Active NPI 1205188844 Individual Practitioner Male Practitioner

Dr. Philip Shaffer , OD

Optometrist • Cumming, GA

Professional Overview & Biography Verified Profile Summary

Dr. Philip Shaffer, OD is a registered healthcare professional specializing in Optometrist in Cumming, GA. Practice services are available at 1230 BALD RIDGE MARINA RD STE 100 under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

1230 Bald Ridge Marina Rd Ste 100

Cumming, GA 300417950

Telephone 7702921999

Associated Practice Facility / Clinic

🏢 Gainesville Eye Associates Llc Facility NPI 1922885862

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Cumming, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.6 Yrs

State Avg: 22.3 Yrs

Regional Practice Density

34 Specialists

Practicing in Cumming, GA (1498 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.8% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	219	211	$273.55	$129.98
92250 Photography of the retina	198	195	$138.15	$38.13
99213 Established patient office or other outpatient visit, typically 15 minutes	186	150	$177.23	$94.27
92012 Established patient problem focused exam of visual system	118	105	$219.75	$92.37
92083 Exam of visual field with extended testing	108	97	$149.07	$65.60
92134 Imaging of retina	104	96	$114.02	$41.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	86	$283.65	$133.16
92133 Imaging of optic nerve	86	81	$109.65	$35.12
68761 Closure of tear duct opening using plug	60	20	$385.60	$114.80
92004 New patient complete exam of visual system	44	44	$347.75	$152.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$401.33	$173.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	115	100	$134.70	$90.21
92134 Imaging of retina	49	48	$106.94	$40.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	38	$230.00	$128.68
92014 Established patient complete exam of visual system	31	31	$200.00	$127.23
92250 Photography of the retina	31	31	$119.84	$37.65
92133 Imaging of optic nerve	27	27	$108.89	$34.91
92083 Exam of visual field with extended testing	27	26	$122.59	$62.99
92012 Established patient problem focused exam of visual system	25	24	$185.00	$90.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$350.00	$156.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	301	287	$156.00	$119.82
99213 Established patient office or other outpatient visit, typically 15 minutes	252	197	$120.16	$85.03
92134 Imaging of retina	194	173	$68.00	$38.03
92133 Imaging of optic nerve	134	129	$67.00	$33.15
92083 Exam of visual field with extended testing	121	116	$93.00	$58.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	113	113	$264.00	$157.10
92250 Photography of the retina	71	69	$105.00	$34.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	55	$165.69	$121.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$176.00	$104.38
92020 Examination of cornea and iris using lens device and slit lamp	13	12	$42.00	$26.78
92004 New patient complete exam of visual system	11	11	$183.00	$142.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	411	274	$110.00	$86.32
92014 Established patient complete exam of visual system	342	324	$156.00	$120.56
92134 Imaging of retina	182	161	$68.00	$38.41
92083 Exam of visual field with extended testing	156	140	$92.35	$59.51
92133 Imaging of optic nerve	149	145	$67.00	$33.71
92250 Photography of the retina	99	96	$92.88	$36.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$264.00	$159.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$176.00	$106.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$164.00	$123.44
76514 Ultrasound scan of cornea to determine thickness	21	21	$24.00	$10.35
92020 Examination of cornea and iris using lens device and slit lamp	13	13	$42.00	$26.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	365	256	$114.00	$84.94
92014 Established patient complete exam of visual system	345	340	$155.83	$121.07
92134 Imaging of retina	208	182	$68.00	$38.61
92083 Exam of visual field with extended testing	126	113	$90.18	$58.91
92133 Imaging of optic nerve	112	110	$67.21	$33.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$263.60	$156.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$175.74	$102.55
92250 Photography of the retina	89	85	$81.20	$42.33
99213 Established patient office or other outpatient visit, typically 15 minutes	39	32	$110.08	$71.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$164.00	$93.89
76514 Ultrasound scan of cornea to determine thickness	18	18	$24.00	$10.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	583	374	$113.11	$84.28
92014 Established patient complete exam of visual system	476	464	$154.79	$121.09
92134 Imaging of retina	282	236	$68.57	$38.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	156	156	$259.38	$155.69
92083 Exam of visual field with extended testing	128	111	$91.27	$60.56
92133 Imaging of optic nerve	120	113	$68.53	$33.98
92250 Photography of the retina	53	51	$82.62	$46.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$174.56	$97.15
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$108.14	$60.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$161.85	$87.62
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$42.00	$26.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	499	350	$103.00	$82.70
92014 Established patient complete exam of visual system	392	391	$151.00	$119.24
92134 Imaging of retina	254	232	$75.00	$39.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	198	198	$211.00	$153.96
92083 Exam of visual field with extended testing	103	94	$96.00	$60.37
92133 Imaging of optic nerve	98	93	$75.00	$34.07
99213 Established patient office or other outpatient visit, typically 15 minutes	67	56	$91.00	$64.90
92250 Photography of the retina	51	48	$73.00	$52.40
83861 Microfluid analysis of tears	41	19	$30.00	$22.03
92136 Measurement of corneal curvature and depth of eye	40	22	$170.00	$54.23
83516 Analysis of substance using immunoassay technique	38	20	$30.00	$13.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$163.00	$97.64
76514 Ultrasound scan of cornea to determine thickness	23	22	$25.00	$13.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$136.00	$94.94
92285 Photography of content of eyes	13	13	$55.00	$17.53
92020 Examination of cornea and iris using lens device and slit lamp	12	12	$45.00	$25.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	382	379	$151.00	$113.00
92012 Established patient problem focused exam of visual system	358	250	$103.00	$77.54
92134 Imaging of retina	164	145	$75.00	$37.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	123	123	$211.00	$149.21
99213 Established patient office or other outpatient visit, typically 15 minutes	71	57	$91.00	$65.60
92083 Exam of visual field with extended testing	69	62	$96.00	$57.82
92133 Imaging of optic nerve	65	62	$75.00	$33.16
83861 Microfluid analysis of tears	57	22	$30.00	$22.21
83516 Analysis of substance using immunoassay technique	47	20	$30.00	$15.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$163.00	$97.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$136.00	$97.99
92250 Photography of the retina	22	21	$73.00	$59.07
92004 New patient complete exam of visual system	19	19	$184.00	$136.66
92071 Fitting of contact lens for treatment of eye surface disease	18	12	$115.00	$34.89
76514 Ultrasound scan of cornea to determine thickness	12	12	$25.00	$13.15

Medical Specialties & State Licenses

CMS Verified: 2024-06-13

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License GA OPT003486

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License IN 18003734A

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Bhairavi Dholakia , MD

Ophthalmology

NPI 1669585022

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 June 13, 2024

Registered at 1230 BALD RIDGE MARINA RD STE 100, CUMMING, GA 300417950 (Tel: 7702921999)

📍

Updated Business Mailing Address June 13, 2024

Registered at 1230 BALD RIDGE MARINA RD STE 100, CUMMING, GA 300417950

✅

NPI Profile Active October 05, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 05, 2012

Registered at 1160 W MICHIGAN ST, INDIANAPOLIS, IN 462025209 (Tel: 3172785975)

📍

Updated Business Mailing Address October 05, 2012

Registered at 1160 W MICHIGAN ST, INDIANAPOLIS, IN 462025209

👤

Provider Name / Credentials Updated October 05, 2012

Recorded as PHILIP SHAFFER, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2012

Optometrist (License #18003734A in IN)

🟢

Initial NPI Registration & Enumeration October 05, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1205188844

Entity Type:

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

Enumeration Date: October 05, 2012

Last Update: June 13, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1230 Bald Ridge Marina Rd Ste 100

Cumming, GA 300417950

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.