Active NPI 1639177793 Individual Practitioner Male Practitioner

Dr. Ricky Lee Weidow , OD

Optometrist • Lagrange, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ricky Weidow, OD is a certified Optometrist practicing in Lagrange, IN. With approximately 33 years of clinical experience since graduating from Southern College Of Optometry in 1993, Dr. Weidow delivers high-quality medical care to the local community at 201 W WAYNE ST.

Dr. Weidow is affiliated with Northwest Indiana Eye And Laser Center Pc and 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

201 W Wayne St

Lagrange, IN 467611850

Telephone 2604633421

Fax 2604637347

Associated Practice Facility / Clinic

🏢 Renaissance Ocular Disease And Trauma Foundation, Inc. Facility NPI 1174740682

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Lagrange, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs Matches City Avg

City Avg: 33.0 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

2 Specialists

Practicing in Lagrange, IN (1644 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

19.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Weidow (33 Years) 33 Yrs

Lagrange Specialty Average (33.0 Years) 33.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	22	16	$105.00	$84.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	44	36	$98.18	$84.11
92083 Exam of visual field with extended testing	11	11	$153.64	$58.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	69	57	$93.12	$84.46
92083 Exam of visual field with extended testing	13	13	$153.08	$58.13
92134 Imaging of retina	13	13	$115.00	$37.92
92250 Photography of the retina	12	12	$65.00	$34.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	71	59	$93.38	$85.59
92083 Exam of visual field with extended testing	13	13	$152.31	$59.22
92250 Photography of the retina	11	11	$65.00	$36.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	71	62	$90.70	$70.79
92250 Photography of the retina	27	26	$65.00	$42.39
92083 Exam of visual field with extended testing	12	12	$150.00	$59.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	120	106	$89.25	$69.74
92250 Photography of the retina	60	56	$65.00	$47.43
92083 Exam of visual field with extended testing	30	30	$150.00	$60.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	22	$61.72	$42.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$116.00	$99.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	129	113	$81.01	$64.50
92250 Photography of the retina	55	53	$65.00	$50.69
92083 Exam of visual field with extended testing	32	32	$150.00	$57.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$57.83	$38.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	167	151	$73.17	$64.10
92250 Photography of the retina	80	75	$65.00	$59.33
92083 Exam of visual field with extended testing	51	51	$150.00	$58.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	39	$52.86	$39.60
66984 Removal of cataract with insertion of lens	22	13	$129.87	$116.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$115.83	$92.13

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IN 18002670A/B

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.

Optometrist - Corneal and Contact Management

NUCC Taxonomy Code: 152WC0802X

State License IN 18002670A/B

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Optometrist - Pediatrics

NUCC Taxonomy Code: 152WP0200X

State License IN 18002670A/B

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200097680C (IN)

Medicaid State Provider ID

200097680E (IN)

Medicaid State Provider ID

200097680D (IN)

Commercial Insurance / Payer ID Vision Service Plan Topeka

2605932505 (IN)

Commercial Insurance / Payer ID Anthem Bc/bs Lagrange

000000257711 (IN)

Commercial Insurance / Payer ID Anthem Bc/bs Nwielc Knox

000000635212 (IN)

Commercial Insurance / Payer ID Renaissance Ocular Disease And Trauma Foundation Type 2 Group Npi

1174740682 (IN)

Commercial Insurance / Payer ID Anthem Bc/bs Topeka

000000257712 (IN)

Commercial Insurance / Payer ID Vision Service Plan Lagrange

2604633421 (IN)

Commercial Insurance / Payer ID Vision Service Plan South Bend

5742334109 (IN)

Hospital & Practice Group Affiliations

Northwest Indiana Eye And Laser Center Pc

1003 S Edgewood Dr, Knox, IN 465348226

Phone: 5747722012

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 14, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location February 14, 2010

Registered at 201 W WAYNE ST, LAGRANGE, IN 467611850 (Tel: 2604633421)

📍

Updated Business Mailing Address February 14, 2010

Registered at 201 W WAYNE ST, PO BOX 150, LAGRANGE, IN 467611850 (Tel: 2604633421)

👤

Provider Name / Credentials Updated February 14, 2010

Recorded as RICKY WEIDOW, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2010

Optometrist (License #18002670A/B in IN)

🟢

Initial NPI Registration & Enumeration July 12, 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. Ricky Weidow. 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: 1639177793

Entity Type:

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

Enumeration Date: July 12, 2005

Last Update: February 14, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

201 W Wayne St, Po Box 150

Lagrange, IN 467611850

Phone: 2604633421

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.