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Active NPI 1740273754 Individual Practitioner Male Practitioner

Dr. Jonathan Edward Micetich , OD

Optometrist • Coal City, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Micetich, OD is a certified Optometrist practicing in Coal City, IL. With approximately 30 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 1996, Dr. Micetich delivers high-quality medical care to the local community at 20 E NORTH STREET.

Dr. Micetich is affiliated with Myeyedr Optometry Of Illinois Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, established patient complete exam of visual system, 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

20 E North Street

Coal City, IL 604161087

Telephone 8156344825
Fax 8156344938
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Coal City, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
30 Yrs +14.0 yrs vs City Avg
City Avg: 16.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
5 Specialists

Practicing in Coal City, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
37.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Micetich (30 Years) 30 Yrs
Coal City Specialty Average (16.0 Years) 16.0 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
3,014 22 $4.51 $1.10
92014 Established patient complete exam of visual system
84 84 $175.00 $117.49
99213 Established patient office or other outpatient visit, typically 15 minutes
34 25 $125.00 $86.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
28 19 $80.00 $53.54
92250 Photography of the retina
27 27 $95.00 $34.49
92004 New patient complete exam of visual system
14 14 $205.00 $138.91
92134 Imaging of retina
13 13 $64.23 $36.60

Medical Specialties & State Licenses

CMS Verified: 2021-03-25
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046008925

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
046008925 (IL)
Commercial Insurance / Payer ID Blue Cross Blue Shield Of Illinois
3232003 (IL)
Commercial Insurance / Payer ID National Goverment Services
5075840001 (IL)

Hospital & Practice Group Affiliations

Myeyedr Optometry Of Illinois Llc

20 E N St, Coal City, IL 604161087

Phone: 8156344825

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1649274366

Doctor of Optometry

NPI 1679021547

Doctor of Optometry

NPI 1710326657

Doctor of Optometry

Abigail Norris

Optometrist

NPI 1902489982

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address March 25, 2021

Registered at 1950 OLD GALLOWS RD STE 520, VIENNA, VA 221823970 (Tel: 7038478899)

NPI Profile Active September 20, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 20, 2012

Registered at 20 E NORTH STREET, COAL CITY, IL 604161087 (Tel: 8156344825)

📍
Updated Business Mailing Address September 20, 2012

Registered at 2920 GATEWAY GORGE, MORRIS, IL 604509771 (Tel: 8159411756)

👤
Provider Name / Credentials Updated September 20, 2012

Recorded as JONATHAN MICETICH, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2012

Optometrist (License #046008925 in IL)

🟢
Initial NPI Registration & Enumeration August 24, 2005

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: 1740273754
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2005
Last Update: March 25, 2021
Sole Proprietor: Yes

Mailing Address

1950 Old Gallows Rd Ste 520

Vienna, VA 221823970

Phone: 7038478899

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.