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Active NPI 1124012869 Individual Practitioner Female Practitioner

Dr. Cara Vander Wilt , OD

Optometrist • Johnston, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Cara Vander Wilt, OD is a certified Optometrist practicing in Johnston, IA. With approximately 22 years of clinical experience since completing medical education in 2004, Dr. Vander Wilt delivers high-quality medical care to the local community at 5501 NW 86TH ST STE 500.

Dr. Vander Wilt is affiliated with Real Optics Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, new patient complete exam of visual system, 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

5501 Nw 86th St Ste 500

Johnston, IA 501311815

Telephone 5152700494
Fax 5152706463
Associated Practice Facility / Clinic
🏢 Jay D Petersma Od Pc Facility NPI 1114279866

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Johnston, IA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +6.0 yrs vs City Avg
City Avg: 16.0 Yrs
State Avg: 23.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Johnston, IA (704 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
5.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vander Wilt (22 Years) 22 Yrs
Johnston Specialty Average (16.0 Years) 16.0 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
92014 Established patient complete exam of visual system
19 19 $120.00 $113.60
92004 New patient complete exam of visual system
17 17 $136.59 $129.40

Medical Specialties & State Licenses

CMS Verified: 2023-08-10
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IA 02289

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
1124012869 (IA)

Hospital & Practice Group Affiliations

Real Optics Inc

2405 Ingersoll Ave, Des Moines, IA 503125233

Phone: 5152447740

Secondary Practice Locations

1005 8th St Sw Ste A

Altoona, IA 500092310

Phone: 5159674095

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1013584549

Doctor of Optometry

NPI 1326148933

Doctor of Optometry

NPI 1386657641

Doctor of Optometry

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address August 14, 2023

Registered at 110 S 19TH CT, INDIANOLA, IA 501254725 (Tel: 5154908103)

📍
Updated Practice Location August 10, 2023

Registered at 5501 NW 86TH ST STE 500, JOHNSTON, IA 501311815 (Tel: 5155315857)

NPI Profile Active April 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 23, 2014

Registered at 123 E MAIN ST, KNOXVILLE, IA 501382525 (Tel: 5152792020)

📍
Updated Business Mailing Address April 23, 2014

Registered at 3725 INGERSOLL AVE, DES MOINES, IA 503123410 (Tel: 5152792020)

👤
Provider Name / Credentials Updated April 23, 2014

Recorded as CARA VANDER WILT, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2014

Optometrist (License #02289 in IA)

🟢
Initial NPI Registration & Enumeration September 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: 1124012869
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2005
Last Update: August 14, 2023
Sole Proprietor: Yes

Mailing Address

110 S 19th Ct

Indianola, IA 501254725

Phone: 5154908103

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.