Active NPI 1659373959 Individual Practitioner Male Practitioner

Dr. Sumner L. Fishbein , MD

Ophthalmology • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Sumner Fishbein, MD is a registered healthcare professional specializing in Ophthalmology in Augusta, GA. Practice services are available at 1120 15TH ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient problem focused exam of visual system, new patient complete exam of visual system, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1120 15th St

Augusta, GA 309120004

Telephone 7067246100

Fax 7067241600

Associated Practice Facility / Clinic

🏢 American Transitional Hospitals, Inc. Facility NPI 1649276338

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Augusta, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.8 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

46 Specialists

Practicing in Augusta, GA (579 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
92012 Established patient problem focused exam of visual system	21	20	$133.00	$50.83
92004 New patient complete exam of visual system	18	18	$262.00	$96.11
92133 Imaging of optic nerve	17	17	$85.00	$21.79
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$111.00	$50.63
92014 Established patient complete exam of visual system	11	11	$205.00	$77.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	97	72	$133.00	$51.75
99213 Established patient office or other outpatient visit, typically 15 minutes	91	69	$110.32	$50.50
92004 New patient complete exam of visual system	80	80	$262.00	$97.89
92014 Established patient complete exam of visual system	76	76	$205.00	$77.67
92133 Imaging of optic nerve	69	68	$85.00	$21.87
92083 Exam of visual field with extended testing	42	39	$85.00	$27.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	21	$64.33	$25.27
76514 Ultrasound scan of cornea to determine thickness	22	22	$44.00	$8.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$278.80	$123.35
92020 Examination of cornea and iris using lens device and slit lamp	19	19	$80.00	$20.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$165.00	$75.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	113	83	$109.00	$50.14
92012 Established patient problem focused exam of visual system	73	54	$133.00	$51.35
92004 New patient complete exam of visual system	68	68	$262.00	$95.99
92014 Established patient complete exam of visual system	65	64	$205.00	$77.57
92133 Imaging of optic nerve	57	57	$85.00	$21.62
92083 Exam of visual field with extended testing	40	37	$85.00	$27.02
76514 Ultrasound scan of cornea to determine thickness	30	30	$44.00	$9.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	18	$61.00	$24.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$276.00	$126.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$168.00	$76.79
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$80.00	$20.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	99	78	$109.00	$49.52
92004 New patient complete exam of visual system	93	93	$262.00	$95.95
92012 Established patient problem focused exam of visual system	87	63	$133.00	$51.11
92014 Established patient complete exam of visual system	73	73	$205.00	$77.48
92133 Imaging of optic nerve	52	50	$85.00	$21.81
92083 Exam of visual field with extended testing	34	33	$85.00	$26.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	27	$61.00	$24.77
76514 Ultrasound scan of cornea to determine thickness	20	20	$44.00	$9.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$168.00	$76.23

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License GA 015253

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

00070705C (GA)

Medicaid State Provider ID

SC MEDICAID (SC)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Larisa Gavrilova-Jordan , MD

Obstetrics & Gynecology - Reproductive Endocrinology

NPI 1003895780

Doctor of Medicine (M.D.)

Dr. Jedidiah Ballard , DO

Emergency Medicine

NPI 1023329976

Doctor of Osteopathic Medicine (D.O.)

Dr. Satish Rao , MD PHD

Internal Medicine - Gastroenterology

NPI 1063485340

MDPHD

Dr. Jigarkumar Parikh , MD

Internal Medicine - Hematology & Oncology

NPI 1073775722

Doctor of Medicine (M.D.)

Dr. Subhash Pujara , MD

Radiology - Diagnostic Radiology

NPI 1083610448

Doctor of Medicine (M.D.)

Dr. Ferdinand Schafer , MD

Internal Medicine

NPI 1104016609

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 September 30, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 30, 2015

Registered at 1120 15TH ST, AUGUSTA, GA 309120004 (Tel: 7067246100)

📍

Updated Business Mailing Address September 30, 2015

Registered at 1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 309012602 (Tel: 7067246100)

👤

Provider Name / Credentials Updated September 30, 2015

Recorded as SUMNER FISHBEIN, M.D,

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2015

Ophthalmology (License #015253 in GA)

🟢

Initial NPI Registration & Enumeration June 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: 1659373959

Entity Type:

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

Enumeration Date: June 01, 2005

Last Update: September 30, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1499 Walton Way, Suite 1400

Augusta, GA 309012602

Phone: 7067246100

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.