Active NPI 1336209055 Individual Practitioner Male Practitioner

Dr. Scott A Clarke , OD

Optometrist • Charleston, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Scott Clarke, OD is a certified Optometrist practicing in Charleston, IL. With approximately 36 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 1990, Dr. Clarke delivers high-quality medical care to the local community at 620 6TH ST.

Dr. Clarke accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, established patient complete exam of visual system, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

620 6th St

Charleston, IL 619202017

Telephone 2173480800

Fax 2173480802

Associated Practice Facility / Clinic

🏢 Central Illinois Vision Associates Ltd Facility NPI 1649418385

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Charleston, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +10.0 yrs vs City Avg

City Avg: 26.0 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

4 Specialists

Practicing in Charleston, IL (2783 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

26.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clarke (36 Years) 36 Yrs

Charleston Specialty Average (26.0 Years) 26.0 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	1,800	13	$3.19	$1.13
92014 Established patient complete exam of visual system	129	116	$135.00	$117.42
92134 Imaging of retina	57	47	$60.00	$37.77
92133 Imaging of optic nerve	25	21	$60.00	$34.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,154	14	$2.90	$1.14
92014 Established patient complete exam of visual system	110	97	$135.00	$119.08
92134 Imaging of retina	52	41	$60.00	$38.19
92133 Imaging of optic nerve	19	15	$60.00	$34.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	95	89	$135.00	$120.78
92134 Imaging of retina	42	37	$60.00	$38.71
92133 Imaging of optic nerve	26	21	$60.00	$35.16
92250 Photography of the retina	14	13	$70.00	$35.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$135.00	$124.01
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$85.00	$84.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	84	82	$135.00	$121.94
92134 Imaging of retina	40	32	$60.00	$39.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	20	$135.00	$126.87
92133 Imaging of optic nerve	21	16	$60.00	$35.78
92250 Photography of the retina	19	18	$70.00	$37.69
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$85.00	$85.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	76	76	$135.00	$122.09
92134 Imaging of retina	47	40	$60.00	$39.53
92004 New patient complete exam of visual system	30	30	$135.00	$134.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	22	$135.00	$106.81
92250 Photography of the retina	27	26	$70.00	$43.33
92133 Imaging of optic nerve	15	12	$60.00	$36.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	71	70	$135.00	$121.39
92134 Imaging of retina	39	33	$60.00	$39.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	33	$135.00	$105.26
92133 Imaging of optic nerve	29	24	$60.00	$35.66
92004 New patient complete exam of visual system	28	28	$135.00	$132.97
92250 Photography of the retina	27	26	$70.00	$48.10
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$85.00	$71.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	41	$135.00	$101.96
92014 Established patient complete exam of visual system	48	48	$135.00	$118.02
92134 Imaging of retina	42	32	$60.00	$38.99
92250 Photography of the retina	34	33	$70.00	$52.77
92004 New patient complete exam of visual system	31	31	$135.00	$132.89
99213 Established patient office or other outpatient visit, typically 15 minutes	23	17	$85.00	$68.70
92133 Imaging of optic nerve	23	19	$60.00	$35.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	78	71	$70.00	$59.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	57	$135.00	$100.37
92014 Established patient complete exam of visual system	47	47	$135.00	$114.11
92134 Imaging of retina	47	41	$60.00	$37.82
92133 Imaging of optic nerve	32	24	$60.00	$34.48
92004 New patient complete exam of visual system	21	21	$135.00	$132.47

Medical Specialties & State Licenses

CMS Verified: 2020-07-31

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046008347

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

046008347 (IL)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 09, 2019

Registered at 620 6TH ST, CHARLESTON, IL 619202017 (Tel: 2173480800)

📍

Updated Business Mailing Address January 09, 2019

Registered at 620 6TH ST, CHARLESTON, IL 619202017 (Tel: 2173480800)

✅

NPI Profile Active May 01, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 01, 2014

Registered at 838 W LINCOLN AVE, CHARLESTON, IL 619202405 (Tel: 2173480800)

📍

Updated Business Mailing Address May 01, 2014

Registered at 838 W LINCOLN AVE, CHARLESTON, IL 619202405 (Tel: 2173480800)

👤

Provider Name / Credentials Updated May 01, 2014

Recorded as SCOTT CLARKE, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2014

Optometrist (License #046008347 in IL)

🟢

Initial NPI Registration & Enumeration December 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1336209055

Entity Type:

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

Enumeration Date: December 11, 2006

Last Update: July 31, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

620 6th St

Charleston, IL 619202017

Phone: 2173480800

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.