Active NPI 1396753059 Individual Practitioner Male Practitioner

Dr. Robert P Edwards , OD

Optometrist • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Edwards, OD is a certified Optometrist practicing in Springfield, IL. With approximately 55 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 1971, Dr. Edwards delivers high-quality medical care to the local community at 3055 WABASH AVE.

Dr. Edwards is affiliated with J A K Enterprises Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3055 Wabash Ave

Springfield, IL 62704

Telephone 2177932273

Fax 2177932278

Associated Practice Facility / Clinic

🏢 J A K Enterprises Inc Facility NPI 1275587420

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

1971

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Springfield, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

55 Yrs +32.6 yrs vs City Avg

City Avg: 22.4 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

40 Specialists

Practicing in Springfield, IL (2783 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

6.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Edwards (55 Years) 55 Yrs

Springfield Specialty Average (22.4 Years) 22.4 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
92014 Established patient complete exam of visual system	11	11	$125.00	$117.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	33	33	$125.61	$119.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$60.00	$53.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	20	20	$121.75	$117.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$62.08	$54.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$93.96	$88.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$59.29	$54.49
92014 Established patient complete exam of visual system	18	17	$121.67	$118.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$120.00	$110.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	51	51	$87.06	$73.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$120.00	$105.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$55.00	$44.23
92014 Established patient complete exam of visual system	18	18	$95.44	$95.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	73	73	$85.48	$71.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$120.00	$105.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	25	$55.00	$43.30
92133 Imaging of optic nerve	20	19	$70.00	$35.72
92014 Established patient complete exam of visual system	15	15	$95.00	$93.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$120.00	$105.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	18	18	$95.00	$93.48
92004 New patient complete exam of visual system	18	18	$99.00	$97.42
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	$105.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$120.00	$104.45

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046006399

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

J A K Enterprises Inc

3055 Wabash Ave, Springfield, IL 627046414

Phone: 2177932273

Secondary Practice Locations

2760 N Dirksen Pkwy

Springfield, IL 627021448

Phone: 2175224396

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Molly Guithues , OD

Optometrist

NPI 1023480316

Doctor of Optometry

Dr. Richard Zajicek , OD

Optometrist

NPI 1255479358

Doctor of Optometry

Dr. Marc Sarmiento , OD

Optometrist

NPI 1932116449

Doctor of Optometry

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location May 21, 2018

Registered at 3055 WABASH AVE, SPRINGFIELD, IL 62704 (Tel: 2177932273)

📍

Updated Business Mailing Address May 21, 2018

Registered at 8309 N KNOXVILLE AVE, PEORIA, IL 616152170 (Tel: 3096939540)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2018

Optometrist (License #046006399 in IL)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 2760 N DIRKSEN PKWY, SPRINGFIELD, IL 627021448 (Tel: 2175224396)

📍

Updated Business Mailing Address July 08, 2007

Registered at 3501 E RIDGELY RD, #66, SPRINGFIELD, IL 627022162 (Tel: 2172598461)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT EDWARDS, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist

🟢

Initial NPI Registration & Enumeration August 04, 2006

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: 1396753059

Entity Type:

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

Enumeration Date: August 04, 2006

Last Update: May 21, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8309 N Knoxville Ave

Peoria, IL 616152170

Phone: 3096939540

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.