Active NPI 1871922369 Individual Practitioner Female Practitioner

Dr. Sarah Nicole Gore , OD

Optometrist • Scott Air Force Base, IL

Professional Overview & Biography Verified Profile Summary

Dr. Sarah Gore, OD is a registered healthcare professional specializing in Optometrist in Scott Air Force Base, IL. Practice services are available at 310 W. LOSEY ST under active NPI credentials.

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

310 W. Losey St
Optometry

Scott Air Force Base, IL 62225

Telephone 6182562392

Fax 3143623564

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Scott Air Force Base, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.0 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

2 Specialists

Practicing in Scott Air Force Base, IL (2783 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	160	144	$150.00	$87.88
92014 Established patient complete exam of visual system	159	159	$225.00	$124.38
92133 Imaging of optic nerve	97	96	$139.12	$34.31
92083 Exam of visual field with extended testing	94	91	$155.00	$60.38
92134 Imaging of retina	60	52	$140.00	$39.28
99213 Established patient office or other outpatient visit, typically 15 minutes	45	40	$115.00	$89.17
92004 New patient complete exam of visual system	22	22	$275.00	$147.44
92020 Examination of cornea and iris using lens device and slit lamp	13	13	$80.00	$27.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	271	214	$150.00	$89.09
92014 Established patient complete exam of visual system	246	240	$225.00	$125.83
92133 Imaging of optic nerve	156	151	$140.00	$35.48
92083 Exam of visual field with extended testing	138	123	$155.00	$61.76
92134 Imaging of retina	101	91	$140.00	$39.70
99213 Established patient office or other outpatient visit, typically 15 minutes	86	78	$115.00	$90.37
92004 New patient complete exam of visual system	31	31	$275.00	$146.02
76514 Ultrasound scan of cornea to determine thickness	16	16	$35.00	$11.02
92020 Examination of cornea and iris using lens device and slit lamp	15	15	$80.00	$28.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$180.00	$127.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	316	233	$150.00	$89.86
92014 Established patient complete exam of visual system	222	220	$225.00	$126.30
92083 Exam of visual field with extended testing	149	133	$155.00	$63.20
92133 Imaging of optic nerve	140	133	$130.00	$36.52
92134 Imaging of retina	111	100	$130.00	$40.11
99213 Established patient office or other outpatient visit, typically 15 minutes	79	67	$115.00	$90.72
92004 New patient complete exam of visual system	43	43	$275.00	$151.37
92020 Examination of cornea and iris using lens device and slit lamp	25	24	$80.00	$27.01
76514 Ultrasound scan of cornea to determine thickness	24	24	$35.00	$11.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$180.00	$130.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	239	207	$150.00	$88.51
92014 Established patient complete exam of visual system	206	203	$225.00	$125.34
92083 Exam of visual field with extended testing	128	118	$155.00	$62.91
92133 Imaging of optic nerve	117	115	$130.00	$36.03
92134 Imaging of retina	86	76	$130.00	$39.92
99213 Established patient office or other outpatient visit, typically 15 minutes	73	62	$100.00	$75.61
92004 New patient complete exam of visual system	44	44	$275.00	$151.17
92202 Extended exam of the back part of the eye with optic nerve drawing	23	23	$70.00	$16.15
92020 Examination of cornea and iris using lens device and slit lamp	15	15	$80.00	$27.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$155.00	$109.27
76514 Ultrasound scan of cornea to determine thickness	12	12	$35.00	$11.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	196	194	$225.00	$124.33
92012 Established patient problem focused exam of visual system	112	106	$150.00	$87.33
92225 Examination of eye by ophthalmoscope with retinal drawing	87	85	$119.83	$43.71
92083 Exam of visual field with extended testing	86	82	$155.00	$62.72
99213 Established patient office or other outpatient visit, typically 15 minutes	84	76	$100.00	$73.75
92134 Imaging of retina	82	72	$129.60	$39.94
92133 Imaging of optic nerve	66	65	$130.00	$35.93
92004 New patient complete exam of visual system	55	55	$272.73	$149.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$155.00	$102.65
76514 Ultrasound scan of cornea to determine thickness	11	11	$35.00	$12.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	248	242	$225.00	$123.79
99213 Established patient office or other outpatient visit, typically 15 minutes	226	172	$100.00	$71.64
92083 Exam of visual field with extended testing	100	87	$155.00	$62.60
92225 Examination of eye by ophthalmoscope with retinal drawing	93	92	$127.42	$45.09
92134 Imaging of retina	91	77	$130.00	$40.52
92133 Imaging of optic nerve	82	78	$130.00	$36.20
92012 Established patient problem focused exam of visual system	77	71	$150.00	$85.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	62	$155.00	$104.95
92004 New patient complete exam of visual system	58	58	$275.00	$144.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$250.00	$162.98
92020 Examination of cornea and iris using lens device and slit lamp	15	15	$80.00	$26.40
76514 Ultrasound scan of cornea to determine thickness	13	13	$35.00	$14.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	204	144	$100.00	$68.68
92014 Established patient complete exam of visual system	169	166	$225.00	$115.91
92134 Imaging of retina	102	87	$130.00	$37.80
92225 Examination of eye by ophthalmoscope with retinal drawing	94	88	$142.82	$47.49
92004 New patient complete exam of visual system	72	72	$275.00	$140.86
92012 Established patient problem focused exam of visual system	70	64	$150.00	$80.63
92083 Exam of visual field with extended testing	69	59	$155.00	$57.42
92133 Imaging of optic nerve	64	59	$130.00	$34.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	54	$155.00	$101.90
92020 Examination of cornea and iris using lens device and slit lamp	15	15	$80.00	$25.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$250.00	$156.45
76514 Ultrasound scan of cornea to determine thickness	13	13	$35.00	$13.65

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MO 2013017927

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

310012306 (MO)

Career & Practice History Timeline

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

17 Historical Events

📍

Updated Practice Location October 12, 2023

Registered at 310 W. LOSEY ST, OPTOMETRY, SCOTT AIR FORCE BASE, IL 62225 (Tel: 6182562392)

📍

Updated Business Mailing Address October 12, 2023

Registered at 310 W. LOSEY ST, OPTOMETRY, SCOTT AIR FORCE BASE, IL 62225 (Tel: 6182562392)

👤

Provider Name / Credentials Updated October 12, 2023

Recorded as SARAH GORE, O.D.

📍

Updated Practice Location July 20, 2022

Registered at 450 N NEW BALLAS RD, DEPT OPHTHALMOLOGY, STE 260, SAINT LOUIS, MO 631416859 (Tel: 3143623937)

📍

Updated Practice Location November 15, 2021

Registered at 4901 FOREST PARK AVE, 6TH FL, SAINT LOUIS, MO 631081495 (Tel: 3143623937)

📍

Updated Business Mailing Address November 15, 2021

Registered at 660 S EUCLID AVE, CB 8096, SAINT LOUIS, MO 631101010 (Tel: 3143623431)

✅

NPI Profile Active January 24, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 24, 2018

Registered at 4901 FOREST PARK AVE FL 6, 6TH FL, SAINT LOUIS, MO 631081402 (Tel: 3143623937)

📍

Updated Business Mailing Address January 24, 2018

Registered at 660 S EUCLID AVE, C B 8096, SAINT LOUIS, MO 631101010 (Tel: 3143623431)

👤

Provider Name / Credentials Updated January 24, 2018

Recorded as SARAH GORE, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2018

Optometrist (License #2013017927 in MO)

✅

NPI Profile Active February 23, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 23, 2015

Registered at 194 CLARKSON RD, ELLISVILLE, MO 630112244 (Tel: 6362272020)

📍

Updated Business Mailing Address February 23, 2015

Registered at 40 E NORTH ST, EUREKA, MO 630251205 (Tel: 6362004393)

👤

Provider Name / Credentials Updated February 23, 2015

Recorded as SARAH GORE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2015

Optometrist (License #2013017927 in MO)

🟢

Initial NPI Registration & Enumeration November 05, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1871922369

Entity Type:

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

Enumeration Date: November 05, 2013

Last Update: October 12, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

310 W. Losey St, Optometry

Scott Air Force Base, IL 62225

Phone: 6182562392

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.