Active NPI 1013992411 Individual Practitioner Male Practitioner

Dr. Derek J Dawson , MD

Ophthalmology • Munster, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Derek Dawson, MD is a certified Ophthalmology practicing in Munster, IN. With approximately 46 years of clinical experience since graduating from Meharry Medical College School Of Medicine in 1980, Dr. Dawson delivers high-quality medical care to the local community at 8256 HOHMAN AVE.

Dr. Dawson maintains professional affiliations with Illinois College Of Optometry, Suburban Eye Specialists and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, established patient problem focused exam of visual system, complex removal of cataract with insertion of prosthetic lens. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8256 Hohman Ave

Munster, IN 463211516

Telephone 2198362770

Fax 2198360438

Associated Practice Facility / Clinic

🏢 D J Dawson Md Incorporated Facility NPI 1558644476

Medicare Profile & Education

Medical School

Meharry Medical College School Of Medicine

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Munster, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +16.1 yrs vs City Avg

City Avg: 29.9 Yrs

State Avg: 27.7 Yrs

Regional Practice Density

9 Specialists

Practicing in Munster, IN (339 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dawson (46 Years) 46 Yrs

Munster Specialty Average (29.9 Years) 29.9 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
66984 Removal of cataract with insertion of lens	134	93	$1537.31	$519.01
92012 Established patient problem focused exam of visual system	94	62	$164.63	$82.04
66982 Complex removal of cataract with insertion of prosthetic lens	59	49	$1800.00	$759.28
92014 Established patient complete exam of visual system	41	41	$225.00	$116.41
65855 Laser repair to improve eye fluid flow	25	15	$600.00	$257.70
92133 Imaging of optic nerve	24	24	$75.00	$31.68
92004 New patient complete exam of visual system	20	20	$275.00	$130.78
66821 Removal of recurring cataract in lens capsule using a laser	19	17	$600.00	$367.07
92134 Imaging of retina	13	12	$75.00	$37.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	148	110	$1641.89	$547.26
92012 Established patient problem focused exam of visual system	142	72	$164.26	$84.19
92014 Established patient complete exam of visual system	58	58	$225.00	$118.47
66982 Complex removal of cataract with insertion of prosthetic lens	50	46	$1824.00	$761.06
92134 Imaging of retina	31	23	$74.52	$37.62
92004 New patient complete exam of visual system	29	29	$275.00	$141.02
92133 Imaging of optic nerve	24	24	$75.00	$34.29
92136 Measurement of corneal curvature and depth of eye	22	21	$150.00	$43.30
66821 Removal of recurring cataract in lens capsule using a laser	12	11	$600.00	$321.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	181	93	$164.81	$83.79
66984 Removal of cataract with insertion of lens	123	95	$1573.17	$568.17
66982 Complex removal of cataract with insertion of prosthetic lens	36	33	$1833.33	$770.70
92014 Established patient complete exam of visual system	36	36	$225.00	$119.48
92004 New patient complete exam of visual system	28	28	$275.00	$141.67
65855 Laser repair to improve eye fluid flow	24	14	$600.00	$260.02
66821 Removal of recurring cataract in lens capsule using a laser	24	22	$600.00	$351.84
92134 Imaging of retina	18	15	$75.00	$38.14
92133 Imaging of optic nerve	18	18	$75.00	$34.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	217	106	$154.42	$85.07
66984 Removal of cataract with insertion of lens	148	109	$1641.89	$566.65
92014 Established patient complete exam of visual system	50	50	$217.40	$120.05
66982 Complex removal of cataract with insertion of prosthetic lens	33	29	$1872.73	$787.84
0191T Internal insertion of eye fluid drainage device	27	18	$838.89	$407.02
92133 Imaging of optic nerve	26	24	$75.00	$34.69
92004 New patient complete exam of visual system	25	25	$275.00	$142.43
66821 Removal of recurring cataract in lens capsule using a laser	20	17	$772.50	$357.72
92136 Measurement of corneal curvature and depth of eye	19	18	$150.00	$48.01
65855 Laser repair to improve eye fluid flow	19	12	$1334.21	$264.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	156	102	$139.65	$84.51
66984 Removal of cataract with insertion of lens	86	70	$1616.28	$576.32
99213 Established patient office or other outpatient visit, typically 15 minutes	71	57	$130.99	$71.01
92014 Established patient complete exam of visual system	38	36	$205.00	$116.66
92133 Imaging of optic nerve	29	28	$74.66	$35.49
66982 Complex removal of cataract with insertion of prosthetic lens	29	27	$1841.38	$798.81
92083 Exam of visual field with extended testing	24	24	$125.00	$59.97
92134 Imaging of retina	19	17	$75.00	$38.85
92004 New patient complete exam of visual system	15	15	$275.00	$143.80
66821 Removal of recurring cataract in lens capsule using a laser	13	13	$945.00	$354.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	211	171	$135.00	$83.69
99213 Established patient office or other outpatient visit, typically 15 minutes	195	115	$134.82	$70.29
66984 Removal of cataract with insertion of lens	147	121	$1500.00	$665.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$225.00	$155.40
66982 Complex removal of cataract with insertion of prosthetic lens	54	49	$1759.26	$829.41
92083 Exam of visual field with extended testing	46	45	$125.00	$60.64
92133 Imaging of optic nerve	44	42	$65.00	$35.01
76519 Ultrasound of eye for determination of lens power	34	30	$122.79	$57.32
0191T Internal insertion of eye fluid drainage device	23	16	$880.43	$437.99
92014 Established patient complete exam of visual system	22	22	$175.00	$120.58
66821 Removal of recurring cataract in lens capsule using a laser	20	14	$945.00	$350.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	256	197	$134.94	$77.92
99213 Established patient office or other outpatient visit, typically 15 minutes	233	120	$134.70	$64.92
66984 Removal of cataract with insertion of lens	186	150	$1500.00	$643.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$225.00	$146.06
92083 Exam of visual field with extended testing	66	64	$124.55	$57.07
76519 Ultrasound of eye for determination of lens power	51	42	$120.59	$59.39
66982 Complex removal of cataract with insertion of prosthetic lens	50	45	$1776.00	$799.85
92014 Established patient complete exam of visual system	12	12	$172.33	$114.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	283	194	$135.42	$80.00
66984 Removal of cataract with insertion of lens	189	147	$1511.51	$659.80
99213 Established patient office or other outpatient visit, typically 15 minutes	181	109	$134.19	$68.93
76519 Ultrasound of eye for determination of lens power	130	120	$108.27	$79.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	130	$137.70	$109.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$222.90	$153.76
92083 Exam of visual field with extended testing	55	53	$124.45	$59.66
92014 Established patient complete exam of visual system	54	54	$165.26	$120.66
66982 Complex removal of cataract with insertion of prosthetic lens	33	31	$1833.33	$836.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	27	$76.79	$42.15
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$36.91	$27.29
92136 Measurement of corneal curvature and depth of eye	11	11	$111.00	$87.62
66821 Removal of recurring cataract in lens capsule using a laser	11	11	$945.00	$346.98

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License IN 01033635A

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

100215670 (IN)

Hospital & Practice Group Affiliations

Suburban Eye Specialists

9610 N Centennial Dr, Munster, IN 463214081

Phone: 7088730088

Illinois College Of Optometry

3241 S Michigan Ave, Chicago, IL 606163878

Phone: 3129497751

Suburban Eye Specialists

18210 La Grange Rd, Tinley Park, IL 604877728

Phone: 7088730088217

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 06, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location September 06, 2011

Registered at 8256 HOHMAN AVE, MUNSTER, IN 463211516 (Tel: 2198362770)

📍

Updated Business Mailing Address September 06, 2011

Registered at 536 W 55TH AVE, MERRILLVILLE, IN 464102010 (Tel: 2198362770)

👤

Provider Name / Credentials Updated September 06, 2011

Recorded as DEREK DAWSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2011

Ophthalmology (License #01033635A in IN)

🟢

Initial NPI Registration & Enumeration December 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: 1013992411

Entity Type:

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

Enumeration Date: December 08, 2005

Last Update: September 06, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

536 W 55th Ave

Merrillville, IN 464102010

Phone: 2198362770

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.