Active NPI 1639483936 Individual Practitioner Male Practitioner

Dr. Efren Alejandro Gomez , OD

Optometrist • Whiting, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Efren Gomez, OD is a certified Optometrist practicing in Whiting, IN. With approximately 16 years of clinical experience since completing medical education in 2010, Dr. Gomez delivers high-quality medical care to the local community at 1703 CALUMET AVE.

Dr. Gomez accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, photography of the retina, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1703 Calumet Ave
Suite B

Whiting, IN 463941414

Telephone 2196591105

Fax 2196594855

Associated Practice Facility / Clinic

🏢 Robert L Hoffman Od Pc Facility NPI 1134325574

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Whiting, IN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +5.3 yrs vs City Avg

City Avg: 10.7 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

4 Specialists

Practicing in Whiting, IN (1644 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

18.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gomez (16 Years) 16 Yrs

Whiting Specialty Average (10.7 Years) 10.7 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	98	98	$145.00	$117.04
92250 Photography of the retina	81	79	$65.00	$34.26
99213 Established patient office or other outpatient visit, typically 15 minutes	33	27	$90.00	$84.35
92004 New patient complete exam of visual system	11	11	$160.00	$138.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	190	189	$142.74	$118.06
92250 Photography of the retina	98	93	$65.00	$34.75
99213 Established patient office or other outpatient visit, typically 15 minutes	92	73	$92.45	$83.46
92004 New patient complete exam of visual system	43	43	$162.44	$140.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	17	$129.38	$118.93
92133 Imaging of optic nerve	19	19	$85.00	$34.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	262	260	$142.19	$118.65
92250 Photography of the retina	127	121	$65.00	$34.72
99213 Established patient office or other outpatient visit, typically 15 minutes	77	68	$92.92	$85.01
92004 New patient complete exam of visual system	45	45	$161.78	$141.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$60.00	$52.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	17	$130.00	$116.72
92083 Exam of visual field with extended testing	17	16	$132.24	$58.19
92133 Imaging of optic nerve	16	16	$85.00	$34.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	241	241	$142.12	$120.09
92250 Photography of the retina	101	94	$65.00	$36.89
99213 Established patient office or other outpatient visit, typically 15 minutes	94	68	$93.56	$86.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	55	$59.93	$53.08
92004 New patient complete exam of visual system	28	28	$161.96	$143.06
92133 Imaging of optic nerve	23	23	$85.00	$35.17
92083 Exam of visual field with extended testing	20	16	$128.05	$59.43
92012 Established patient problem focused exam of visual system	19	18	$98.16	$84.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	253	251	$141.78	$119.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	63	$56.08	$42.59
99213 Established patient office or other outpatient visit, typically 15 minutes	63	47	$81.59	$70.89
92004 New patient complete exam of visual system	28	28	$161.79	$143.64
92012 Established patient problem focused exam of visual system	25	25	$98.60	$84.08
92083 Exam of visual field with extended testing	18	18	$133.00	$59.75
92133 Imaging of optic nerve	16	16	$85.00	$33.63
92134 Imaging of retina	13	13	$85.00	$38.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	314	314	$141.74	$119.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	100	84	$56.00	$42.24
99213 Established patient office or other outpatient visit, typically 15 minutes	85	60	$81.53	$67.78
92004 New patient complete exam of visual system	44	44	$163.30	$143.49
92012 Established patient problem focused exam of visual system	38	36	$99.21	$82.58
92133 Imaging of optic nerve	32	32	$85.00	$34.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$120.00	$97.60
92083 Exam of visual field with extended testing	26	24	$133.00	$60.41
92134 Imaging of retina	12	12	$85.00	$36.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	304	304	$140.99	$119.06
99213 Established patient office or other outpatient visit, typically 15 minutes	92	67	$80.43	$68.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	58	$55.55	$41.09
92004 New patient complete exam of visual system	39	39	$163.46	$140.48
92012 Established patient problem focused exam of visual system	31	31	$96.13	$82.82
92133 Imaging of optic nerve	29	28	$85.00	$35.64
92083 Exam of visual field with extended testing	18	18	$131.17	$60.35
92134 Imaging of retina	13	13	$85.00	$39.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	283	279	$138.87	$115.32
99213 Established patient office or other outpatient visit, typically 15 minutes	138	93	$79.82	$68.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	129	102	$54.92	$40.73
92012 Established patient problem focused exam of visual system	48	43	$94.58	$80.35
92004 New patient complete exam of visual system	39	39	$160.77	$134.58
92133 Imaging of optic nerve	31	31	$85.00	$35.23
92083 Exam of visual field with extended testing	29	27	$133.00	$60.38

Medical Specialties & State Licenses

CMS Verified: 2020-06-22

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IN 18003645A

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

201012650 (IN)

Secondary Practice Locations

6850 Hohman Avenue

Hammond, IN 463241410

Phone: 2199317509

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Robert Hoffman , OD, PC

Optometrist

NPI 1104892579

Doctor of Optometry, PC

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active October 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location October 03, 2017

Registered at 1703 CALUMET AVE, SUITE B, WHITING, IN 463941414 (Tel: 2196591105)

📍

Updated Business Mailing Address October 03, 2017

Registered at 1703 CALUMET AVE, SUITE B, WHITING, IN 463941414 (Tel: 2196591105)

👤

Provider Name / Credentials Updated October 03, 2017

Recorded as EFREN GOMEZ, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2017

Optometrist (License #18003645A in IN)

✅

NPI Profile Active February 28, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 28, 2013

Registered at 1703 CALUMET AVE, SUITE B, WHITING, IN 463941414 (Tel: 2196591105)

📍

Updated Business Mailing Address February 28, 2013

Registered at 1703 CALUMET AVE, SUITE B, WHITING, IN 463941414 (Tel: 2196591105)

👤

Provider Name / Credentials Updated February 28, 2013

Recorded as EFREN GOMEZ, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2013

Optometrist (License #18003645A in IN)

🟢

Initial NPI Registration & Enumeration July 29, 2010

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: 1639483936

Entity Type:

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

Enumeration Date: July 29, 2010

Last Update: June 22, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1703 Calumet Ave, Suite B

Whiting, IN 463941414

Phone: 2196591105

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.