Active NPI 1801940580 Individual Practitioner Male Practitioner

Dr. Jay Roser Ebbesen , OD

Optometrist • Dekalb, IL

Professional Overview & Biography Verified Profile Summary

Dr. Jay Ebbesen, OD is a registered healthcare professional specializing in Optometrist in Dekalb, IL. Practice services are available at 121 E LOCUST ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, new 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

121 E Locust St

Dekalb, IL 601153207

Telephone 8157566388

Fax 8157564861

Associated Practice Facility / Clinic

🏢 Dekalb Optometric Associates Pc Facility NPI 1205975752

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Dekalb, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 16.7 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

6 Specialists

Practicing in Dekalb, IL (2783 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

23.6% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	53	53	$134.91	$119.44
92004 New patient complete exam of visual system	21	21	$196.43	$133.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	164	162	$135.00	$88.29
92014 Established patient complete exam of visual system	17	17	$125.00	$120.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$75.00	$54.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	268	263	$134.05	$89.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$75.00	$54.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	256	250	$120.00	$73.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$75.00	$44.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,313	12	$3.47	$1.38
99213 Established patient office or other outpatient visit, typically 15 minutes	271	267	$120.00	$71.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$75.00	$43.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$180.00	$105.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,760	16	$3.55	$1.35
99213 Established patient office or other outpatient visit, typically 15 minutes	259	254	$120.00	$68.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$59.21	$41.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$180.00	$102.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	272	267	$119.83	$68.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$180.00	$101.78

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 152W00000X

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

046-007326 (IL)

Practice Associates & Co-Workers

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

3 Associated Practitioners

Stephen Storey , O, D

Optometrist

NPI 1154475671

Dr. Victor Verbic , OD

Optometrist

NPI 1194939769

Doctor of Optometry

Dr. Robert Skabo , OD

Optometrist

NPI 1821277880

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 September 21, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location September 21, 2011

Registered at 121 E LOCUST ST, DEKALB, IL 601153207 (Tel: 8157566388)

📍

Updated Business Mailing Address September 21, 2011

Registered at 121 E LOCUST ST, DEKALB, IL 601153207 (Tel: 8157566388)

👤

Provider Name / Credentials Updated September 21, 2011

Recorded as JAY EBBESEN, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2011

Optometrist (License #152W00000X in IL)

🟢

Initial NPI Registration & Enumeration January 22, 2007

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: 1801940580

Entity Type:

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

Enumeration Date: January 22, 2007

Last Update: September 21, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

121 E Locust St

Dekalb, IL 601153207

Phone: 8157566388

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.