Active NPI 1477547628 Individual Practitioner Male Practitioner

Dr. Bradley S Basham , OD

Optometrist • Fort Wayne, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Bradley Basham, OD is a certified Optometrist practicing in Fort Wayne, IN. With approximately 41 years of clinical experience since graduating from Indiana University - School Of Optometry in 1985, Dr. Basham delivers high-quality medical care to the local community at 1515 E PAULDING RD.

Dr. Basham is affiliated with Mitchell Reinholt Od Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, 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

1515 E Paulding Rd

Fort Wayne, IN 468161252

Telephone 2607442273

Fax 2607444555

Associated Practice Facility / Clinic

🏢 Fort Wayne Family Eyecare Facility NPI 1396778882

Medicare Profile & Education

Medical School

Indiana University - School Of Optometry

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Fort Wayne, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +24.4 yrs vs City Avg

City Avg: 16.6 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

108 Specialists

Practicing in Fort Wayne, IN (1644 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

17.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Basham (41 Years) 41 Yrs

Fort Wayne Specialty Average (16.6 Years) 16.6 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	25	25	$90.00	$88.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	22	$123.12	$119.22
92134 Imaging of retina	22	19	$62.00	$37.01
92133 Imaging of optic nerve	18	15	$62.00	$32.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92004 New patient complete exam of visual system	15	15	$110.00	$109.16
92134 Imaging of retina	15	15	$62.00	$37.38
92014 Established patient complete exam of visual system	14	14	$90.00	$89.12
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$91.17	$84.32

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	168	141	$130.00	$120.87
92250 Photography of the retina	98	98	$78.00	$34.99
92083 Exam of visual field with extended testing	62	60	$95.00	$58.59
99213 Established patient office or other outpatient visit, typically 15 minutes	44	35	$95.00	$85.72
92020 Examination of cornea and iris using lens device and slit lamp	43	43	$46.81	$26.59
92202 Extended exam of the back part of the eye with optic nerve drawing	41	35	$40.00	$15.09
83516 Analysis of substance using immunoassay technique	40	17	$40.00	$11.42
92133 Imaging of optic nerve	37	36	$59.00	$32.06
83861 Microfluid analysis of tears	36	16	$60.00	$22.28
92134 Imaging of retina	35	34	$59.17	$36.58

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	214	172	$129.72	$121.67
92250 Photography of the retina	148	145	$78.00	$36.75
92202 Extended exam of the back part of the eye with optic nerve drawing	97	75	$40.00	$15.03
92083 Exam of visual field with extended testing	84	75	$95.00	$59.68
92020 Examination of cornea and iris using lens device and slit lamp	63	63	$47.00	$26.79
99213 Established patient office or other outpatient visit, typically 15 minutes	52	39	$94.23	$86.42
92133 Imaging of optic nerve	49	48	$59.00	$33.37
83861 Microfluid analysis of tears	47	17	$60.00	$22.48
92014 Established patient complete exam of visual system	46	46	$125.00	$120.10
83516 Analysis of substance using immunoassay technique	42	16	$40.00	$11.53
92134 Imaging of retina	42	39	$59.00	$38.03
92132 Imaging of front third of eye	26	26	$59.00	$27.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$168.00	$159.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	176	152	$125.00	$121.24
92250 Photography of the retina	156	153	$78.00	$42.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	83	$110.00	$104.46
92083 Exam of visual field with extended testing	94	84	$95.00	$59.98
92202 Extended exam of the back part of the eye with optic nerve drawing	82	66	$40.00	$15.59
92134 Imaging of retina	60	51	$59.00	$36.95
83516 Analysis of substance using immunoassay technique	58	20	$40.00	$11.49
83861 Microfluid analysis of tears	58	20	$60.00	$22.40
92020 Examination of cornea and iris using lens device and slit lamp	58	57	$47.00	$26.89
92133 Imaging of optic nerve	49	47	$59.00	$33.79
92132 Imaging of front third of eye	28	27	$59.00	$27.65
92012 Established patient problem focused exam of visual system	25	22	$85.00	$85.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$168.00	$157.27
92201 Extended exam of the back part of the eye with retinal drawing	11	11	$60.00	$24.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	231	183	$125.00	$120.98
92250 Photography of the retina	175	175	$78.00	$47.36
92083 Exam of visual field with extended testing	115	101	$95.00	$60.49
92226 Examination of eye by ophthalmoscope with retinal drawing	97	74	$49.74	$48.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	67	$110.00	$102.60
92020 Examination of cornea and iris using lens device and slit lamp	80	78	$47.00	$26.65
83516 Analysis of substance using immunoassay technique	80	27	$40.00	$12.26
83861 Microfluid analysis of tears	68	26	$60.00	$21.43
92133 Imaging of optic nerve	63	56	$59.00	$33.12
92134 Imaging of retina	59	55	$59.00	$37.84
92012 Established patient problem focused exam of visual system	56	34	$85.00	$84.20
68761 Closure of tear duct opening using plug	52	12	$170.00	$106.35
92225 Examination of eye by ophthalmoscope with retinal drawing	28	27	$58.93	$52.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$168.00	$146.24
92132 Imaging of front third of eye	23	23	$59.00	$27.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	236	202	$125.00	$119.44
92250 Photography of the retina	187	187	$78.00	$53.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	97	$110.00	$101.14
92083 Exam of visual field with extended testing	106	99	$95.00	$60.39
92226 Examination of eye by ophthalmoscope with retinal drawing	97	75	$49.74	$47.18
92020 Examination of cornea and iris using lens device and slit lamp	87	87	$47.00	$25.62
92134 Imaging of retina	64	58	$75.66	$38.43
92133 Imaging of optic nerve	63	59	$75.92	$33.28
92012 Established patient problem focused exam of visual system	55	33	$85.00	$81.85
92225 Examination of eye by ophthalmoscope with retinal drawing	40	40	$57.00	$48.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$168.00	$154.65
92132 Imaging of front third of eye	21	21	$72.67	$25.85
76514 Ultrasound scan of cornea to determine thickness	13	13	$41.15	$12.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	232	231	$78.00	$59.98
92014 Established patient complete exam of visual system	220	211	$124.93	$114.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	161	117	$110.00	$98.65
92083 Exam of visual field with extended testing	143	124	$95.00	$58.77
92226 Examination of eye by ophthalmoscope with retinal drawing	93	66	$49.46	$45.67
92020 Examination of cornea and iris using lens device and slit lamp	91	89	$47.00	$25.09
92134 Imaging of retina	89	75	$100.00	$36.61
92133 Imaging of optic nerve	87	74	$100.00	$33.44
92132 Imaging of front third of eye	57	50	$100.00	$26.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$168.00	$151.45
92225 Examination of eye by ophthalmoscope with retinal drawing	38	37	$59.21	$49.00
92012 Established patient problem focused exam of visual system	30	22	$85.00	$78.79
76514 Ultrasound scan of cornea to determine thickness	19	19	$60.00	$13.01

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IN 18002201

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

100053350 (IN)

Medicaid State Provider ID

100053350A (IN)

Hospital & Practice Group Affiliations

Mitchell Reinholt Od Llc

3301 E Ctr St Ext, Warsaw, IN 465823909

Phone: 5742693828

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Samuel Beers , OD

Optometrist

NPI 1619590650

Doctor of Optometry

Dr. Patrice Ellingson , OD

Optometrist

NPI 1639163884

Doctor of Optometry

Dr. Amy Nguyen , OD

Optometrist

NPI 1871477588

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 10, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 10, 2015

Registered at 1515 E PAULDING RD, FORT WAYNE, IN 468161252 (Tel: 2607442273)

📍

Updated Business Mailing Address June 10, 2015

Registered at 1515 E PAULDING RD, FORT WAYNE, IN 468161252 (Tel: 2607442273)

👤

Provider Name / Credentials Updated June 10, 2015

Recorded as BRADLEY BASHAM, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2015

Optometrist (License #18002201 in IN)

🟢

Initial NPI Registration & Enumeration September 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1477547628

Entity Type:

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

Enumeration Date: September 02, 2005

Last Update: June 10, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1515 E Paulding Rd

Fort Wayne, IN 468161252

Phone: 2607442273

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.