Active NPI 1902880057 Individual Practitioner Male Practitioner

Dr. Jeffrey Michael Pietrzyk , OD

Optometrist • Manhattan, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Pietrzyk, OD is a certified Optometrist practicing in Manhattan, IL. With approximately 25 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 2001, Dr. Pietrzyk delivers high-quality medical care to the local community at 540 W NORTH ST.

Dr. Pietrzyk is affiliated with Illinois Eye Associates Ltd and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

540 W North St
Suite 209

Manhattan, IL 604428201

Telephone 8154780100

Fax 8154789100

Associated Practice Facility / Clinic

🏢 Illinois Eye Associates Ltd Facility NPI 1770660441

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Manhattan, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +7.3 yrs vs City Avg

City Avg: 17.7 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

3 Specialists

Practicing in Manhattan, IL (2783 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

36.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pietrzyk (25 Years) 25 Yrs

Manhattan Specialty Average (17.7 Years) 17.7 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	1,963	14	$2.10	$1.19
92014 Established patient complete exam of visual system	235	197	$175.00	$128.15
92250 Photography of the retina	129	121	$105.00	$36.98
92133 Imaging of optic nerve	89	65	$75.00	$35.06
92012 Established patient problem focused exam of visual system	55	44	$120.00	$89.54
92134 Imaging of retina	54	43	$75.00	$39.21
92083 Exam of visual field with extended testing	52	50	$110.00	$63.94
92020 Examination of cornea and iris using lens device and slit lamp	40	40	$60.00	$27.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$200.00	$167.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,889	15	$2.28	$1.35
92014 Established patient complete exam of visual system	302	259	$175.00	$130.67
92250 Photography of the retina	155	148	$105.00	$38.07
92133 Imaging of optic nerve	105	71	$75.00	$35.74
92012 Established patient problem focused exam of visual system	93	71	$120.00	$93.26
92083 Exam of visual field with extended testing	70	60	$110.00	$65.06
92134 Imaging of retina	64	50	$75.00	$40.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$200.00	$174.13
92020 Examination of cornea and iris using lens device and slit lamp	44	41	$60.00	$28.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,891	14	$2.02	$1.38
92014 Established patient complete exam of visual system	282	249	$175.00	$132.79
92250 Photography of the retina	133	129	$105.00	$38.47
92133 Imaging of optic nerve	115	82	$75.00	$36.48
92012 Established patient problem focused exam of visual system	89	62	$120.00	$93.97
92083 Exam of visual field with extended testing	67	62	$110.00	$66.28
92134 Imaging of retina	60	52	$75.00	$41.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$200.00	$177.23
92020 Examination of cornea and iris using lens device and slit lamp	43	41	$60.00	$29.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	200	179	$175.00	$133.71
92250 Photography of the retina	117	115	$105.00	$40.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$200.00	$176.81
92133 Imaging of optic nerve	74	57	$75.00	$36.96
92012 Established patient problem focused exam of visual system	66	52	$119.55	$95.46
92083 Exam of visual field with extended testing	56	51	$110.00	$67.52
92134 Imaging of retina	55	43	$75.00	$41.25
92020 Examination of cornea and iris using lens device and slit lamp	41	39	$60.00	$28.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	190	163	$168.05	$132.32
92133 Imaging of optic nerve	66	47	$75.00	$37.51
92250 Photography of the retina	56	56	$105.00	$46.73
92012 Established patient problem focused exam of visual system	54	41	$115.93	$93.60
92083 Exam of visual field with extended testing	52	45	$110.00	$66.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$194.80	$176.09
92134 Imaging of retina	43	34	$75.00	$42.21
92020 Examination of cornea and iris using lens device and slit lamp	30	29	$60.00	$29.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	237	213	$160.00	$131.29
92012 Established patient problem focused exam of visual system	104	61	$110.00	$91.77
92250 Photography of the retina	73	71	$105.00	$51.54
92083 Exam of visual field with extended testing	63	49	$110.00	$66.34
92134 Imaging of retina	61	46	$75.00	$41.21
92133 Imaging of optic nerve	57	42	$75.00	$36.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$185.00	$170.40
92020 Examination of cornea and iris using lens device and slit lamp	39	37	$60.00	$28.79
92225 Examination of eye by ophthalmoscope with retinal drawing	15	14	$40.00	$28.74
76514 Ultrasound scan of cornea to determine thickness	11	11	$50.00	$12.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,597	12	$1.87	$1.51
92014 Established patient complete exam of visual system	222	211	$160.00	$132.17
92250 Photography of the retina	89	89	$105.00	$58.29
92012 Established patient problem focused exam of visual system	65	55	$110.00	$89.83
92083 Exam of visual field with extended testing	56	49	$110.00	$64.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$185.00	$171.43
92133 Imaging of optic nerve	49	37	$75.00	$37.35
92134 Imaging of retina	41	34	$75.00	$41.90
92020 Examination of cornea and iris using lens device and slit lamp	40	39	$60.00	$27.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$120.00	$106.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$55.00	$42.73
76514 Ultrasound scan of cornea to determine thickness	13	13	$50.00	$14.12
92225 Examination of eye by ophthalmoscope with retinal drawing	11	11	$40.00	$31.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,514	12	$1.86	$1.47
92014 Established patient complete exam of visual system	218	209	$160.00	$125.48
92012 Established patient problem focused exam of visual system	88	70	$110.00	$86.58
92133 Imaging of optic nerve	76	53	$75.00	$35.68
92083 Exam of visual field with extended testing	50	41	$110.00	$64.55
92250 Photography of the retina	46	46	$105.00	$65.33
92020 Examination of cornea and iris using lens device and slit lamp	46	41	$60.00	$27.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$185.00	$168.06
92134 Imaging of retina	38	35	$75.00	$40.92
76514 Ultrasound scan of cornea to determine thickness	22	20	$50.00	$14.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$55.00	$44.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$120.00	$97.68
99213 Established patient office or other outpatient visit, typically 15 minutes	16	12	$80.00	$74.01

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046-009714

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

NUCC Taxonomy Code: 152W00000X

State License KY 1553DT

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

046009714 (IL)

Commercial Insurance / Payer ID Bcbs Pin

0009932433

Commercial Insurance / Payer ID Medicare Railroad Pin

P00313497

Hospital & Practice Group Affiliations

Illinois Eye Associates Ltd

540 W N St, Manhattan, IL 604428202

Phone: 8154780100

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Christa Pietrzyk , OD

Optometrist

NPI 1083677504

Doctor of Optometry

Dr. Lindsey Rector , OD

Optometrist

NPI 1881325496

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 17, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 17, 2012

Registered at 540 W NORTH ST, SUITE 209, MANHATTAN, IL 604428201 (Tel: 8154780100)

📍

Updated Business Mailing Address September 17, 2012

Registered at 540 W NORTH ST, SUITE 209, MANHATTAN, IL 604428201 (Tel: 8154780100)

👤

Provider Name / Credentials Updated September 17, 2012

Recorded as JEFFREY PIETRZYK, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2012

Optometrist (License #046-009714 in IL)

🟢

Initial NPI Registration & Enumeration December 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1902880057

Entity Type:

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

Enumeration Date: December 02, 2005

Last Update: September 17, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

540 W North St, Suite 209

Manhattan, IL 604428201

Phone: 8154780100

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.