Active NPI 1831253582 Individual Practitioner Male Practitioner

Dr. Michael Brian Sehy , OD

Optometrist • Effingham, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Sehy, OD is a certified Optometrist practicing in Effingham, IL. With approximately 34 years of clinical experience since graduating from Indiana University - School Of Optometry in 1992, Dr. Sehy delivers high-quality medical care to the local community at 118 W WASHINGTON AVE.

Dr. Sehy is affiliated with Drs Sehy And Jones Optometrists Pc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

118 W Washington Ave

Effingham, IL 624012354

Telephone 2173422367

Fax 2173422681

Associated Practice Facility / Clinic

🏢 Drs. Sehy And Jones Optometrists P.c. Facility NPI 1932591831

Medicare Profile & Education

Medical School

Indiana University - School Of Optometry

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Effingham, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +11.9 yrs vs City Avg

City Avg: 22.1 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

12 Specialists

Practicing in Effingham, IL (2783 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

16.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sehy (34 Years) 34 Yrs

Effingham Specialty Average (22.1 Years) 22.1 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	3,600	26	$1.78	$1.21
92250 Photography of the retina	326	313	$87.00	$36.46
92014 Established patient complete exam of visual system	275	275	$127.00	$123.32
83861 Microfluid analysis of tears	254	82	$35.00	$22.03
92012 Established patient problem focused exam of visual system	250	169	$90.00	$87.30
99213 Established patient office or other outpatient visit, typically 15 minutes	157	129	$93.00	$92.27
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	132	123	$20.00	$16.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	123	$130.00	$130.33
92083 Exam of visual field with extended testing	102	86	$90.00	$59.88
92134 Imaging of retina	98	84	$61.00	$39.13
92133 Imaging of optic nerve	42	39	$61.00	$34.88
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	39	37	$140.00	$122.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	39	$180.00	$183.45
92004 New patient complete exam of visual system	36	36	$161.00	$145.78
92284 Evaluation of eye adaptation to light and dark with interpretation and report	18	18	$70.00	$35.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,700	21	$1.78	$1.11
92250 Photography of the retina	456	435	$87.00	$35.27
92014 Established patient complete exam of visual system	353	352	$127.00	$119.11
92012 Established patient problem focused exam of visual system	293	187	$90.00	$84.58
83861 Microfluid analysis of tears	222	86	$35.00	$22.03
92083 Exam of visual field with extended testing	78	70	$90.00	$57.70
92134 Imaging of retina	74	72	$61.00	$37.42
99213 Established patient office or other outpatient visit, typically 15 minutes	67	48	$93.00	$86.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	58	$130.00	$122.94
92133 Imaging of optic nerve	48	41	$61.00	$33.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	40	$180.00	$172.59
92004 New patient complete exam of visual system	38	38	$161.00	$141.31
92284 Evaluation of eye adaptation to light and dark with interpretation and report	19	17	$70.00	$42.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,321	29	$1.78	$1.15
92250 Photography of the retina	445	428	$87.00	$35.43
92014 Established patient complete exam of visual system	334	331	$127.00	$120.76
92012 Established patient problem focused exam of visual system	329	208	$90.00	$85.08
83861 Microfluid analysis of tears	256	91	$35.00	$22.21
92083 Exam of visual field with extended testing	86	80	$90.00	$56.78
92134 Imaging of retina	68	64	$61.00	$37.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	49	$180.00	$175.65
92133 Imaging of optic nerve	44	41	$61.00	$34.41
92004 New patient complete exam of visual system	43	43	$161.00	$143.05
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	33	33	$177.00	$70.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	29	$130.00	$123.84
99213 Established patient office or other outpatient visit, typically 15 minutes	29	18	$93.00	$87.50
92284 Evaluation of eye adaptation to light and dark with interpretation and report	24	22	$70.00	$54.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	15	$57.38	$54.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,421	32	$1.87	$1.24
92250 Photography of the retina	437	424	$87.00	$37.93
92014 Established patient complete exam of visual system	326	324	$127.00	$122.67
92012 Established patient problem focused exam of visual system	220	151	$90.49	$86.92
83861 Microfluid analysis of tears	203	68	$35.00	$22.48
99213 Established patient office or other outpatient visit, typically 15 minutes	92	85	$92.22	$89.68
92134 Imaging of retina	71	63	$61.00	$38.57
92083 Exam of visual field with extended testing	66	61	$90.00	$58.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	29	$54.93	$54.81
92004 New patient complete exam of visual system	54	54	$161.00	$146.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	42	$172.95	$172.98
92133 Imaging of optic nerve	40	38	$61.00	$34.80
92284 Evaluation of eye adaptation to light and dark with interpretation and report	27	26	$70.00	$56.07
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	24	24	$177.00	$73.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$127.50	$126.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,514	23	$1.84	$1.25
92250 Photography of the retina	371	362	$87.00	$43.68
92014 Established patient complete exam of visual system	231	231	$127.00	$122.98
99213 Established patient office or other outpatient visit, typically 15 minutes	214	145	$89.00	$73.99
83861 Microfluid analysis of tears	124	51	$35.00	$22.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	87	87	$159.00	$144.76
92284 Evaluation of eye adaptation to light and dark with interpretation and report	67	50	$70.00	$56.54
92083 Exam of visual field with extended testing	60	57	$90.00	$58.59
92134 Imaging of retina	54	47	$61.00	$37.82
92004 New patient complete exam of visual system	37	37	$161.00	$146.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	26	$51.00	$44.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$120.00	$107.26
92133 Imaging of optic nerve	26	26	$61.00	$35.69
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	19	19	$177.00	$73.38
92285 Photography of content of eyes	12	12	$68.00	$19.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,600	28	$1.78	$1.40
92250 Photography of the retina	419	409	$87.00	$48.50
99213 Established patient office or other outpatient visit, typically 15 minutes	318	208	$89.00	$72.46
92014 Established patient complete exam of visual system	256	256	$127.00	$122.52
83861 Microfluid analysis of tears	200	81	$35.00	$22.03
92083 Exam of visual field with extended testing	121	90	$90.00	$59.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	99	99	$159.00	$142.83
92134 Imaging of retina	89	78	$61.00	$37.80
92285 Photography of content of eyes	59	59	$68.00	$20.30
92004 New patient complete exam of visual system	53	53	$161.00	$146.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	31	$51.00	$43.68
92133 Imaging of optic nerve	37	36	$61.00	$35.07
92284 Evaluation of eye adaptation to light and dark with interpretation and report	35	28	$70.00	$57.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	34	$120.00	$106.29
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	26	26	$177.00	$75.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	414	395	$87.00	$54.05
99213 Established patient office or other outpatient visit, typically 15 minutes	300	194	$89.00	$70.74
92014 Established patient complete exam of visual system	250	249	$127.00	$121.43
83861 Microfluid analysis of tears	232	77	$35.00	$22.03
92134 Imaging of retina	98	78	$61.00	$38.24
92083 Exam of visual field with extended testing	94	86	$90.00	$60.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	91	90	$159.00	$141.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	41	$51.00	$42.23
92004 New patient complete exam of visual system	50	50	$161.00	$143.41
92133 Imaging of optic nerve	46	44	$61.00	$35.34
92285 Photography of content of eyes	45	45	$68.00	$19.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	38	$120.00	$104.58
92082 Exam of visual field with intermediate testing	26	23	$80.00	$46.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$183.00	$160.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,710	13	$1.78	$1.33
92250 Photography of the retina	341	336	$87.00	$59.59
83861 Microfluid analysis of tears	316	112	$35.00	$22.21
99213 Established patient office or other outpatient visit, typically 15 minutes	271	186	$89.00	$67.80
92014 Established patient complete exam of visual system	192	192	$127.00	$114.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	115	115	$159.00	$135.12
92134 Imaging of retina	82	67	$61.00	$36.04
92083 Exam of visual field with extended testing	66	62	$90.00	$57.08
92082 Exam of visual field with intermediate testing	55	37	$80.00	$43.52
92012 Established patient problem focused exam of visual system	52	49	$93.00	$79.86
92133 Imaging of optic nerve	45	45	$61.00	$33.57
92004 New patient complete exam of visual system	44	44	$161.00	$138.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	27	$51.00	$40.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	35	$120.00	$100.50
92285 Photography of content of eyes	37	37	$68.00	$18.41
92275 Recording of retinal electrical responses to external stimuli	32	32	$177.00	$134.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$183.00	$154.03

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046.008807

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.

Optometrist - Low Vision Rehabilitation

NUCC Taxonomy Code: 152WL0500X

State License IL 046.008807

Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.

Hospital & Practice Group Affiliations

Drs Sehy And Jones Optometrists Pc

303 N Keller Dr, Effingham, IL 624011859

Phone: 2173422672

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Michael Sehy , OD

Optometrist

NPI 1205990736

Doctor of Optometry

Dr. Craig Woods , OD

Optometrist

NPI 1275095119

Doctor of Optometry

Dr. Matthew Jones , OD

Optometrist

NPI 1578727368

Doctor of Optometry

Dr. Robert Jones , OD

Optometrist

NPI 1588728257

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 November 13, 2018

Registered at 303 N KELLER DR, EFFINGHAM, IL 624011859 (Tel: 2173422367)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2018

Optometrist (License #046.008807 in IL)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 118 W WASHINGTON AVE, EFFINGHAM, IL 624012354 (Tel: 2173422367)

📍

Updated Business Mailing Address July 08, 2007

Registered at 118 W WASHINGTON AVE, EFFINGHAM, IL 624012354 (Tel: 2173422367)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL SEHY, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist

🟢

Initial NPI Registration & Enumeration December 20, 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: 1831253582

Entity Type:

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

Enumeration Date: December 20, 2006

Last Update: November 13, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

303 N Keller Dr

Effingham, IL 624011859

Phone: 2173422367

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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