Active NPI 1063493906 Individual Practitioner Male Practitioner

Dr. Jerry Dale Warthman , OD

Optometrist • Anderson, IN

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Warthman, OD is a registered Optometrist practitioner in Anderson, IN. With approximately 39 years of clinical practice since graduating from Indiana University - School Of Optometry in 1987, Dr. Warthman provides healthcare services at the registered practice location at 1923 W 53RD ST.

Dr. Warthman accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1923 W 53rd St

Anderson, IN 460131109

Telephone 7656440060

Fax 7656440076

Associated Practice Facility / Clinic

🏢 Jerry D Warthman, O.d., Llc Facility NPI 1053577510

Medicare Profile & Education

Medical School

Indiana University - School Of Optometry

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Anderson, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +19.8 yrs vs City Avg

City Avg: 19.2 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

19 Specialists

Practicing in Anderson, IN (1644 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

23.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Warthman (39 Years) 39 Yrs

Anderson Specialty Average (19.2 Years) 19.2 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	312	251	$94.45	$93.21
92083 Exam of visual field with extended testing	110	66	$66.00	$58.35
92134 Imaging of retina	107	86	$78.00	$37.32
92133 Imaging of optic nerve	98	68	$78.00	$31.29
99213 Established patient office or other outpatient visit, typically 15 minutes	65	59	$79.00	$78.07
92250 Photography of the retina	45	44	$48.38	$32.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$94.48	$93.41
66984 Removal of cataract with insertion of lens	21	12	$124.07	$89.45
76514 Ultrasound scan of cornea to determine thickness	17	16	$22.00	$9.75

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	209	204	$92.34	$91.16
99213 Established patient office or other outpatient visit, typically 15 minutes	118	90	$78.34	$77.46
92134 Imaging of retina	111	87	$78.00	$37.25
92133 Imaging of optic nerve	79	52	$78.00	$31.76
92083 Exam of visual field with extended testing	71	50	$66.00	$57.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$92.12	$91.17
66984 Removal of cataract with insertion of lens	21	11	$113.21	$77.72
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	11	$28.00	$21.45
92250 Photography of the retina	13	13	$58.92	$34.27
76514 Ultrasound scan of cornea to determine thickness	11	11	$22.00	$9.82

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	196	186	$90.98	$90.17
99213 Established patient office or other outpatient visit, typically 15 minutes	122	98	$77.02	$76.32
92250 Photography of the retina	92	87	$75.98	$33.82
92083 Exam of visual field with extended testing	81	58	$65.00	$58.22
92134 Imaging of retina	53	49	$78.00	$37.73
92133 Imaging of optic nerve	51	46	$78.00	$31.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$90.95	$90.23
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	26	17	$28.00	$21.45
66984 Removal of cataract with insertion of lens	21	11	$122.79	$90.89
76514 Ultrasound scan of cornea to determine thickness	12	12	$22.00	$10.11

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	206	200	$89.41	$89.41
92250 Photography of the retina	205	140	$76.94	$35.54
99213 Established patient office or other outpatient visit, typically 15 minutes	120	104	$76.33	$76.33
92083 Exam of visual field with extended testing	88	64	$64.00	$59.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$89.44	$89.44
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	33	17	$28.00	$21.20
76514 Ultrasound scan of cornea to determine thickness	17	17	$22.00	$10.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	201	140	$77.23	$40.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	190	182	$87.00	$86.91
99213 Established patient office or other outpatient visit, typically 15 minutes	109	89	$76.22	$70.93
92083 Exam of visual field with extended testing	79	58	$62.03	$59.62
76514 Ultrasound scan of cornea to determine thickness	44	44	$22.00	$10.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$87.00	$86.96
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	13	$28.00	$21.71
92014 Established patient complete exam of visual system	16	16	$71.50	$71.50

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	275	239	$86.00	$85.40
92250 Photography of the retina	240	166	$76.48	$45.89
99213 Established patient office or other outpatient visit, typically 15 minutes	103	91	$76.00	$70.21
92083 Exam of visual field with extended testing	86	62	$60.09	$59.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$85.93	$85.42
92014 Established patient complete exam of visual system	11	11	$77.00	$76.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	216	151	$76.84	$48.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	205	177	$84.05	$82.36
99213 Established patient office or other outpatient visit, typically 15 minutes	111	89	$72.54	$64.66
92083 Exam of visual field with extended testing	85	65	$60.00	$56.68
92014 Established patient complete exam of visual system	32	32	$73.34	$72.04
66984 Removal of cataract with insertion of lens	27	15	$124.19	$104.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$84.00	$82.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	242	164	$76.46	$56.86
92014 Established patient complete exam of visual system	194	191	$74.72	$72.36
99213 Established patient office or other outpatient visit, typically 15 minutes	171	136	$72.82	$64.47
92083 Exam of visual field with extended testing	110	77	$60.00	$50.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	35	$84.00	$81.39
66984 Removal of cataract with insertion of lens	30	16	$121.20	$101.34
92004 New patient complete exam of visual system	17	17	$76.00	$74.16

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IN 18002286 A

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

100331000B (IN)

Medicaid State Provider ID

200953040 (IN)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 28, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location April 28, 2010

Registered at 1923 W 53RD ST, ANDERSON, IN 460131109 (Tel: 7656440060)

📍

Updated Business Mailing Address April 28, 2010

Registered at 1923 W 53RD ST, ANDERSON, IN 460131109 (Tel: 7656440060)

👤

Provider Name / Credentials Updated April 28, 2010

Recorded as JERRY WARTHMAN, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2010

Optometrist (License #18002286 A in IN)

🟢

Initial NPI Registration & Enumeration November 08, 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: 1063493906

Entity Type:

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

Enumeration Date: November 08, 2005

Last Update: April 28, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1923 W 53rd St

Anderson, IN 460131109

Phone: 7656440060

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.