Active NPI 1245688308 Individual Practitioner Male Practitioner

Dr. Michael Sebastian Spencer , OD

Optometrist • Benton, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Spencer, OD is a certified Optometrist practicing in Benton, IL. With approximately 10 years of clinical experience since graduating from University Of Missouri St Louis - School Of Optometry in 2016, Dr. Spencer delivers high-quality medical care to the local community at 711 N MAIN ST.

Dr. Spencer is affiliated with Spencer Family Eye Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, removal of recurring cataract in lens capsule using a laser, 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

711 N Main St

Benton, IL 628121017

Telephone 6184397256

Associated Practice Facility / Clinic

🏢 David K. Spencer, O.d. Facility NPI 1316121015

Medicare Profile & Education

Medical School

University Of Missouri St Louis - School Of Optometry

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Benton, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs Matches City Avg

City Avg: 10.0 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

3 Specialists

Practicing in Benton, IL (2783 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

20.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Spencer (10 Years) 10 Yrs

Benton Specialty Average (10.0 Years) 10.0 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
66984 Removal of cataract with insertion of lens	3,765	31	$1.66	$1.08
66821 Removal of recurring cataract in lens capsule using a laser	1,604	13	$0.85	$0.65
99213 Established patient office or other outpatient visit, typically 15 minutes	423	297	$92.51	$86.81
92014 Established patient complete exam of visual system	134	134	$125.46	$117.45
92250 Photography of the retina	104	104	$71.69	$34.00
92133 Imaging of optic nerve	79	77	$77.82	$32.27
92083 Exam of visual field with extended testing	78	78	$88.90	$58.49
92134 Imaging of retina	63	60	$77.87	$37.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	43	$127.88	$121.57
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	26	26	$20.00	$15.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$107.76	$100.83
92004 New patient complete exam of visual system	12	12	$149.00	$139.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,790	24	$1.66	$1.14
99213 Established patient office or other outpatient visit, typically 15 minutes	389	253	$89.00	$86.76
92250 Photography of the retina	117	117	$70.00	$34.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	101	$113.33	$111.69
92083 Exam of visual field with extended testing	98	98	$87.00	$58.42
92133 Imaging of optic nerve	86	86	$76.00	$32.65
92014 Established patient complete exam of visual system	71	71	$124.31	$118.85
92134 Imaging of retina	66	63	$76.00	$38.07
92012 Established patient problem focused exam of visual system	64	64	$86.00	$84.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$111.00	$108.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,791	24	$1.71	$1.19
66821 Removal of recurring cataract in lens capsule using a laser	1,344	14	$0.81	$0.71
99213 Established patient office or other outpatient visit, typically 15 minutes	410	318	$88.18	$87.22
92012 Established patient problem focused exam of visual system	108	107	$85.83	$84.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	103	$112.28	$110.91
92250 Photography of the retina	101	100	$70.00	$34.76
92134 Imaging of retina	83	79	$76.00	$38.72
92083 Exam of visual field with extended testing	80	80	$86.80	$59.26
92133 Imaging of optic nerve	78	77	$76.00	$33.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$110.49	$109.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,870	31	$1.66	$1.18
66821 Removal of recurring cataract in lens capsule using a laser	2,160	22	$0.90	$0.75
99213 Established patient office or other outpatient visit, typically 15 minutes	354	299	$72.88	$73.18
92012 Established patient problem focused exam of visual system	104	103	$83.00	$83.39
92134 Imaging of retina	65	63	$76.00	$39.42
92250 Photography of the retina	64	63	$70.00	$37.03
92083 Exam of visual field with extended testing	53	53	$83.00	$60.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	48	$107.00	$107.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$106.00	$106.38
92133 Imaging of optic nerve	45	45	$76.00	$34.28
92014 Established patient complete exam of visual system	21	21	$123.90	$120.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,872	33	$1.69	$1.19
66821 Removal of recurring cataract in lens capsule using a laser	2,525	25	$0.92	$0.74
99213 Established patient office or other outpatient visit, typically 15 minutes	237	171	$73.87	$73.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	86	$109.35	$106.96
92012 Established patient problem focused exam of visual system	81	81	$83.43	$83.16
92134 Imaging of retina	54	49	$71.11	$39.50
92250 Photography of the retina	49	49	$70.22	$42.27
92083 Exam of visual field with extended testing	41	41	$82.41	$60.46
92133 Imaging of optic nerve	33	33	$72.36	$34.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$107.25	$105.73
92014 Established patient complete exam of visual system	12	12	$112.42	$112.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	242	182	$73.81	$72.05
92012 Established patient problem focused exam of visual system	129	126	$82.74	$81.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	113	$108.65	$105.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$106.29	$104.99
92250 Photography of the retina	55	55	$70.40	$46.66
92133 Imaging of optic nerve	55	55	$67.27	$34.54
92134 Imaging of retina	53	51	$69.21	$39.52
92083 Exam of visual field with extended testing	52	51	$82.13	$61.01
92014 Established patient complete exam of visual system	25	25	$108.48	$104.97
92002 New patient problem focused exam of visual system	12	12	$79.42	$78.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66821 Removal of recurring cataract in lens capsule using a laser	1,530	14	$0.73	$0.70
99213 Established patient office or other outpatient visit, typically 15 minutes	193	152	$74.17	$70.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	131	$108.28	$104.07
92012 Established patient problem focused exam of visual system	85	85	$82.56	$81.02
92014 Established patient complete exam of visual system	80	80	$103.33	$101.19
92134 Imaging of retina	49	48	$64.59	$39.80
92133 Imaging of optic nerve	46	45	$60.20	$35.83
92083 Exam of visual field with extended testing	38	38	$81.42	$60.78
92004 New patient complete exam of visual system	34	34	$116.15	$114.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$106.22	$103.78
92250 Photography of the retina	12	12	$70.00	$50.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,335	30	$1.89	$1.56
66821 Removal of recurring cataract in lens capsule using a laser	1,801	17	$0.73	$0.72
99213 Established patient office or other outpatient visit, typically 15 minutes	217	140	$73.00	$69.96
92014 Established patient complete exam of visual system	175	175	$100.80	$99.37
92004 New patient complete exam of visual system	69	69	$106.97	$105.52
92133 Imaging of optic nerve	41	41	$54.66	$35.68
92134 Imaging of retina	33	33	$56.30	$39.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$107.00	$102.47
92083 Exam of visual field with extended testing	20	20	$80.45	$60.12
92250 Photography of the retina	16	16	$77.56	$61.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$46.20	$41.59
92012 Established patient problem focused exam of visual system	12	12	$80.67	$78.78

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046010980

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.

Hospital & Practice Group Affiliations

Spencer Family Eye Care Llc

711 N Main St, Benton, IL 628121017

Phone: 6184397256

Spencer Family Eye Care Llc

410 W Randolph St, Mc Leansboro, IL 628591280

Phone: 6186435113

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Donna Spencer , OD

Optometrist

NPI 1194732800

Doctor of Optometry

Dr. David Spencer , OD

Optometrist

NPI 1750398467

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 May 31, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 31, 2016

Registered at 711 N MAIN ST, BENTON, IL 628121017 (Tel: 6184397256)

📍

Updated Business Mailing Address May 31, 2016

Registered at 711 N MAIN ST, BENTON, IL 628121017 (Tel: 6184397256)

👤

Provider Name / Credentials Updated May 31, 2016

Recorded as MICHAEL SPENCER, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2016

Optometrist (License #046010980 in IL)

🟢

Initial NPI Registration & Enumeration May 31, 2016

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: 1245688308

Entity Type:

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

Enumeration Date: May 31, 2016

Last Update: May 31, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

711 N Main St

Benton, IL 628121017

Phone: 6184397256

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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