Active NPI 1104812650 Individual Practitioner Male Practitioner

Dr. Jon E Mccutchan , OD

Optometrist • Princeton, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jon Mccutchan, OD is a certified Optometrist practicing in Princeton, IL. With approximately 32 years of clinical experience since graduating from Indiana University - School Of Optometry in 1994, Dr. Mccutchan delivers high-quality medical care to the local community at 200 ACE RD.

Dr. Mccutchan accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, exam of visual field with extended testing, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 Ace Rd
Suite 4

Princeton, IL 613568644

Telephone 8158723937

Fax 8158753937

Medicare Profile & Education

Medical School

Indiana University - School Of Optometry

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Princeton, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +6.0 yrs vs City Avg

City Avg: 26.0 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

3 Specialists

Practicing in Princeton, IL (2783 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

29.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mccutchan (32 Years) 32 Yrs

Princeton Specialty Average (26.0 Years) 26.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	387	253	$107.00	$105.57
92083 Exam of visual field with extended testing	86	80	$85.00	$58.57
92133 Imaging of optic nerve	81	78	$96.00	$31.80
92250 Photography of the retina	76	75	$75.00	$34.57
99213 Established patient office or other outpatient visit, typically 15 minutes	62	45	$78.00	$76.98
92134 Imaging of retina	31	30	$96.00	$37.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$110.00	$108.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	368	247	$107.00	$105.67
92083 Exam of visual field with extended testing	83	75	$85.00	$58.48
92133 Imaging of optic nerve	80	77	$96.00	$32.62
99213 Established patient office or other outpatient visit, typically 15 minutes	58	48	$78.00	$76.85
92250 Photography of the retina	45	44	$75.00	$35.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$110.00	$108.78
92134 Imaging of retina	24	20	$96.00	$37.83
92285 Photography of content of eyes	15	15	$75.00	$20.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	383	251	$107.49	$106.01
92133 Imaging of optic nerve	88	86	$113.50	$33.45
92083 Exam of visual field with extended testing	87	84	$96.95	$59.36
99213 Established patient office or other outpatient visit, typically 15 minutes	62	43	$79.56	$77.06
92134 Imaging of retina	36	30	$108.83	$38.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$110.00	$109.07
92012 Established patient problem focused exam of visual system	26	23	$180.00	$86.37
92250 Photography of the retina	26	26	$75.00	$35.17
76514 Ultrasound scan of cornea to determine thickness	23	23	$39.61	$10.59
92014 Established patient complete exam of visual system	20	19	$200.65	$117.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	404	245	$108.84	$107.39
92133 Imaging of optic nerve	117	114	$149.97	$34.16
92083 Exam of visual field with extended testing	110	104	$105.68	$60.28
92014 Established patient complete exam of visual system	92	90	$201.77	$117.57
99213 Established patient office or other outpatient visit, typically 15 minutes	73	56	$100.59	$80.62
92012 Established patient problem focused exam of visual system	65	44	$180.00	$86.26
92134 Imaging of retina	38	32	$116.26	$39.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$115.71	$111.58
92250 Photography of the retina	28	27	$81.25	$37.57
92004 New patient complete exam of visual system	23	23	$133.57	$108.81
76514 Ultrasound scan of cornea to determine thickness	19	19	$57.05	$10.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	381	238	$114.32	$106.59
92133 Imaging of optic nerve	144	139	$155.89	$34.57
92014 Established patient complete exam of visual system	118	118	$205.79	$118.73
92082 Exam of visual field with intermediate testing	83	65	$81.08	$45.67
92012 Established patient problem focused exam of visual system	80	69	$180.00	$85.41
99213 Established patient office or other outpatient visit, typically 15 minutes	79	54	$93.96	$73.35
92083 Exam of visual field with extended testing	71	69	$124.37	$60.44
92250 Photography of the retina	60	57	$75.00	$43.00
76514 Ultrasound scan of cornea to determine thickness	48	48	$84.63	$11.12
92004 New patient complete exam of visual system	37	37	$134.92	$109.38
92134 Imaging of retina	34	25	$136.76	$38.79
83861 Microfluid analysis of tears	28	13	$100.00	$22.48
92020 Examination of cornea and iris using lens device and slit lamp	19	17	$39.16	$26.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	14	$107.78	$44.15
92285 Photography of content of eyes	15	14	$75.00	$20.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$136.67	$116.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	373	230	$105.51	$103.37
99213 Established patient office or other outpatient visit, typically 15 minutes	93	70	$78.00	$71.44
92083 Exam of visual field with extended testing	88	78	$85.00	$60.32
92133 Imaging of optic nerve	78	74	$96.00	$33.41
92250 Photography of the retina	37	37	$75.00	$48.13
92134 Imaging of retina	24	18	$96.00	$39.22
92004 New patient complete exam of visual system	23	23	$96.00	$94.85
92014 Established patient complete exam of visual system	15	15	$91.00	$89.97
92020 Examination of cornea and iris using lens device and slit lamp	14	14	$38.00	$26.70
76514 Ultrasound scan of cornea to determine thickness	12	12	$31.00	$11.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	257	187	$105.00	$98.76
99213 Established patient office or other outpatient visit, typically 15 minutes	134	93	$78.00	$66.74
92133 Imaging of optic nerve	70	68	$96.00	$32.55
92083 Exam of visual field with extended testing	64	61	$85.00	$53.24
92275 Recording of retinal electrical responses to external stimuli	48	47	$175.00	$133.88
92014 Established patient complete exam of visual system	37	37	$91.00	$89.64
92250 Photography of the retina	31	30	$75.00	$51.15
92134 Imaging of retina	23	18	$96.00	$37.48
92004 New patient complete exam of visual system	20	20	$96.00	$94.06
92020 Examination of cornea and iris using lens device and slit lamp	13	12	$38.00	$24.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	173	168	$91.00	$88.87
99213 Established patient office or other outpatient visit, typically 15 minutes	166	107	$78.00	$67.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	78	$105.00	$100.09
92133 Imaging of optic nerve	67	64	$96.00	$32.96
92083 Exam of visual field with extended testing	63	59	$85.00	$54.62
92275 Recording of retinal electrical responses to external stimuli	43	42	$175.00	$134.25
92250 Photography of the retina	36	36	$75.00	$59.77
92004 New patient complete exam of visual system	27	27	$96.00	$93.48
92134 Imaging of retina	21	20	$96.00	$37.14

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 0046008749

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

Commercial Insurance / Payer ID Dmerc B

1194300001

Commercial Insurance / Payer ID Railroad

410038483

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Emily Berberich , PT, DPT

Physical Therapist

NPI 1073874392

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 03, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location September 03, 2008

Registered at 200 ACE RD, SUITE 4, PRINCETON, IL 613568644 (Tel: 8158723937)

📍

Updated Business Mailing Address September 03, 2008

Registered at 200 ACE RD, SUITE 4, PRINCETON, IL 613568644 (Tel: 8158723937)

👤

Provider Name / Credentials Updated September 03, 2008

Recorded as JON MCCUTCHAN, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2008

Optometrist (License #0046008749 in IL)

🟢

Initial NPI Registration & Enumeration September 21, 2005

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: 1104812650

Entity Type:

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

Enumeration Date: September 21, 2005

Last Update: September 03, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

200 Ace Rd, Suite 4

Princeton, IL 613568644

Phone: 8158723937

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.