Active NPI 1093768061 Individual Practitioner Male Practitioner

Dr. John D Kay , MD

Ophthalmology • Effingham, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Kay, MD is a certified Ophthalmology practicing in Effingham, IL. With approximately 44 years of clinical experience since graduating from Indiana University School Of Medicine in 1982, Dr. Kay delivers high-quality medical care to the local community at 903 MEDICAL PARK DR.

Dr. Kay maintains professional affiliations with Sarah Bush Lincoln Health Center, Effingham Ophthalmology Associates, Ltd. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, measurement of corneal curvature and depth of eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

903 Medical Park Dr

Effingham, IL 624012190

Telephone 2173472933

Fax 2173472932

Associated Practice Facility / Clinic

🏢 Effingham Ophthalmology Associates, Ltd. Facility NPI 1598718454

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Effingham, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +12.0 yrs vs City Avg

City Avg: 32.0 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Effingham, IL (954 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kay (44 Years) 44 Yrs

Effingham Specialty Average (32.0 Years) 32.0 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
92014 Established patient complete exam of visual system	1,456	1,387	$235.00	$118.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	396	231	$106.00	$54.03
92136 Measurement of corneal curvature and depth of eye	367	157	$93.89	$23.53
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	259	163	$16.60	$15.97
92004 New patient complete exam of visual system	193	193	$280.00	$140.14
92012 Established patient problem focused exam of visual system	182	163	$173.00	$83.41
66984 Removal of cataract with insertion of lens	175	123	$1400.00	$514.52
92083 Exam of visual field with extended testing	125	124	$122.68	$58.65
92133 Imaging of optic nerve	120	119	$100.00	$34.13
66821 Removal of recurring cataract in lens capsule using a laser	120	108	$625.00	$312.29
92134 Imaging of retina	81	80	$100.00	$37.40
68841 Insertion of drug delivery implant into tear duct of eye	78	60	$73.34	$15.47
92020 Examination of cornea and iris using lens device and slit lamp	57	56	$65.00	$25.88
65205 Removal of foreign body in external eye, conjunctiva	50	49	$87.38	$27.69
99213 Established patient office or other outpatient visit, typically 15 minutes	40	39	$172.00	$87.24
66982 Complex removal of cataract with insertion of prosthetic lens	35	28	$2915.29	$703.36
67820 Removal of eyelashes using forceps	32	29	$53.13	$18.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$243.00	$122.81
92202 Extended exam of the back part of the eye with optic nerve drawing	23	23	$47.00	$14.72
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$115.00	$66.43
76514 Ultrasound scan of cornea to determine thickness	18	18	$29.25	$10.32
92285 Photography of content of eyes	17	17	$60.83	$21.49
67800 Removal of eyelid growth	14	12	$233.97	$117.05
92002 New patient problem focused exam of visual system	13	13	$159.00	$79.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,421	1,352	$235.00	$119.06
92136 Measurement of corneal curvature and depth of eye	341	147	$93.29	$23.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	299	193	$106.00	$54.02
92012 Established patient problem focused exam of visual system	224	204	$173.00	$84.69
92004 New patient complete exam of visual system	193	193	$280.00	$141.31
66984 Removal of cataract with insertion of lens	149	108	$1400.00	$514.73
66821 Removal of recurring cataract in lens capsule using a laser	126	115	$622.51	$314.00
92083 Exam of visual field with extended testing	122	121	$122.34	$58.03
92133 Imaging of optic nerve	110	107	$100.00	$34.56
92134 Imaging of retina	76	70	$100.00	$37.62
92020 Examination of cornea and iris using lens device and slit lamp	66	66	$65.00	$26.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	55	$243.00	$123.10
65205 Removal of foreign body in external eye, conjunctiva	46	46	$88.33	$27.57
99213 Established patient office or other outpatient visit, typically 15 minutes	39	39	$172.00	$87.07
66982 Complex removal of cataract with insertion of prosthetic lens	30	22	$2915.29	$705.32
92202 Extended exam of the back part of the eye with optic nerve drawing	28	27	$47.00	$14.91
67820 Removal of eyelashes using forceps	27	24	$57.41	$20.31
92002 New patient problem focused exam of visual system	16	16	$159.00	$80.34
92081 Exam of visual field with limited testing	12	12	$86.45	$31.32
92285 Photography of content of eyes	12	11	$60.83	$21.37
67800 Removal of eyelid growth	12	11	$233.97	$122.06
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$102.27	$69.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,247	1,203	$166.00	$122.04
92136 Measurement of corneal curvature and depth of eye	346	148	$75.01	$25.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	291	189	$75.00	$55.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	248	248	$150.00	$124.92
92012 Established patient problem focused exam of visual system	236	214	$116.00	$85.79
92004 New patient complete exam of visual system	197	197	$199.00	$144.42
66984 Removal of cataract with insertion of lens	168	119	$1400.00	$522.70
66821 Removal of recurring cataract in lens capsule using a laser	145	131	$600.00	$320.77
92083 Exam of visual field with extended testing	131	130	$122.29	$59.91
99213 Established patient office or other outpatient visit, typically 15 minutes	122	119	$105.00	$89.10
92133 Imaging of optic nerve	115	114	$99.57	$35.31
92134 Imaging of retina	74	62	$100.00	$39.13
92020 Examination of cornea and iris using lens device and slit lamp	66	66	$64.34	$27.18
65205 Removal of foreign body in external eye, conjunctiva	35	34	$91.10	$29.54
67820 Removal of eyelashes using forceps	29	23	$51.72	$19.84
66982 Complex removal of cataract with insertion of prosthetic lens	27	21	$2915.29	$722.96
92202 Extended exam of the back part of the eye with optic nerve drawing	21	21	$45.00	$15.47
92285 Photography of content of eyes	21	21	$60.83	$21.71
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	17	12	$1800.00	$663.67
92002 New patient problem focused exam of visual system	16	16	$120.00	$82.86
67800 Removal of eyelid growth	14	14	$233.97	$124.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,401	1,337	$166.00	$122.53
92136 Measurement of corneal curvature and depth of eye	561	240	$75.18	$27.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	371	228	$75.00	$54.74
66984 Removal of cataract with insertion of lens	308	217	$1400.00	$528.59
92004 New patient complete exam of visual system	258	258	$199.00	$145.43
92012 Established patient problem focused exam of visual system	254	234	$116.00	$86.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	224	224	$150.00	$127.63
66821 Removal of recurring cataract in lens capsule using a laser	189	168	$600.00	$324.48
92133 Imaging of optic nerve	152	149	$100.00	$35.95
92083 Exam of visual field with extended testing	134	133	$122.28	$60.61
99213 Established patient office or other outpatient visit, typically 15 minutes	127	126	$105.00	$89.78
92020 Examination of cornea and iris using lens device and slit lamp	114	112	$64.34	$27.15
92134 Imaging of retina	76	68	$100.00	$39.62
65205 Removal of foreign body in external eye, conjunctiva	60	60	$89.56	$29.66
76519 Ultrasound of eye for determination of lens power	53	27	$91.88	$32.63
66982 Complex removal of cataract with insertion of prosthetic lens	51	43	$2915.29	$727.86
67820 Removal of eyelashes using forceps	35	27	$54.29	$21.28
92202 Extended exam of the back part of the eye with optic nerve drawing	29	28	$45.00	$15.61
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$101.00	$71.56
92285 Photography of content of eyes	19	19	$60.83	$21.78
0191T Internal insertion of eye fluid drainage device	18	12	$450.00	$339.99
76514 Ultrasound scan of cornea to determine thickness	15	15	$29.25	$11.22
92002 New patient problem focused exam of visual system	14	14	$120.00	$83.32
92081 Exam of visual field with limited testing	14	14	$87.19	$32.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,675	1,599	$166.00	$123.01
92136 Measurement of corneal curvature and depth of eye	439	196	$85.73	$31.88
92012 Established patient problem focused exam of visual system	348	316	$116.00	$86.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	327	200	$75.00	$44.67
66984 Removal of cataract with insertion of lens	261	181	$1400.00	$541.72
92004 New patient complete exam of visual system	247	247	$199.00	$146.64
66821 Removal of recurring cataract in lens capsule using a laser	190	165	$600.00	$326.95
92133 Imaging of optic nerve	166	164	$100.00	$36.36
92083 Exam of visual field with extended testing	153	151	$122.28	$61.10
92020 Examination of cornea and iris using lens device and slit lamp	127	124	$64.34	$27.22
92134 Imaging of retina	77	75	$99.35	$39.48
99213 Established patient office or other outpatient visit, typically 15 minutes	66	63	$105.00	$74.10
76519 Ultrasound of eye for determination of lens power	66	32	$93.84	$34.08
65205 Removal of foreign body in external eye, conjunctiva	63	62	$87.38	$37.36
66982 Complex removal of cataract with insertion of prosthetic lens	51	41	$2915.29	$745.75
67820 Removal of eyelashes using forceps	41	34	$54.88	$28.77
92202 Extended exam of the back part of the eye with optic nerve drawing	38	36	$45.00	$15.90
67800 Removal of eyelid growth	23	22	$233.97	$121.30
92285 Photography of content of eyes	20	20	$60.83	$21.02
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$98.37	$73.80
0191T Internal insertion of eye fluid drainage device	18	14	$450.00	$335.22
92250 Photography of the retina	17	17	$129.60	$43.70
76514 Ultrasound scan of cornea to determine thickness	17	17	$29.25	$11.60
92002 New patient problem focused exam of visual system	15	15	$120.00	$82.00
92081 Exam of visual field with limited testing	11	11	$87.74	$32.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$150.00	$107.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,857	1,752	$165.89	$121.53
92136 Measurement of corneal curvature and depth of eye	619	259	$77.10	$33.13
66984 Removal of cataract with insertion of lens	397	261	$1400.00	$624.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	389	209	$74.89	$43.35
92012 Established patient problem focused exam of visual system	369	336	$115.95	$84.69
92004 New patient complete exam of visual system	338	338	$198.75	$144.91
66821 Removal of recurring cataract in lens capsule using a laser	231	201	$600.00	$318.32
92133 Imaging of optic nerve	207	206	$100.00	$35.57
92083 Exam of visual field with extended testing	185	184	$121.98	$60.78
92020 Examination of cornea and iris using lens device and slit lamp	184	173	$64.34	$26.63
92134 Imaging of retina	82	78	$100.19	$39.28
76519 Ultrasound of eye for determination of lens power	81	37	$87.12	$31.37
99213 Established patient office or other outpatient visit, typically 15 minutes	68	68	$104.70	$72.00
65205 Removal of foreign body in external eye, conjunctiva	67	67	$87.38	$43.63
92285 Photography of content of eyes	50	48	$60.83	$20.17
66982 Complex removal of cataract with insertion of prosthetic lens	44	35	$2915.29	$777.53
92225 Examination of eye by ophthalmoscope with retinal drawing	41	41	$65.91	$27.41
67820 Removal of eyelashes using forceps	40	36	$51.25	$32.41
92002 New patient problem focused exam of visual system	28	28	$120.00	$80.45
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$101.00	$74.10
67800 Removal of eyelid growth	26	26	$233.97	$124.23
76514 Ultrasound scan of cornea to determine thickness	23	23	$29.25	$11.88
92081 Exam of visual field with limited testing	13	13	$86.55	$32.26
92250 Photography of the retina	12	12	$129.60	$48.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,792	1,705	$141.25	$117.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	442	235	$60.58	$40.98
92136 Measurement of corneal curvature and depth of eye	440	220	$111.99	$40.94
92012 Established patient problem focused exam of visual system	414	375	$97.26	$81.49
92004 New patient complete exam of visual system	315	315	$170.85	$141.14
66984 Removal of cataract with insertion of lens	315	220	$1400.00	$604.09
92133 Imaging of optic nerve	198	197	$99.75	$35.01
92020 Examination of cornea and iris using lens device and slit lamp	198	192	$64.34	$25.18
92083 Exam of visual field with extended testing	185	184	$121.98	$59.01
66821 Removal of recurring cataract in lens capsule using a laser	179	161	$600.00	$308.51
99213 Established patient office or other outpatient visit, typically 15 minutes	114	109	$84.55	$68.66
92134 Imaging of retina	88	85	$100.00	$38.64
65205 Removal of foreign body in external eye, conjunctiva	69	68	$88.01	$53.64
67820 Removal of eyelashes using forceps	61	57	$50.82	$36.86
76519 Ultrasound of eye for determination of lens power	58	32	$111.81	$42.48
92225 Examination of eye by ophthalmoscope with retinal drawing	41	41	$64.34	$24.88
66982 Complex removal of cataract with insertion of prosthetic lens	37	33	$2915.29	$747.80
92285 Photography of content of eyes	33	33	$60.83	$18.91
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$87.40	$70.36
92002 New patient problem focused exam of visual system	26	26	$93.22	$76.98
67800 Removal of eyelid growth	20	18	$233.97	$119.92
92250 Photography of the retina	19	19	$129.60	$52.55
92081 Exam of visual field with limited testing	17	17	$87.74	$32.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$125.46	$101.31
76514 Ultrasound scan of cornea to determine thickness	12	12	$29.25	$13.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,919	1,810	$141.25	$110.61
92136 Measurement of corneal curvature and depth of eye	485	268	$149.56	$50.06
92012 Established patient problem focused exam of visual system	443	401	$97.21	$76.26
66984 Removal of cataract with insertion of lens	426	279	$1400.00	$577.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	365	220	$60.58	$39.05
92004 New patient complete exam of visual system	303	303	$170.88	$133.58
92133 Imaging of optic nerve	225	222	$100.00	$33.43
92020 Examination of cornea and iris using lens device and slit lamp	225	213	$64.34	$24.26
66821 Removal of recurring cataract in lens capsule using a laser	191	170	$600.00	$293.72
92083 Exam of visual field with extended testing	178	177	$121.97	$56.67
99213 Established patient office or other outpatient visit, typically 15 minutes	95	91	$84.55	$66.13
92134 Imaging of retina	89	86	$100.00	$36.66
65205 Removal of foreign body in external eye, conjunctiva	87	84	$87.38	$50.35
67820 Removal of eyelashes using forceps	57	51	$50.00	$45.59
76519 Ultrasound of eye for determination of lens power	56	30	$107.16	$44.02
92225 Examination of eye by ophthalmoscope with retinal drawing	44	44	$64.34	$24.19
92002 New patient problem focused exam of visual system	40	40	$93.22	$72.32
92285 Photography of content of eyes	37	36	$60.83	$18.06
92250 Photography of the retina	22	22	$129.60	$57.90
66982 Complex removal of cataract with insertion of prosthetic lens	21	19	$2915.29	$720.33
67800 Removal of eyelid growth	21	18	$233.97	$113.46
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$87.40	$67.80
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	19	11	$1354.70	$264.18
92081 Exam of visual field with limited testing	17	17	$87.74	$30.21
76514 Ultrasound scan of cornea to determine thickness	15	15	$29.25	$13.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$125.46	$97.36

Medical Specialties & State Licenses

CMS Verified: 2026-03-10

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License IL 036073021

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036073021 (IL)

Commercial Insurance / Payer ID Blue Cross

2500068 (IL)

Commercial Insurance / Payer ID Railroad Medicare

010025378

Hospital & Practice Group Affiliations

Effingham Ophthalmology Associates, Ltd.

903 Medical Park Dr, Effingham, IL 624012190

Phone: 2173472933

Sarah Bush Lincoln Health Center

1000 Health Ctr Dr, Mattoon, IL 619384644

Phone: 2172582525

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Joseph Spraul , MD

Ophthalmology

NPI 1134172141

Doctor of Medicine (M.D.)

Dr. Christy Hohenbary , OD

Optometrist

NPI 1447203591

Doctor of Optometry

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address March 10, 2026

Registered at PO BOX 372, MATTOON, IL 619380372

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2019

Ophthalmology (License #036073021 in IL)

✅

NPI Profile Active January 04, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 04, 2008

Registered at 903 MEDICAL PARK DR, EFFINGHAM, IL 624012190 (Tel: 2173472933)

📍

Updated Business Mailing Address January 04, 2008

Registered at 903 MEDICAL PARK DR, EFFINGHAM, IL 624012190 (Tel: 2173472933)

👤

Provider Name / Credentials Updated January 04, 2008

Recorded as JOHN KAY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2008

Ophthalmology

🟢

Initial NPI Registration & Enumeration May 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: 1093768061

Entity Type:

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

Enumeration Date: May 18, 2006

Last Update: March 10, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 372

Mattoon, IL 619380372

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.