Active NPI 1306076518 Individual Practitioner Male Practitioner

Dr. David D Ernst , OD

Optometrist • O Fallon, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Ernst, OD is a certified Optometrist practicing in O Fallon, IL. With approximately 17 years of clinical experience since graduating from University Of Nebraska College Of Medicine in 2009, Dr. Ernst delivers high-quality medical care to the local community at 735 INSIGHT AVE.

Dr. Ernst is affiliated with Family Eye Care Of Ofallon Pc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

735 Insight Ave

O Fallon, IL 622692193

Telephone 6186282903

Fax 6186282913

Associated Practice Facility / Clinic

🏢 Family Eye Care Of Ofallon Pc Facility NPI 1801926340

Medicare Profile & Education

Medical School

University Of Nebraska College Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in O Fallon, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs +0.4 yrs vs City Avg

City Avg: 16.6 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

9 Specialists

Practicing in O Fallon, IL (2783 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

13.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ernst (17 Years) 17 Yrs

O Fallon Specialty Average (16.6 Years) 16.6 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	6,660	54	$2.32	$1.16
92250 Photography of the retina	399	346	$44.00	$35.21
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	277	234	$18.00	$16.32
99213 Established patient office or other outpatient visit, typically 15 minutes	237	212	$98.00	$89.09
92083 Exam of visual field with extended testing	133	122	$67.00	$58.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	100	$136.00	$126.00
92014 Established patient complete exam of visual system	90	88	$131.00	$118.92
92134 Imaging of retina	69	62	$46.00	$35.65
92133 Imaging of optic nerve	60	56	$44.00	$31.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	40	$62.00	$55.02
92012 Established patient problem focused exam of visual system	33	28	$94.00	$83.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$120.00	$110.54
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	12	12	$160.00	$117.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	6,210	52	$2.32	$1.19
92250 Photography of the retina	326	297	$44.00	$36.50
99213 Established patient office or other outpatient visit, typically 15 minutes	173	167	$98.00	$90.39
92014 Established patient complete exam of visual system	119	115	$131.00	$122.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	63	$62.00	$56.33
92083 Exam of visual field with extended testing	72	63	$67.00	$60.45
92133 Imaging of optic nerve	59	51	$44.00	$33.10
92012 Established patient problem focused exam of visual system	56	50	$94.00	$87.57
92134 Imaging of retina	35	33	$46.00	$38.63
92004 New patient complete exam of visual system	15	15	$154.00	$145.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$120.00	$113.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,330	25	$2.32	$1.20
92250 Photography of the retina	309	285	$44.00	$36.73
99213 Established patient office or other outpatient visit, typically 15 minutes	179	167	$98.00	$91.64
92014 Established patient complete exam of visual system	133	123	$131.00	$124.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	53	$62.00	$57.13
92083 Exam of visual field with extended testing	60	57	$67.00	$61.27
92133 Imaging of optic nerve	53	48	$44.00	$33.58
92134 Imaging of retina	46	37	$46.00	$39.64
92012 Established patient problem focused exam of visual system	23	19	$94.00	$87.96
92004 New patient complete exam of visual system	14	14	$154.00	$147.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$120.00	$114.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	5,129	46	$2.32	$1.22
92250 Photography of the retina	306	287	$44.41	$38.95
99213 Established patient office or other outpatient visit, typically 15 minutes	161	145	$97.45	$92.35
92014 Established patient complete exam of visual system	111	99	$130.82	$125.78
92083 Exam of visual field with extended testing	50	47	$66.76	$62.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	40	$62.00	$56.60
92133 Imaging of optic nerve	38	38	$43.68	$34.19
92134 Imaging of retina	36	30	$45.75	$40.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$118.55	$114.34
92004 New patient complete exam of visual system	23	23	$153.87	$149.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$118.35	$117.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	5,400	45	$2.32	$1.24
92250 Photography of the retina	228	215	$50.09	$44.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	136	$110.98	$110.32
92014 Established patient complete exam of visual system	68	65	$126.00	$125.77
92083 Exam of visual field with extended testing	49	42	$63.00	$62.50
92133 Imaging of optic nerve	41	37	$40.10	$34.65
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$76.00	$76.38
92134 Imaging of retina	21	18	$43.29	$40.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$111.00	$110.42
92004 New patient complete exam of visual system	14	14	$151.00	$149.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,780	33	$2.32	$1.44
92250 Photography of the retina	257	233	$55.16	$49.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	216	174	$109.98	$109.59
92014 Established patient complete exam of visual system	66	62	$126.00	$125.37
99213 Established patient office or other outpatient visit, typically 15 minutes	45	35	$75.00	$74.79
92083 Exam of visual field with extended testing	42	37	$63.00	$62.74
92133 Imaging of optic nerve	35	33	$44.00	$34.09
92145 Measurement of corneal pressure	33	26	$20.00	$16.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$111.00	$110.33
92004 New patient complete exam of visual system	21	21	$151.00	$149.86
92134 Imaging of retina	18	16	$45.00	$40.40
76514 Ultrasound scan of cornea to determine thickness	11	11	$16.00	$12.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,780	38	$2.40	$1.44
92250 Photography of the retina	201	181	$76.00	$54.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	176	143	$109.73	$106.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$111.00	$106.87
99213 Established patient office or other outpatient visit, typically 15 minutes	40	34	$74.06	$71.31
92083 Exam of visual field with extended testing	33	32	$67.78	$61.82
92145 Measurement of corneal pressure	27	23	$20.00	$16.40
92133 Imaging of optic nerve	27	26	$45.97	$34.09
92014 Established patient complete exam of visual system	20	19	$125.00	$123.38
92134 Imaging of retina	15	14	$46.70	$40.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	158	147	$76.00	$61.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	141	$110.53	$103.19
92014 Established patient complete exam of visual system	97	93	$139.43	$119.14
92012 Established patient problem focused exam of visual system	71	48	$90.00	$82.29
92083 Exam of visual field with extended testing	55	52	$85.24	$58.31
99213 Established patient office or other outpatient visit, typically 15 minutes	52	44	$78.83	$70.46
92134 Imaging of retina	46	42	$54.18	$38.40
92133 Imaging of optic nerve	38	38	$57.70	$32.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$115.58	$106.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	24	$44.32	$41.60
76514 Ultrasound scan of cornea to determine thickness	18	18	$36.65	$13.34
92004 New patient complete exam of visual system	17	17	$155.41	$142.93

Medical Specialties & State Licenses

CMS Verified: 2019-12-11

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046010290

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

046010290 (IL)

Commercial Insurance / Payer ID Npi Group

1295778587 (IL)

Hospital & Practice Group Affiliations

Family Eye Care Of Ofallon Pc

735 Insight Ave, O Fallon, IL 622692193

Phone: 6186282903

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Jessica Weis , OD

Optometrist - Corneal and Contact Management

NPI 1205406766

Doctor of Optometry

Dr. Vivian Kloke , OD

Optometrist

NPI 1346358645

Doctor of Optometry

Dr. Kelli Cadion Crago , OD

Optometrist

NPI 1386752681

Doctor of Optometry

Dr. Holly Regel , OD

Optometrist

NPI 1679144067

Doctor of Optometry

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location December 11, 2019

Registered at 735 INSIGHT AVE, O FALLON, IL 622692193 (Tel: 6186282903)

📍

Updated Business Mailing Address December 11, 2019

Registered at 735 INSIGHT AVE, O FALLON, IL 622692193 (Tel: 6186282903)

✅

NPI Profile Active January 11, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location January 11, 2010

Registered at 3990 N ILLINOIS ST, SWANSEA, IL 622261919 (Tel: 6182771130)

📍

Updated Business Mailing Address January 11, 2010

Registered at 3990 N ILLINOIS ST, SWANSEA, IL 622261919 (Tel: 6182771130)

👤

Provider Name / Credentials Updated January 11, 2010

Recorded as DAVID ERNST, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2010

Optometrist (License #046010290 in IL)

🟢

Initial NPI Registration & Enumeration July 22, 2009

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: 1306076518

Entity Type:

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

Enumeration Date: July 22, 2009

Last Update: December 11, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

735 Insight Ave

O Fallon, IL 622692193

Phone: 6186282903

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.