Active NPI 1063591162 Individual Practitioner Male Practitioner

Dr. William Thomas Black , OD

Optometrist • Caldwell, ID

Professional Overview & Biography Verified Profile Summary

Dr. William Black, OD is a registered healthcare professional specializing in Optometrist in Caldwell, ID. Practice services are available at 420 E ELM ST 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

420 E Elm St

Caldwell, ID 836054846

Telephone 2084592020

Fax 2084592034

Associated Practice Facility / Clinic

🏢 Family Eyecare Specialists Pllc Facility NPI 1588840557

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Caldwell, ID

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 12.5 Yrs

State Avg: 21.1 Yrs

Regional Practice Density

14 Specialists

Practicing in Caldwell, ID (385 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

14.5% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	165	154	$129.22	$117.42
92250 Photography of the retina	146	144	$45.00	$34.34
99213 Established patient office or other outpatient visit, typically 15 minutes	54	40	$91.63	$84.22
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	31	31	$131.00	$115.46
92020 Examination of cornea and iris using lens device and slit lamp	27	27	$28.00	$26.21
68761 Closure of tear duct opening using plug	24	11	$145.62	$99.81
92012 Established patient problem focused exam of visual system	19	19	$90.00	$82.55
92134 Imaging of retina	17	17	$41.00	$35.87
92004 New patient complete exam of visual system	15	15	$159.61	$139.43
92083 Exam of visual field with extended testing	14	13	$64.00	$53.35
92060 Exam to measure eye deviation and range of motion	12	12	$65.00	$57.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	282	273	$45.12	$36.28
92014 Established patient complete exam of visual system	279	272	$129.00	$117.90
99213 Established patient office or other outpatient visit, typically 15 minutes	157	114	$91.39	$84.71
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	71	68	$131.00	$119.68
92012 Established patient problem focused exam of visual system	60	55	$90.00	$83.17
68761 Closure of tear duct opening using plug	55	27	$151.00	$110.67
92020 Examination of cornea and iris using lens device and slit lamp	50	47	$28.00	$26.21
92134 Imaging of retina	40	39	$41.00	$36.01
92083 Exam of visual field with extended testing	39	39	$64.00	$54.00
92060 Exam to measure eye deviation and range of motion	38	33	$65.00	$58.46
92004 New patient complete exam of visual system	37	37	$157.95	$140.73
92133 Imaging of optic nerve	28	27	$38.00	$32.11
92202 Extended exam of the back part of the eye with optic nerve drawing	16	15	$15.33	$15.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	281	280	$129.62	$119.88
92250 Photography of the retina	262	247	$45.82	$42.47
92012 Established patient problem focused exam of visual system	172	128	$90.12	$83.91
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	120	114	$132.43	$121.61
99213 Established patient office or other outpatient visit, typically 15 minutes	105	78	$76.72	$70.81
68761 Closure of tear duct opening using plug	61	32	$155.04	$111.29
92134 Imaging of retina	51	47	$41.29	$36.95
92083 Exam of visual field with extended testing	47	45	$64.12	$56.26
92020 Examination of cornea and iris using lens device and slit lamp	40	39	$28.05	$26.65
92004 New patient complete exam of visual system	28	28	$163.04	$143.41
92060 Exam to measure eye deviation and range of motion	25	22	$66.93	$59.51
92133 Imaging of optic nerve	23	22	$38.00	$32.80
92202 Extended exam of the back part of the eye with optic nerve drawing	15	15	$18.93	$15.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	287	286	$132.58	$118.31
92250 Photography of the retina	251	242	$52.59	$46.81
99213 Established patient office or other outpatient visit, typically 15 minutes	249	153	$77.52	$69.39
92012 Established patient problem focused exam of visual system	165	136	$91.74	$82.58
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	147	143	$138.49	$121.53
68761 Closure of tear duct opening using plug	133	58	$153.00	$108.11
92226 Examination of eye by ophthalmoscope with retinal drawing	105	54	$27.21	$24.08
92134 Imaging of retina	93	77	$43.25	$36.50
92083 Exam of visual field with extended testing	74	70	$67.10	$55.03
92133 Imaging of optic nerve	40	34	$39.18	$32.67
92020 Examination of cornea and iris using lens device and slit lamp	36	35	$28.97	$26.20
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	26	26	$80.79	$69.74
66984 Removal of cataract with insertion of lens	24	16	$133.00	$120.42
92060 Exam to measure eye deviation and range of motion	23	19	$66.99	$59.43
92004 New patient complete exam of visual system	21	21	$157.24	$142.12
76514 Ultrasound scan of cornea to determine thickness	20	20	$13.02	$10.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	329	307	$78.38	$50.05
99213 Established patient office or other outpatient visit, typically 15 minutes	322	195	$78.14	$64.59
92014 Established patient complete exam of visual system	300	295	$124.61	$112.12
92012 Established patient problem focused exam of visual system	123	103	$88.93	$77.54
68761 Closure of tear duct opening using plug	107	49	$140.00	$99.12
92134 Imaging of retina	96	82	$46.32	$35.38
92083 Exam of visual field with extended testing	96	89	$68.42	$55.93
92226 Examination of eye by ophthalmoscope with retinal drawing	65	34	$27.00	$22.37
92133 Imaging of optic nerve	53	50	$46.00	$31.24
92020 Examination of cornea and iris using lens device and slit lamp	48	47	$29.98	$24.06
92004 New patient complete exam of visual system	31	31	$150.30	$134.03
95930 Measurement of nerve conduction using visual stimulation testing with report	24	23	$135.46	$60.61
92225 Examination of eye by ophthalmoscope with retinal drawing	21	13	$29.00	$24.31
92275 Recording of retinal electrical responses to external stimuli	17	17	$146.00	$131.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$105.00	$95.60
66984 Removal of cataract with insertion of lens	15	11	$136.93	$113.46
92060 Exam to measure eye deviation and range of motion	13	12	$64.00	$57.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	383	353	$78.85	$56.51
92014 Established patient complete exam of visual system	366	360	$122.89	$108.30
99213 Established patient office or other outpatient visit, typically 15 minutes	247	174	$76.54	$63.83
92012 Established patient problem focused exam of visual system	208	157	$86.46	$74.66
92083 Exam of visual field with extended testing	104	97	$65.96	$54.84
92134 Imaging of retina	96	88	$46.00	$33.96
92133 Imaging of optic nerve	80	73	$46.00	$30.50
92020 Examination of cornea and iris using lens device and slit lamp	59	55	$30.00	$23.79
92275 Recording of retinal electrical responses to external stimuli	51	51	$143.33	$128.05
95930 Measurement of nerve conduction using visual stimulation testing with report	50	50	$128.40	$109.97
92004 New patient complete exam of visual system	43	43	$148.52	$131.11
66984 Removal of cataract with insertion of lens	32	23	$133.91	$109.24
92082 Exam of visual field with intermediate testing	32	31	$51.41	$38.54
92226 Examination of eye by ophthalmoscope with retinal drawing	27	17	$27.00	$21.80
92060 Exam to measure eye deviation and range of motion	17	17	$64.00	$56.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$111.07	$89.93
76514 Ultrasound scan of cornea to determine thickness	12	12	$18.00	$12.22

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License ID ID0857

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

002752500 (ID)

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Cadence Brunzlick , OD

Optometrist

NPI 1114501681

Doctor of Optometry

Dr. Douglas Adams , OD

Optometrist

NPI 1144750886

Doctor of Optometry

Nicholas Gonzales

Optometrist

NPI 1538858279

Dr. James Bewley , OD

Optometrist

NPI 1639257017

Doctor of Optometry

Dr. Susan Farmer , OD

Optometrist

NPI 1881740769

Doctor of Optometry

Dr. Joel Hernandez , OD

Optometrist

NPI 1952831695

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 30, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 30, 2012

Registered at 420 E ELM ST, CALDWELL, ID 836054846 (Tel: 2084592020)

📍

Updated Business Mailing Address August 30, 2012

Registered at 420 E ELM ST, CALDWELL, ID 836054846 (Tel: 2084592020)

👤

Provider Name / Credentials Updated August 30, 2012

Recorded as WILLIAM BLACK, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2012

Optometrist (License #ID0857 in ID)

🟢

Initial NPI Registration & Enumeration November 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1063591162

Entity Type:

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

Enumeration Date: November 02, 2006

Last Update: August 30, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

420 E Elm St

Caldwell, ID 836054846

Phone: 2084592020

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.