	$76.42	$41.25
68761 Closure of tear duct opening using plug	232	58	$202.46	$117.41
92004 New patient complete exam of visual system	164	164	$211.87	$153.51
66984 Removal of cataract with insertion of lens	128	73	$908.00	$503.14
66821 Removal of recurring cataract in lens capsule using a laser	119	85	$504.89	$321.75
67820 Removal of eyelashes using forceps	111	84	$76.36	$22.30
92250 Photography of the retina	109	108	$95.77	$40.58
0356T Insertion of drug delivery implant into tear ducts	107	62	$125.00	$108.55
65855 Laser repair to improve eye fluid flow	101	66	$402.43	$214.75
92136 Measurement of corneal curvature and depth of eye	80	79	$102.45	$55.71
99213 Established patient office or other outpatient visit, typically 15 minutes	77	74	$183.65	$96.03
92285 Photography of content of eyes	31	31	$93.29	$23.98
65205 Removal of foreign body in external eye, conjunctiva	30	29	$64.40	$31.38
0191T Internal insertion of eye fluid drainage device	28	19	$982.14	$363.21
66175 Dilation with insertion of device or stent to improve eye fluid flow	28	19	$1246.43	$1031.13
92002 New patient problem focused exam of visual system	26	26	$104.00	$89.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$314.80	$177.86
92060 Exam to measure eye deviation and range of motion	20	15	$107.42	$64.91
66982 Complex removal of cataract with insertion of prosthetic lens	17	12	$1046.70	$731.93
92132 Imaging of front third of eye	17	17	$42.99	$32.13
92020 Examination of cornea and iris using lens device and slit lamp	15	15	$45.72	$28.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,198	741	$125.00	$91.17
92014 Established patient complete exam of visual system	723	664	$140.17	$130.16
92133 Imaging of optic nerve	590	531	$75.00	$37.83
92083 Exam of visual field with extended testing	295	287	$100.00	$65.32
92004 New patient complete exam of visual system	201	201	$200.00	$154.38
92134 Imaging of retina	144	123	$75.00	$41.16
76514 Ultrasound scan of cornea to determine thickness	118	113	$20.00	$12.30
66984 Removal of cataract with insertion of lens	117	66	$1300.00	$574.77
65855 Laser repair to improve eye fluid flow	96	65	$400.00	$219.88
67820 Removal of eyelashes using forceps	91	71	$82.14	$29.12
92136 Measurement of corneal curvature and depth of eye	89	86	$100.00	$64.58
68761 Closure of tear duct opening using plug	80	28	$175.00	$119.30
66821 Removal of recurring cataract in lens capsule using a laser	65	47	$481.54	$327.92
92250 Photography of the retina	65	64	$100.00	$46.48
92002 New patient problem focused exam of visual system	31	31	$104.00	$86.25
92285 Photography of content of eyes	26	26	$100.00	$22.81
92132 Imaging of front third of eye	17	17	$40.00	$32.32
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	15	15	$150.00	$135.23
92020 Examination of cornea and iris using lens device and slit lamp	13	13	$40.00	$28.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	821	678	$393.99	$130.80
83861 Microfluid analysis of tears	569	225	$65.99	$22.03
92012 Established patient problem focused exam of visual system	507	370	$274.76	$91.17
92134 Imaging of retina	471	288	$127.83	$42.04
92136 Measurement of corneal curvature and depth of eye	275	109	$173.99	$36.85
92133 Imaging of optic nerve	275	263	$116.01	$38.30
92083 Exam of visual field with extended testing	202	188	$198.66	$65.59
92004 New patient complete exam of visual system	200	200	$469.19	$155.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	127	$340.97	$113.52
93890 Ultrasound of within the brain blood flow following medication	140	139	$786.49	$230.60
93886 Complete ultrasound of within the brain blood flow	139	138	$776.56	$229.36
93892 Ultrasound of within the brain blood flow for blood clots	139	138	$884.53	$115.29
J0178 Injection, aflibercept, 1 mg	136	20	$3000.00	$944.03
67028 Injection of drug into eye	133	40	$323.95	$107.64
66984 Removal of cataract with insertion of lens	132	81	$2026.70	$660.60
68761 Closure of tear duct opening using plug	94	52	$866.15	$221.66
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	89	88	$66.15	$23.50
76514 Ultrasound scan of cornea to determine thickness	83	81	$41.00	$12.68
92285 Photography of content of eyes	67	64	$68.00	$21.14
J3490 Unclassified drugs	64	24	$70.00	$49.23
92250 Photography of the retina	63	63	$158.32	$51.68
67820 Removal of eyelashes using forceps	62	40	$127.92	$37.74
65855 Laser repair to improve eye fluid flow	47	30	$781.49	$260.02
76512 Ultrasound of eye disease, growth, or structure	43	35	$190.00	$61.89
66982 Complex removal of cataract with insertion of prosthetic lens	40	28	$2520.68	$818.80
92225 Examination of eye by ophthalmoscope with retinal drawing	30	19	$88.87	$31.35
66821 Removal of recurring cataract in lens capsule using a laser	27	19	$1047.63	$344.49
92002 New patient problem focused exam of visual system	22	22	$260.73	$86.80
92226 Examination of eye by ophthalmoscope with retinal drawing	19	14	$103.95	$34.66
15823 Removal of excessive skin and fat of upper eyelid	19	19	$2891.16	$850.69
66821 Removal of recurring cataract in lens capsule using a laser	17	12	$1048.00	$327.60
92060 Exam to measure eye deviation and range of motion	15	12	$200.00	$66.50
92082 Exam of visual field with intermediate testing	14	14	$149.00	$49.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	762	636	$392.33	$129.29
92012 Established patient problem focused exam of visual system	627	410	$271.80	$89.76
92134 Imaging of retina	541	308	$128.97	$42.32
83861 Microfluid analysis of tears	444	159	$35.00	$22.03
92133 Imaging of optic nerve	287	264	$117.00	$38.56
92136 Measurement of corneal curvature and depth of eye	261	142	$245.34	$44.03
92004 New patient complete exam of visual system	257	257	$467.60	$154.79
92083 Exam of visual field with extended testing	219	199	$199.02	$64.66
66984 Removal of cataract with insertion of lens	185	115	$2017.26	$649.67
J0178 Injection, aflibercept, 1 mg	176	17	$3000.00	$953.88
67028 Injection of drug into eye	163	38	$322.06	$105.87
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	125	123	$63.00	$22.10
68761 Closure of tear duct opening using plug	101	59	$825.72	$228.82
76514 Ultrasound scan of cornea to determine thickness	97	95	$48.97	$15.29
92285 Photography of content of eyes	86	81	$66.00	$19.85
92250 Photography of the retina	77	77	$178.00	$56.61
J3490 Unclassified drugs	75	24	$70.00	$47.95
65855 Laser repair to improve eye fluid flow	75	51	$770.00	$256.13
76512 Ultrasound of eye disease, growth, or structure	66	47	$237.09	$74.65
67820 Removal of eyelashes using forceps	59	40	$146.90	$41.51
99213 Established patient office or other outpatient visit, typically 15 minutes	54	52	$228.00	$75.38
92082 Exam of visual field with intermediate testing	49	46	$150.02	$49.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	47	$336.02	$111.16
66982 Complex removal of cataract with insertion of prosthetic lens	45	36	$2508.00	$820.02
92025 Ct scan of cornea	38	38	$118.84	$35.51
66821 Removal of recurring cataract in lens capsule using a laser	36	25	$1038.00	$320.79
15823 Removal of excessive skin and fat of upper eyelid	33	33	$1639.79	$854.70
92002 New patient problem focused exam of visual system	26	26	$258.00	$85.51
66821 Removal of recurring cataract in lens capsule using a laser	24	20	$1038.00	$336.86
0191T Internal insertion of eye fluid drainage device	23	14	$2422.96	$657.08
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	22	13	$936.00	$309.04
92225 Examination of eye by ophthalmoscope with retinal drawing	20	20	$142.70	$47.12
92132 Imaging of front third of eye	13	13	$98.00	$31.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	893	687	$267.55	$126.40
92134 Imaging of retina	598	309	$102.94	$41.79
92012 Established patient problem focused exam of visual system	560	363	$184.06	$86.93
92133 Imaging of optic nerve	255	238	$98.88	$37.84
92136 Measurement of corneal curvature and depth of eye	252	135	$242.83	$49.58
92004 New patient complete exam of visual system	228	228	$304.96	$151.74
67028 Injection of drug into eye	200	42	$311.14	$106.08
92083 Exam of visual field with extended testing	189	177	$151.09	$64.54
66984 Removal of cataract with insertion of lens	188	110	$2053.56	$658.46
83861 Microfluid analysis of tears	176	78	$35.00	$22.21
J0178 Injection, aflibercept, 1 mg	159	16	$1949.69	$962.85
92025 Ct scan of cornea	127	127	$114.38	$35.23
J3490 Unclassified drugs	116	29	$70.00	$49.23
68761 Closure of tear duct opening using plug	114	72	$637.75	$217.32
92225 Examination of eye by ophthalmoscope with retinal drawing	99	99	$93.47	$48.48
76514 Ultrasound scan of cornea to determine thickness	74	67	$48.97	$14.88
92285 Photography of content of eyes	64	62	$59.25	$19.32
92250 Photography of the retina	49	48	$159.86	$67.29
65855 Laser repair to improve eye fluid flow	47	38	$851.06	$253.05
92082 Exam of visual field with intermediate testing	44	43	$125.05	$49.01
66982 Complex removal of cataract with insertion of prosthetic lens	42	29	$2431.19	$809.31
67820 Removal of eyelashes using forceps	42	34	$145.00	$52.41
76512 Ultrasound of eye disease, growth, or structure	40	35	$246.90	$93.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$260.22	$164.94
66821 Removal of recurring cataract in lens capsule using a laser	36	29	$775.61	$319.99
0191T Internal insertion of eye fluid drainage device	28	21	$1748.00	$791.08
15823 Removal of excessive skin and fat of upper eyelid	23	23	$1768.26	$849.87
92002 New patient problem focused exam of visual system	20	20	$183.60	$82.83
66821 Removal of recurring cataract in lens capsule using a laser	15	12	$887.87	$323.51
92132 Imaging of front third of eye	14	14	$86.50	$31.86
92226 Examination of eye by ophthalmoscope with retinal drawing	13	13	$98.54	$40.80

Medical Specialties & State Licenses

CMS Verified: 2022-03-04

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License FL ME114955

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License FL TRN13800

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

008639900 (FL)

Hospital & Practice Group Affiliations

William J. Mallon, Md

3500 Us Hwy 1, Vero Beach, FL 329604511

Phone: 7722991404

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. William Mallon , MD

Ophthalmology

NPI 1114976479

Doctor of Medicine (M.D.)

Nit Khamvongs , CRNA

Nurse Anesthetist, Certified Registered

NPI 1316038532

Certified Registered Nurse Anesthetist

Dr. Nicholas Whiting , OD

Optometrist

NPI 1366066771

Doctor of Optometry

Dr. John Gallagher , OD

Optometrist

NPI 1649908971

Doctor of Optometry

Dr. Alexander Blandford , MD

Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery

NPI 1699031948

Doctor of Medicine (M.D.)

Dr. Dominick Benedetto , MD

Ophthalmology

NPI 1730246257

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location December 09, 2019

Registered at 3500 US HIGHWAY 1, VERO BEACH, FL 329604511 (Tel: 7722991404)

📍

Updated Business Mailing Address December 09, 2019

Registered at 3500 US HIGHWAY 1, VERO BEACH, FL 329604511 (Tel: 7722991404)

✅

NPI Profile Active July 11, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 11, 2013

Registered at 2201 S 10TH ST, FORT PIERCE, FL 349505382 (Tel: 3522650239)

📍

Updated Business Mailing Address July 11, 2013

Registered at 2201 S 10TH ST, FORT PIERCE, FL 349505382 (Tel: 3522650239)

👤

Provider Name / Credentials Updated July 11, 2013

Recorded as DEREK OHLSTEIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2013

Internal Medicine (License #TRN13800 in FL)

🟢

Initial NPI Registration & Enumeration May 26, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1295960946

Entity Type:

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

Enumeration Date: May 26, 2009

Last Update: March 04, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3500 Us Highway 1

Vero Beach, FL 329604511

Phone: 7722991404

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.