Active NPI 1275698516 Individual Practitioner Male Practitioner

Dr. William A Segal , MD

Ophthalmology • Duluth, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. William Segal, MD is a certified Ophthalmology practicing in Duluth, GA. With approximately 30 years of clinical experience since graduating from Emory University School Of Medicine in 1996, Dr. Segal delivers high-quality medical care to the local community at 3800 PLEASANT HILL RD.

Dr. Segal is affiliated with Eugene B Gabianelli Md And Assoc Llc and accepts Medicare assignment.

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

3800 Pleasant Hill Rd
Suite 3

Duluth, GA 300961428

Telephone 6785840400

Fax 6785840568

Associated Practice Facility / Clinic

🏢 Berkeley Family Medicine Associates, Llc Facility NPI 1346428372

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Duluth, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +5.0 yrs vs City Avg

City Avg: 25.0 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

7 Specialists

Practicing in Duluth, GA (579 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Segal (30 Years) 30 Yrs

Duluth Specialty Average (25.0 Years) 25.0 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	510	466	$293.13	$126.18
92250 Photography of the retina	478	472	$153.24	$35.56
92012 Established patient problem focused exam of visual system	399	333	$200.22	$89.39
92083 Exam of visual field with extended testing	340	323	$173.38	$63.58
92134 Imaging of retina	240	233	$101.90	$39.87
92133 Imaging of optic nerve	226	225	$99.31	$35.45
92136 Measurement of corneal curvature and depth of eye	135	66	$215.62	$34.70
92020 Examination of cornea and iris using lens device and slit lamp	111	110	$89.09	$27.58
76514 Ultrasound scan of cornea to determine thickness	101	101	$45.14	$10.75
67820 Removal of eyelashes using forceps	96	79	$357.22	$20.20
66821 Removal of recurring cataract in lens capsule using a laser	81	51	$734.77	$334.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	55	$292.07	$129.75
66984 Removal of cataract with insertion of lens	54	34	$1742.18	$544.76
68761 Closure of tear duct opening using plug	48	33	$581.49	$126.78
99213 Established patient office or other outpatient visit, typically 15 minutes	43	38	$165.12	$91.99
92004 New patient complete exam of visual system	41	41	$382.53	$149.80
92025 Ct scan of cornea	34	28	$94.94	$35.80
66982 Complex removal of cataract with insertion of prosthetic lens	30	23	$2100.22	$744.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$372.80	$168.54
65205 Removal of foreign body in external eye, conjunctiva	15	15	$119.80	$27.77
92201 Extended exam of the back part of the eye with retinal drawing	11	11	$59.29	$24.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	571	519	$253.00	$126.25
92250 Photography of the retina	509	505	$150.00	$35.77
92012 Established patient problem focused exam of visual system	471	376	$175.00	$89.89
92083 Exam of visual field with extended testing	339	326	$165.00	$62.58
92134 Imaging of retina	319	290	$95.00	$39.85
76514 Ultrasound scan of cornea to determine thickness	285	284	$50.00	$10.78
92133 Imaging of optic nerve	170	167	$95.00	$35.90
92136 Measurement of corneal curvature and depth of eye	125	67	$220.43	$30.70
66984 Removal of cataract with insertion of lens	98	59	$1800.00	$532.80
67820 Removal of eyelashes using forceps	90	76	$409.22	$22.82
66821 Removal of recurring cataract in lens capsule using a laser	74	49	$670.00	$330.82
92020 Examination of cornea and iris using lens device and slit lamp	60	60	$95.00	$27.61
68761 Closure of tear duct opening using plug	47	41	$621.28	$180.61
92004 New patient complete exam of visual system	44	44	$350.00	$149.45
92025 Ct scan of cornea	29	25	$81.90	$36.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$349.00	$166.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$228.00	$127.67
66710 Destruction of lens tissue using laser	19	16	$1178.95	$361.67
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$154.00	$90.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	670	598	$258.00	$127.86
92250 Photography of the retina	628	624	$156.00	$35.85
92012 Established patient problem focused exam of visual system	594	458	$164.00	$90.22
92083 Exam of visual field with extended testing	403	400	$156.00	$63.30
92134 Imaging of retina	327	300	$156.00	$40.19
92133 Imaging of optic nerve	291	287	$156.00	$36.26
92136 Measurement of corneal curvature and depth of eye	274	110	$350.00	$27.09
66821 Removal of recurring cataract in lens capsule using a laser	120	78	$1219.00	$334.32
66984 Removal of cataract with insertion of lens	120	74	$3100.00	$526.61
67820 Removal of eyelashes using forceps	115	96	$188.00	$21.08
68761 Closure of tear duct opening using plug	86	73	$400.00	$209.43
92020 Examination of cornea and iris using lens device and slit lamp	78	77	$94.00	$28.05
92025 Ct scan of cornea	73	60	$175.00	$34.43
92004 New patient complete exam of visual system	52	52	$313.13	$152.16
92201 Extended exam of the back part of the eye with retinal drawing	42	37	$156.00	$24.95
76514 Ultrasound scan of cornea to determine thickness	32	32	$175.00	$10.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$320.00	$163.82
66710 Destruction of lens tissue using laser	27	20	$1377.78	$237.70
92082 Exam of visual field with intermediate testing	22	19	$150.00	$47.15
66982 Complex removal of cataract with insertion of prosthetic lens	20	17	$5000.00	$746.97
65210 Removal of foreign body from external eye (conjunctiva or sclera)	17	16	$500.00	$40.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$219.00	$113.43
92285 Photography of content of eyes	15	15	$156.00	$20.80
66821 Removal of recurring cataract in lens capsule using a laser	14	14	$1219.00	$315.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	706	503	$164.00	$89.85
92014 Established patient complete exam of visual system	688	596	$258.00	$127.27
92250 Photography of the retina	621	614	$156.00	$37.58
92083 Exam of visual field with extended testing	407	399	$156.00	$63.32
92134 Imaging of retina	360	329	$156.00	$39.70
92133 Imaging of optic nerve	303	299	$156.00	$36.30
92136 Measurement of corneal curvature and depth of eye	282	115	$350.00	$29.20
67820 Removal of eyelashes using forceps	159	122	$188.00	$24.57
66984 Removal of cataract with insertion of lens	111	66	$3100.00	$538.47
66821 Removal of recurring cataract in lens capsule using a laser	105	67	$1219.00	$338.25
68761 Closure of tear duct opening using plug	75	61	$400.00	$208.41
92020 Examination of cornea and iris using lens device and slit lamp	66	65	$94.00	$28.20
92004 New patient complete exam of visual system	65	65	$313.00	$152.14
92201 Extended exam of the back part of the eye with retinal drawing	55	44	$156.00	$24.58
76514 Ultrasound scan of cornea to determine thickness	52	52	$175.00	$11.02
92025 Ct scan of cornea	30	25	$175.00	$35.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$219.00	$113.14
66710 Destruction of lens tissue using laser	22	15	$1472.73	$320.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$320.00	$169.02
92082 Exam of visual field with intermediate testing	18	18	$150.00	$45.35
65855 Laser repair to improve eye fluid flow	17	12	$1600.00	$249.52
92285 Photography of content of eyes	15	15	$156.00	$18.23
68840 Probing of nasal-tear duct	14	13	$300.00	$79.28
65210 Removal of foreign body from external eye (conjunctiva or sclera)	13	13	$500.00	$36.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	697	619	$258.00	$127.19
92250 Photography of the retina	641	631	$156.00	$43.17
92012 Established patient problem focused exam of visual system	612	465	$164.00	$89.52
92083 Exam of visual field with extended testing	395	387	$156.00	$63.89
92134 Imaging of retina	309	300	$156.00	$40.66
92133 Imaging of optic nerve	267	265	$156.00	$36.64
92136 Measurement of corneal curvature and depth of eye	237	117	$350.00	$33.04
67820 Removal of eyelashes using forceps	118	91	$188.00	$29.86
66984 Removal of cataract with insertion of lens	94	67	$3100.00	$541.95
66821 Removal of recurring cataract in lens capsule using a laser	75	48	$1219.00	$338.21
92020 Examination of cornea and iris using lens device and slit lamp	68	66	$94.00	$28.06
92004 New patient complete exam of visual system	67	67	$313.00	$152.32
76514 Ultrasound scan of cornea to determine thickness	58	58	$175.00	$11.43
68761 Closure of tear duct opening using plug	52	49	$400.00	$213.30
92201 Extended exam of the back part of the eye with retinal drawing	47	43	$156.00	$25.51
99213 Established patient office or other outpatient visit, typically 15 minutes	44	28	$144.00	$73.63
65855 Laser repair to improve eye fluid flow	35	20	$1600.00	$250.83
68840 Probing of nasal-tear duct	34	34	$300.00	$100.70
66982 Complex removal of cataract with insertion of prosthetic lens	29	21	$5000.00	$762.32
66710 Destruction of lens tissue using laser	28	20	$1242.86	$292.33
92025 Ct scan of cornea	25	23	$175.00	$35.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$219.00	$109.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$320.00	$166.88
92082 Exam of visual field with intermediate testing	17	17	$150.00	$47.56
92285 Photography of content of eyes	13	13	$156.00	$18.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	888	671	$164.00	$88.25
92014 Established patient complete exam of visual system	875	744	$258.00	$126.05
92250 Photography of the retina	835	819	$156.00	$48.08
92083 Exam of visual field with extended testing	513	501	$156.00	$63.92
92134 Imaging of retina	444	431	$156.00	$40.33
92133 Imaging of optic nerve	381	379	$156.00	$36.22
92136 Measurement of corneal curvature and depth of eye	293	128	$350.00	$34.56
92225 Examination of eye by ophthalmoscope with retinal drawing	217	126	$156.00	$27.43
92004 New patient complete exam of visual system	138	138	$313.00	$151.46
66821 Removal of recurring cataract in lens capsule using a laser	137	88	$1219.00	$334.48
66984 Removal of cataract with insertion of lens	122	76	$3100.00	$645.40
92020 Examination of cornea and iris using lens device and slit lamp	110	110	$94.00	$27.28
76514 Ultrasound scan of cornea to determine thickness	109	109	$175.00	$11.93
67820 Removal of eyelashes using forceps	61	54	$191.08	$32.94
68761 Closure of tear duct opening using plug	49	46	$409.18	$201.98
65855 Laser repair to improve eye fluid flow	44	24	$1600.00	$237.54
68840 Probing of nasal-tear duct	42	40	$335.71	$94.16
66982 Complex removal of cataract with insertion of prosthetic lens	33	26	$5000.00	$801.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$320.00	$165.15
66710 Destruction of lens tissue using laser	26	17	$1200.00	$217.54
65210 Removal of foreign body from external eye (conjunctiva or sclera)	20	19	$500.00	$55.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$219.00	$108.61
92285 Photography of content of eyes	18	18	$156.00	$18.17
92071 Fitting of contact lens for treatment of eye surface disease	16	11	$150.00	$37.98
92226 Examination of eye by ophthalmoscope with retinal drawing	15	12	$100.00	$25.56
92082 Exam of visual field with intermediate testing	14	14	$150.00	$47.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	923	738	$258.00	$126.01
92012 Established patient problem focused exam of visual system	792	576	$164.00	$87.69
92250 Photography of the retina	779	766	$156.00	$53.81
92083 Exam of visual field with extended testing	495	478	$156.00	$63.65
92134 Imaging of retina	451	417	$156.00	$40.63
92133 Imaging of optic nerve	334	332	$156.00	$36.59
92136 Measurement of corneal curvature and depth of eye	326	142	$350.00	$37.74
92225 Examination of eye by ophthalmoscope with retinal drawing	217	114	$156.00	$26.40
66984 Removal of cataract with insertion of lens	133	87	$3178.95	$631.39
66821 Removal of recurring cataract in lens capsule using a laser	121	76	$1219.00	$333.35
92004 New patient complete exam of visual system	100	100	$313.00	$150.34
76514 Ultrasound scan of cornea to determine thickness	75	75	$175.00	$14.36
92226 Examination of eye by ophthalmoscope with retinal drawing	69	40	$100.00	$25.14
92020 Examination of cornea and iris using lens device and slit lamp	49	49	$94.00	$26.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$320.00	$165.64
66982 Complex removal of cataract with insertion of prosthetic lens	36	31	$5000.00	$783.97
67820 Removal of eyelashes using forceps	28	26	$221.57	$44.36
68761 Closure of tear duct opening using plug	25	20	$525.00	$194.80
92082 Exam of visual field with intermediate testing	18	18	$150.00	$47.06
92285 Photography of content of eyes	18	17	$156.00	$17.79
66710 Destruction of lens tissue using laser	18	14	$1400.00	$240.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$219.00	$108.86
92071 Fitting of contact lens for treatment of eye surface disease	13	12	$146.38	$37.92
67840 Removal of eyelid growth	12	12	$500.00	$278.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	914	618	$164.00	$84.94
92014 Established patient complete exam of visual system	848	710	$258.00	$122.50
92250 Photography of the retina	773	760	$156.00	$64.78
92083 Exam of visual field with extended testing	502	487	$156.00	$59.31
92134 Imaging of retina	471	453	$156.00	$39.80
92136 Measurement of corneal curvature and depth of eye	414	158	$350.00	$42.27
92133 Imaging of optic nerve	349	348	$156.00	$35.73
92225 Examination of eye by ophthalmoscope with retinal drawing	180	86	$156.00	$26.86
66984 Removal of cataract with insertion of lens	157	100	$3250.00	$631.34
66821 Removal of recurring cataract in lens capsule using a laser	146	96	$1219.00	$328.53
76514 Ultrasound scan of cornea to determine thickness	110	109	$175.00	$13.90
92004 New patient complete exam of visual system	97	97	$313.00	$146.49
92286 Imaging of front third of eye using a special microscope	62	62	$117.00	$36.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$320.00	$164.29
92020 Examination of cornea and iris using lens device and slit lamp	47	47	$94.00	$26.29
65855 Laser repair to improve eye fluid flow	41	23	$1600.00	$244.72
92226 Examination of eye by ophthalmoscope with retinal drawing	37	23	$100.00	$24.74
67820 Removal of eyelashes using forceps	36	26	$208.89	$55.79
66982 Complex removal of cataract with insertion of prosthetic lens	35	26	$5000.00	$796.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$219.00	$108.23
92025 Ct scan of cornea	19	14	$175.00	$35.81
68761 Closure of tear duct opening using plug	18	11	$437.50	$163.86
92285 Photography of content of eyes	18	18	$156.00	$17.56
92082 Exam of visual field with intermediate testing	17	17	$150.00	$47.22
92071 Fitting of contact lens for treatment of eye surface disease	12	12	$103.00	$37.82

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License GA 050261

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.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License GA 50261

Hospital & Practice Group Affiliations

Eugene B Gabianelli Md And Assoc Llc

3800 Pleasant Hill Rd, Duluth, GA 300961428

Phone: 7077367020

Eugene B Gabianelli Md And Assoc Llc

550 Peachtree St Ne, Atlanta, GA 303082248

Phone: 4048976810

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Robert Grace , DC

Chiropractor

NPI 1164555405

Doctor of Chiropractic

Sonya Wright , MPT

Physical Therapist

NPI 1366577900

Master of Physical Therapy

Dr. Marc Lay , OD

Optometrist

NPI 1497060362

Doctor of Optometry

Dr. Shirley Young , MD

Family Medicine

NPI 1558547968

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2019

Ophthalmology (License #50261 in GA)

✅

NPI Profile Active October 04, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 04, 2013

Registered at 3800 PLEASANT HILL RD, SUITE 3, DULUTH, GA 300961428 (Tel: 6785840400)

📍

Updated Business Mailing Address October 04, 2013

Registered at 3800 PLEASANT HILL RD, SUITE 3, DULUTH, GA 300961428 (Tel: 6785840400)

👤

Provider Name / Credentials Updated October 04, 2013

Recorded as WILLIAM SEGAL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2013

Ophthalmology (License #050261 in GA)

🟢

Initial NPI Registration & Enumeration December 27, 2006

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: 1275698516

Entity Type:

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

Enumeration Date: December 27, 2006

Last Update: October 31, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3800 Pleasant Hill Rd, Suite 3

Duluth, GA 300961428

Phone: 6785840400

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.