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Deactivated NPI 1760401202 Deactivated / Inactive NPI Male Practitioner

Dr. Charles E Bedford , OD

Optometrist • Decatur, IL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Bedford has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 18, 2006
NPI Deactivation Date August 10, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Bedford, OD was a registered Optometrist practicing in Decatur, IL. Throughout an active medical career spanning 16 years, Dr. Bedford provided care at the practice location at 1270 S JASPER ST until profile deactivation on 2022-08-10.

Historical Medicare Part B clinical services included removal of cataract with insertion of lens, established patient outpatient office visit, imaging of retina. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1270 S Jasper St

Decatur, IL 625213531

Telephone 2174228032
Associated Practice Facility / Clinic
🏢 Decatur Eyecare Associates Facility NPI 1053572255

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Decatur, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.3 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
13 Specialists

Practicing in Decatur, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
23.4% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
66984 Removal of cataract with insertion of lens
3,935 31 $1.65 $1.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
512 443 $90.00 $88.30
92134 Imaging of retina
179 161 $47.00 $37.24
92083 Exam of visual field with extended testing
154 145 $80.00 $57.60
99213 Established patient office or other outpatient visit, typically 15 minutes
145 124 $75.00 $66.86
76512 Ultrasound of eye disease, growth, or structure
64 60 $95.00 $66.57
92250 Photography of the retina
48 45 $75.00 $49.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
32 29 $55.00 $39.92
92133 Imaging of optic nerve
20 20 $47.00 $33.48
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
15 14 $35.00 $19.38

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 467080

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 10, 2022

Record deactivated on August 10, 2022

NPI Profile Active November 18, 2014

NPI status registered as active in NPPES database

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Updated Practice Location November 18, 2014

Registered at 1270 S JASPER ST, DECATUR, IL 625213531 (Tel: 2174228032)

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Updated Business Mailing Address November 18, 2014

Registered at 1270 S JASPER ST, DECATUR, IL 625213531 (Tel: 2174228032)

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Provider Name / Credentials Updated November 18, 2014

Recorded as CHARLES BEDFORD, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2014

Optometrist (License #467080 in IL)

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Initial NPI Registration & Enumeration July 18, 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: 1760401202
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2006
Last Update: November 18, 2014
Deactivation Date: August 10, 2022

Mailing Address

1270 S Jasper St

Decatur, IL 625213531

Phone: 2174228032

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.