Active NPI 1629068135 Individual Practitioner Male Practitioner

Dr. Jerald E Cundiff , MD

Ophthalmology • Sterling, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jerald Cundiff, MD is a certified Ophthalmology practicing in Sterling, IL. With approximately 33 years of clinical experience since graduating from Loyola University Of Chicago, Stritch School Of Medicine in 1993, Dr. Cundiff delivers high-quality medical care to the local community at 101 E MILLER RD.

Dr. Cundiff is affiliated with Winona Health Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include imaging of retina, injection of drug into eye, established 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

101 E Miller Rd

Sterling, IL 61081

Telephone 8156254790

Associated Practice Facility / Clinic

🏢 Sterling Rock Falls Clinic, Ltd Facility NPI 1205918810

Medicare Profile & Education

Medical School

Loyola University Of Chicago, Stritch School Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Sterling, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +2.0 yrs vs City Avg

City Avg: 31.0 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Sterling, IL (954 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cundiff (33 Years) 33 Yrs

Sterling Specialty Average (31.0 Years) 31.0 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
92134 Imaging of retina	113	32	$54.43	$23.88
67028 Injection of drug into eye	94	16	$285.33	$91.29
99213 Established patient office or other outpatient visit, typically 15 minutes	88	77	$134.21	$62.38
66984 Removal of cataract with insertion of lens	53	35	$4075.00	$518.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$192.60	$91.98
66821 Removal of recurring cataract in lens capsule using a laser	17	13	$840.00	$302.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$80.40	$33.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	123	35	$55.19	$24.57
67028 Injection of drug into eye	109	19	$296.23	$94.29
99213 Established patient office or other outpatient visit, typically 15 minutes	96	83	$135.40	$63.89
66984 Removal of cataract with insertion of lens	67	44	$4075.00	$527.00
66821 Removal of recurring cataract in lens capsule using a laser	39	29	$840.00	$307.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	33	$195.45	$94.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	199	158	$103.83	$66.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	77	$161.60	$97.92
66984 Removal of cataract with insertion of lens	91	51	$6748.03	$434.50
92133 Imaging of optic nerve	61	60	$128.54	$21.29
92134 Imaging of retina	51	46	$128.61	$24.56
92136 Measurement of corneal curvature and depth of eye	51	33	$225.29	$29.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	45	$60.16	$36.32
92083 Exam of visual field with extended testing	44	44	$195.25	$26.34
92134 Imaging of retina	24	16	$49.80	$25.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$159.34	$96.40
99213 Established patient office or other outpatient visit, typically 15 minutes	20	16	$111.36	$64.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$266.85	$135.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$160.60	$83.94
66821 Removal of recurring cataract in lens capsule using a laser	18	17	$1240.00	$298.96
67840 Removal of eyelid growth	16	12	$301.00	$138.66
92014 Established patient complete exam of visual system	12	11	$125.40	$76.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	279	190	$100.20	$83.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	188	158	$155.41	$119.20
92136 Measurement of corneal curvature and depth of eye	119	80	$219.61	$29.59
66984 Removal of cataract with insertion of lens	102	64	$7907.14	$470.12
92014 Established patient complete exam of visual system	92	92	$145.21	$119.02
92133 Imaging of optic nerve	86	84	$122.15	$21.39
92134 Imaging of retina	83	73	$122.72	$24.73
92083 Exam of visual field with extended testing	77	74	$185.14	$26.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	62	$53.54	$51.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$250.85	$155.00
66821 Removal of recurring cataract in lens capsule using a laser	44	35	$1179.00	$315.28
92004 New patient complete exam of visual system	40	40	$213.07	$143.94
76514 Ultrasound scan of cornea to determine thickness	25	25	$136.84	$7.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$156.55	$104.81
67840 Removal of eyelid growth	19	17	$286.11	$236.28
66982 Complex removal of cataract with insertion of prosthetic lens	19	13	$10253.00	$723.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	200	123	$95.09	$67.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	123	$147.46	$101.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	115	87	$52.49	$40.21
92014 Established patient complete exam of visual system	109	109	$139.97	$116.92
92134 Imaging of retina	87	75	$117.28	$25.05
92136 Measurement of corneal curvature and depth of eye	78	52	$210.23	$32.29
92133 Imaging of optic nerve	72	68	$116.64	$22.22
92004 New patient complete exam of visual system	71	71	$203.61	$136.66
66984 Removal of cataract with insertion of lens	61	43	$7849.44	$515.99
92083 Exam of visual field with extended testing	59	56	$176.69	$27.66
66821 Removal of recurring cataract in lens capsule using a laser	33	31	$1124.12	$322.08
67840 Removal of eyelid growth	28	20	$270.29	$195.21
76514 Ultrasound scan of cornea to determine thickness	16	16	$131.00	$8.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	157	89	$88.55	$50.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	95	89	$47.96	$25.63
92136 Measurement of corneal curvature and depth of eye	81	55	$194.00	$31.12
92004 New patient complete exam of visual system	81	81	$186.79	$98.86
66984 Removal of cataract with insertion of lens	79	57	$7523.85	$615.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	64	$138.44	$78.86
92014 Established patient complete exam of visual system	72	72	$130.67	$79.21
66821 Removal of recurring cataract in lens capsule using a laser	46	38	$1033.50	$304.78
92134 Imaging of retina	42	36	$109.17	$25.12
92133 Imaging of optic nerve	40	37	$108.55	$22.12
92083 Exam of visual field with extended testing	26	26	$163.15	$27.01
67840 Removal of eyelid growth	22	18	$255.23	$142.11
76514 Ultrasound scan of cornea to determine thickness	20	20	$122.20	$8.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$236.73	$129.70
67917 Extensive repair of turning-outward eyelid defect	11	11	$5998.86	$514.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	134	87	$7009.74	$618.84
92014 Established patient complete exam of visual system	96	96	$117.00	$77.81
92004 New patient complete exam of visual system	78	78	$196.79	$109.17
92012 Established patient problem focused exam of visual system	57	57	$95.00	$51.70
76519 Ultrasound of eye for determination of lens power	47	43	$193.00	$30.94
76516 Ultrasound scan to determine eye length	41	41	$190.00	$24.48
99213 Established patient office or other outpatient visit, typically 15 minutes	39	28	$84.00	$50.73
92004 New patient complete exam of visual system	37	37	$157.00	$97.43
92133 Imaging of optic nerve	37	37	$69.43	$22.17
92014 Established patient complete exam of visual system	36	36	$129.72	$82.15
92083 Exam of visual field with extended testing	33	32	$139.00	$27.45
66821 Removal of recurring cataract in lens capsule using a laser	29	26	$1807.03	$308.57
66821 Removal of recurring cataract in lens capsule using a laser	28	21	$1819.93	$306.45
92136 Measurement of corneal curvature and depth of eye	28	18	$186.00	$30.62
92134 Imaging of retina	22	22	$79.27	$25.72
76519 Ultrasound of eye for determination of lens power	22	22	$411.27	$57.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	16	$46.00	$25.23
92083 Exam of visual field with extended testing	17	16	$161.41	$29.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$132.00	$77.69
66982 Complex removal of cataract with insertion of prosthetic lens	13	12	$8411.23	$751.52
99201 New patient office or other outpatient visit, typically 10 minutes	13	13	$72.00	$25.55
92012 Established patient problem focused exam of visual system	13	13	$99.54	$59.90
92133 Imaging of optic nerve	11	11	$100.64	$22.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	263	251	$117.30	$78.00
66984 Removal of cataract with insertion of lens	164	105	$6974.00	$614.94
76519 Ultrasound of eye for determination of lens power	121	101	$242.18	$30.76
92012 Established patient problem focused exam of visual system	108	93	$95.54	$51.56
92133 Imaging of optic nerve	100	94	$83.54	$22.00
92004 New patient complete exam of visual system	89	89	$151.41	$97.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	48	$70.18	$24.41
92083 Exam of visual field with extended testing	38	36	$134.00	$27.29
66982 Complex removal of cataract with insertion of prosthetic lens	35	27	$8384.00	$764.41
66821 Removal of recurring cataract in lens capsule using a laser	32	23	$1756.10	$298.35
92004 New patient complete exam of visual system	30	30	$175.01	$109.30
76516 Ultrasound scan to determine eye length	28	28	$235.82	$30.38
92134 Imaging of retina	27	26	$87.20	$25.26
67840 Removal of eyelid growth	20	18	$516.96	$140.94
68761 Closure of tear duct opening using plug	20	15	$371.10	$114.49
76519 Ultrasound of eye for determination of lens power	18	18	$323.47	$47.98
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$121.13	$48.51
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	11	$34.00	$8.89
92014 Established patient complete exam of visual system	15	15	$143.00	$92.63
99201 New patient office or other outpatient visit, typically 10 minutes	13	13	$70.11	$25.58

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WI 38957

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

291023300 (MN)

Medicaid State Provider ID

32545800 (WI)

Hospital & Practice Group Affiliations

Winona Health Services

855 Mankato Ave, Winona, MN 559874868

Phone: 5074543650

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. David Bruce , MD

Otolaryngology - Sleep Medicine

NPI 1003998550

Doctor of Medicine (M.D.)

Karen Habben , OT

Occupational Therapist

NPI 1003998576

Occupational Therapist

Laurie Buckman

Midwife

NPI 1013473305

Dr. Hussein Zaioor , MD

Internal Medicine - Infectious Disease

NPI 1013919943

Doctor of Medicine (M.D.)

Dr. Jeffrey Thormeyer , MD

Specialist

NPI 1043421274

Doctor of Medicine (M.D.)

Polly Nobis , NP

Nurse Practitioner

NPI 1063500304

Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location July 19, 2018

Registered at 101 E MILLER RD, STERLING, IL 61081 (Tel: 8156254790)

✅

NPI Profile Active January 29, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 29, 2008

Registered at 800 WEST AVE S, LA CROSSE, WI 546018806 (Tel: 6087919871)

📍

Updated Business Mailing Address January 29, 2008

Registered at 800 WEST AVE S, LA CROSSE, WI 546018806 (Tel: 6087919871)

👤

Provider Name / Credentials Updated January 29, 2008

Recorded as JERALD CUNDIFF, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2008

Ophthalmology (License #38957 in WI)

🟢

Initial NPI Registration & Enumeration October 26, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Jerald Cundiff. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1629068135

Entity Type:

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

Enumeration Date: October 26, 2005

Last Update: July 19, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

800 West Ave S

La Crosse, WI 546018806

Phone: 6087919871

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.