Dr. Scott Wayne Lewis , OD
Optometrist • Waterloo, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Scott Lewis has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Scott Lewis, OD was a registered Optometrist practicing in Waterloo, IL. Throughout an active medical career spanning 17 years, Dr. Lewis provided care at the practice location at 204 BRADFORD LN until profile deactivation on 2023-11-22.
Historical Medicare Part B clinical services included established patient complete exam of visual system, established patient outpatient office visit, photography of the retina. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
204 Bradford Ln
Waterloo, IL 622983267
Specialty Benchmarks & Practice Insights
Comparative analytics for Optometrist in Waterloo, IL
Practicing in Waterloo, IL (2783 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
92014
Established patient complete exam of visual system
|
47 | 47 | $156.03 | $121.61 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
36 | 33 | $76.23 | $71.89 |
|
92250
Photography of the retina
|
22 | 22 | $103.44 | $47.77 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
13 | 13 | $119.75 | $107.97 |
|
92004
New patient complete exam of visual system
|
12 | 12 | $197.05 | $145.40 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 152W00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 22, 2023
NPI status registered as active in NPPES database
Registered at 204 BRADFORD LN, WATERLOO, IL 622983267 (Tel: 6189396163)
Registered at 204 BRADFORD LN, WATERLOO, IL 622983267 (Tel: 6189396163)
Recorded as SCOTT LEWIS, O.D.
Optometrist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
204 Bradford Ln
Waterloo, IL 622983267
Phone: 6189396163
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