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Active NPI 1699386755 Individual Practitioner Male Practitioner

Dr. Robert Dillon Fullenwider , OD

Optometrist • Highland, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Fullenwider, OD is a certified Optometrist practicing in Highland, IL. With approximately 6 years of clinical experience since graduating from Ohio State University - College Of Optometry in 2020, Dr. Fullenwider delivers high-quality medical care to the local community at 823 9TH ST.

Dr. Fullenwider is affiliated with Nucrown, Llc and accepts Medicare assignment.

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

823 9th St

Highland, IL 622491521

Telephone 6186549848
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Highland, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -14.0 yrs vs City Avg
City Avg: 20.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Highland, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
16.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fullenwider (6 Years) 6 Yrs
Highland Specialty Average (20.0 Years) 20.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
21 21 $138.43 $123.85
92004 New patient complete exam of visual system
14 14 $186.00 $147.30

Medical Specialties & State Licenses

CMS Verified: 2020-08-12
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046011435

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.

Hospital & Practice Group Affiliations

Nucrown, Llc

1560w Us Hwy 50, O Fallon, IL 62269

Phone: 6183976575

Nucrown, Llc

4145 Lindell Blvd, Saint Louis, MO 631082913

Phone: 3145331898

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1508893264

Doctor of Optometry

NPI 1942205711

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 August 12, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2020

Registered at 823 9TH ST, HIGHLAND, IL 622491521 (Tel: 6186549848)

📍
Updated Business Mailing Address August 12, 2020

Registered at 1412 DORIS AVE, CAHOKIA, IL 622062234 (Tel: 6189803840)

👤
Provider Name / Credentials Updated August 12, 2020

Recorded as ROBERT FULLENWIDER, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2020

Optometrist (License #046011435 in IL)

🟢
Initial NPI Registration & Enumeration August 12, 2020

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: 1699386755
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2020
Last Update: August 12, 2020
Sole Proprietor: No

Mailing Address

1412 Doris Ave

Cahokia, IL 622062234

Phone: 6189803840

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.