Active NPI 1174520423 Individual Practitioner Male Practitioner

Dr. Jonathan S Silbiger , MD

Ophthalmology • Winter Haven, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Silbiger, MD is a certified Ophthalmology practicing in Winter Haven, FL. With approximately 34 years of clinical experience since graduating from University Of Florida College Of Medicine in 1992, Dr. Silbiger delivers high-quality medical care to the local community at 215 1ST ST N.

Dr. Silbiger maintains professional affiliations with Fischer Schemmer And Silbiger Md Pa, Magruder Eye Institute, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, 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

215 1st St N
Ste 200

Winter Haven, FL 338814537

Telephone 8632945457

Fax 8632930343

Associated Practice Facility / Clinic

🏢 Fischer Schemmer & Silbiger Md Pa Facility NPI 1679572663

Medicare Profile & Education

Medical School

University Of Florida College Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Winter Haven, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +3.8 yrs vs City Avg

City Avg: 30.2 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

19 Specialists

Practicing in Winter Haven, FL (1686 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Silbiger (34 Years) 34 Yrs

Winter Haven 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
92014 Established patient complete exam of visual system	488	411	$185.00	$119.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	312	221	$175.00	$123.93
92134 Imaging of retina	153	129	$184.00	$37.51
92012 Established patient problem focused exam of visual system	126	104	$132.00	$84.34
76519 Ultrasound of eye for determination of lens power	112	76	$101.79	$46.33
66821 Removal of recurring cataract in lens capsule using a laser	102	79	$523.00	$314.80
99213 Established patient office or other outpatient visit, typically 15 minutes	99	69	$110.00	$86.41
92083 Exam of visual field with extended testing	95	95	$156.00	$59.11
66984 Removal of cataract with insertion of lens	94	64	$2051.00	$505.13
92133 Imaging of optic nerve	91	87	$184.00	$34.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$255.00	$161.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	34	$85.00	$53.66
92004 New patient complete exam of visual system	51	51	$220.00	$141.70
66982 Complex removal of cataract with insertion of prosthetic lens	14	13	$2250.00	$713.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	429	380	$185.00	$122.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	325	258	$175.00	$127.30
92012 Established patient problem focused exam of visual system	128	113	$132.00	$87.79
76519 Ultrasound of eye for determination of lens power	126	93	$103.17	$47.83
99213 Established patient office or other outpatient visit, typically 15 minutes	121	70	$110.00	$89.94
66984 Removal of cataract with insertion of lens	108	78	$2051.00	$524.04
66821 Removal of recurring cataract in lens capsule using a laser	98	82	$523.00	$327.04
92083 Exam of visual field with extended testing	94	94	$156.00	$60.66
92133 Imaging of optic nerve	92	92	$184.00	$35.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$255.00	$162.60
92134 Imaging of retina	72	65	$184.00	$39.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	39	$85.00	$56.09
92004 New patient complete exam of visual system	60	60	$220.00	$146.09
68761 Closure of tear duct opening using plug	15	12	$255.00	$143.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	463	399	$185.00	$123.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	343	270	$175.00	$127.97
76519 Ultrasound of eye for determination of lens power	132	91	$106.44	$51.05
92012 Established patient problem focused exam of visual system	130	111	$132.00	$87.90
66821 Removal of recurring cataract in lens capsule using a laser	123	96	$523.00	$329.50
99213 Established patient office or other outpatient visit, typically 15 minutes	118	89	$110.00	$91.07
66984 Removal of cataract with insertion of lens	113	77	$2051.00	$531.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	109	109	$255.00	$166.08
92083 Exam of visual field with extended testing	104	101	$156.00	$61.06
92133 Imaging of optic nerve	100	99	$184.00	$35.79
92134 Imaging of retina	79	74	$184.00	$39.87
92004 New patient complete exam of visual system	61	61	$220.00	$146.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	36	$85.00	$56.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	533	476	$185.00	$124.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	269	225	$175.00	$129.75
99213 Established patient office or other outpatient visit, typically 15 minutes	148	97	$110.00	$92.43
92012 Established patient problem focused exam of visual system	146	128	$132.00	$88.92
76519 Ultrasound of eye for determination of lens power	138	94	$104.35	$50.00
66984 Removal of cataract with insertion of lens	123	83	$2051.00	$537.13
92083 Exam of visual field with extended testing	112	108	$156.00	$62.42
92134 Imaging of retina	105	94	$184.00	$40.04
92133 Imaging of optic nerve	102	101	$184.00	$36.73
66821 Removal of recurring cataract in lens capsule using a laser	99	79	$523.00	$330.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	95	48	$85.00	$56.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$255.00	$169.23
92004 New patient complete exam of visual system	89	89	$220.00	$147.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	680	585	$185.00	$124.78
99213 Established patient office or other outpatient visit, typically 15 minutes	193	132	$110.00	$75.38
76519 Ultrasound of eye for determination of lens power	155	107	$100.81	$49.00
92012 Established patient problem focused exam of visual system	148	132	$132.00	$88.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	143	78	$85.00	$45.74
66984 Removal of cataract with insertion of lens	136	95	$2051.00	$552.52
92083 Exam of visual field with extended testing	114	112	$156.00	$62.59
66821 Removal of recurring cataract in lens capsule using a laser	98	82	$523.00	$332.22
92133 Imaging of optic nerve	89	88	$184.00	$36.93
92004 New patient complete exam of visual system	89	89	$220.00	$147.77
92134 Imaging of retina	77	71	$184.00	$40.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$255.00	$167.68
66982 Complex removal of cataract with insertion of prosthetic lens	20	20	$2250.00	$763.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	789	663	$185.00	$124.98
99213 Established patient office or other outpatient visit, typically 15 minutes	246	169	$110.00	$74.33
76519 Ultrasound of eye for determination of lens power	240	169	$102.08	$48.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	225	106	$85.00	$44.95
66984 Removal of cataract with insertion of lens	213	152	$2051.00	$620.89
92012 Established patient problem focused exam of visual system	173	154	$132.00	$87.30
66821 Removal of recurring cataract in lens capsule using a laser	121	103	$523.00	$324.64
92083 Exam of visual field with extended testing	116	113	$156.00	$62.77
92004 New patient complete exam of visual system	111	111	$220.00	$147.47
92133 Imaging of optic nerve	108	105	$184.00	$36.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$255.00	$160.93
92134 Imaging of retina	67	62	$184.00	$40.42
66982 Complex removal of cataract with insertion of prosthetic lens	12	11	$2250.00	$803.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	860	735	$185.00	$122.79
99213 Established patient office or other outpatient visit, typically 15 minutes	276	187	$110.00	$71.92
76519 Ultrasound of eye for determination of lens power	247	164	$102.33	$52.39
66984 Removal of cataract with insertion of lens	230	152	$2051.00	$623.44
92012 Established patient problem focused exam of visual system	204	183	$132.00	$85.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	185	99	$85.00	$43.01
92083 Exam of visual field with extended testing	133	130	$156.00	$61.92
92133 Imaging of optic nerve	128	125	$184.00	$36.78
92004 New patient complete exam of visual system	98	98	$220.00	$147.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$255.00	$164.19
66821 Removal of recurring cataract in lens capsule using a laser	74	64	$523.00	$315.51
92134 Imaging of retina	58	53	$184.00	$39.68
66821 Removal of recurring cataract in lens capsule using a laser	52	44	$523.00	$308.53
66982 Complex removal of cataract with insertion of prosthetic lens	18	17	$2250.00	$760.96
68761 Closure of tear duct opening using plug	14	11	$255.00	$146.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	867	757	$185.00	$120.01
99213 Established patient office or other outpatient visit, typically 15 minutes	285	175	$110.00	$72.16
92012 Established patient problem focused exam of visual system	262	235	$132.00	$83.43
76519 Ultrasound of eye for determination of lens power	246	177	$103.05	$58.07
66984 Removal of cataract with insertion of lens	207	147	$2051.00	$620.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	168	80	$85.00	$42.63
92083 Exam of visual field with extended testing	139	135	$156.00	$61.53
92133 Imaging of optic nerve	138	136	$184.00	$36.26
92004 New patient complete exam of visual system	118	118	$220.00	$143.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$255.00	$158.64
66821 Removal of recurring cataract in lens capsule using a laser	49	44	$523.00	$306.18
92134 Imaging of retina	44	44	$184.00	$38.70
66821 Removal of recurring cataract in lens capsule using a laser	41	37	$523.00	$309.19
66982 Complex removal of cataract with insertion of prosthetic lens	23	20	$2250.00	$737.75

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License FL ME64428

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

Medicaid State Provider ID

373008500 (FL)

Hospital & Practice Group Affiliations

Fischer Schemmer And Silbiger Md Pa

215 1st St N, Winter Haven, FL 338814507

Phone: 8632945457

Magruder Eye Institute, Pllc

215 1st St N, Winter Haven, FL 338814507

Phone: 8632945457

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Scott Klein , DO

Ophthalmology

NPI 1003818261

Doctor of Osteopathic Medicine (D.O.)

Dr. Gary Schemmer , MD

Ophthalmology

NPI 1265439517

Doctor of Medicine (M.D.)

Dr. Adam Breunig , MD

Ophthalmology

NPI 1295999183

Doctor of Medicine (M.D.)

Dr. Frank Fischer , MD

Ophthalmology

NPI 1437152667

Doctor of Medicine (M.D.)

Dr. Frank Fischer , MD

Ophthalmology

NPI 1497752687

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 January 06, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 06, 2015

Registered at 215 1ST ST N, STE 200, WINTER HAVEN, FL 338814537 (Tel: 8632945457)

📍

Updated Business Mailing Address January 06, 2015

Registered at 215 1ST ST N, STE 200, WINTER HAVEN, FL 338814537 (Tel: 8632945457)

👤

Provider Name / Credentials Updated January 06, 2015

Recorded as JONATHAN SILBIGER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2015

Ophthalmology (License #ME64428 in FL)

🟢

Initial NPI Registration & Enumeration July 01, 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: 1174520423

Entity Type:

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

Enumeration Date: July 01, 2005

Last Update: January 06, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

215 1st St N, Ste 200

Winter Haven, FL 338814537

Phone: 8632945457

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.