Active NPI 1841376480 Individual Practitioner Male Practitioner

Dr. Lloyd Lee Cain , OD

Optometrist • Middlesboro, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lloyd Cain, OD is a certified Optometrist practicing in Middlesboro, KY. With approximately 39 years of clinical experience since graduating from Indiana University - School Of Optometry in 1987, Dr. Cain delivers high-quality medical care to the local community at 2145 US HIGHWAY 25 E.

Dr. Cain accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

2145 Us Highway 25 E

Middlesboro, KY 409651874

Telephone 6062483582

Fax 6062480014

Associated Practice Facility / Clinic

🏢 Mountain Optical, Llc Facility NPI 1669661690

Medicare Profile & Education

Medical School

Indiana University - School Of Optometry

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Middlesboro, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +15.6 yrs vs City Avg

City Avg: 23.4 Yrs

State Avg: 21.9 Yrs

Regional Practice Density

7 Specialists

Practicing in Middlesboro, KY (836 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

27.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cain (39 Years) 39 Yrs

Middlesboro Specialty Average (23.4 Years) 23.4 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	94	94	$126.66	$114.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	29	$44.85	$43.93
92004 New patient complete exam of visual system	36	36	$142.61	$135.23
92133 Imaging of optic nerve	19	17	$133.26	$32.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	104	103	$124.74	$115.55
92004 New patient complete exam of visual system	60	60	$147.65	$137.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	32	$48.21	$45.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	102	102	$122.13	$116.92
92004 New patient complete exam of visual system	78	78	$141.40	$138.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	32	$47.93	$46.76
92133 Imaging of optic nerve	14	14	$126.00	$33.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	99	98	$121.85	$118.00
92004 New patient complete exam of visual system	64	64	$140.39	$139.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	31	$45.25	$44.97
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$87.09	$83.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,410	12	$2.21	$1.15
92014 Established patient complete exam of visual system	76	75	$119.57	$118.06
92004 New patient complete exam of visual system	69	68	$137.58	$137.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	34	$44.00	$42.30
99213 Established patient office or other outpatient visit, typically 15 minutes	35	30	$77.11	$69.94
92133 Imaging of optic nerve	15	14	$129.73	$34.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$105.00	$101.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,250	18	$1.99	$1.34
92014 Established patient complete exam of visual system	121	120	$119.38	$117.40
99213 Established patient office or other outpatient visit, typically 15 minutes	90	71	$77.66	$69.13
92004 New patient complete exam of visual system	65	65	$139.26	$137.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	23	$44.00	$41.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$105.00	$101.24
92133 Imaging of optic nerve	15	14	$121.93	$34.37
92083 Exam of visual field with extended testing	13	12	$83.00	$58.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,260	12	$1.81	$1.30
92014 Established patient complete exam of visual system	156	156	$119.40	$113.86
92004 New patient complete exam of visual system	83	83	$139.24	$136.70
99213 Established patient office or other outpatient visit, typically 15 minutes	79	64	$76.39	$65.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	30	$44.27	$39.45
83861 Microfluid analysis of tears	34	17	$25.00	$22.03
92133 Imaging of optic nerve	25	24	$139.88	$33.94
92012 Established patient problem focused exam of visual system	22	16	$90.00	$78.93
83516 Analysis of substance using immunoassay technique	16	16	$25.00	$13.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$105.00	$98.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	202	202	$119.30	$111.64
92004 New patient complete exam of visual system	110	110	$139.38	$135.42
99213 Established patient office or other outpatient visit, typically 15 minutes	87	62	$76.93	$67.17
83861 Microfluid analysis of tears	34	17	$25.00	$22.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	25	$44.00	$38.89
83516 Analysis of substance using immunoassay technique	17	17	$25.00	$14.63
92133 Imaging of optic nerve	16	16	$130.81	$33.74
92083 Exam of visual field with extended testing	14	13	$80.71	$57.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$105.00	$100.73

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License KY 1103DT

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

77011039 (KY)

Commercial Insurance / Payer ID Bcbs

000000049007 (KY)

Commercial Insurance / Payer ID Davis Vision

55219

Commercial Insurance / Payer ID Rr Medicare

410006579

Practice Associates & Co-Workers

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

1 Associated Practitioners

Katherine Keck , OPTICIAN

Technician/Technologist - Optician

NPI 1568517852

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 07, 2016

Registered at 2145 US HIGHWAY 25 E, MIDDLESBORO, KY 409651874 (Tel: 6062483582)

📍

Updated Business Mailing Address April 07, 2016

Registered at 2145 US HIGHWAY 25 E, MIDDLESBORO, KY 409651874 (Tel: 6062483582)

👤

Provider Name / Credentials Updated April 07, 2016

Recorded as LLOYD CAIN, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2016

Optometrist (License #1103DT in KY)

🟢

Initial NPI Registration & Enumeration October 27, 2006

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: 1841376480

Entity Type:

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

Enumeration Date: October 27, 2006

Last Update: April 07, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2145 Us Highway 25 E

Middlesboro, KY 409651874

Phone: 6062483582

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.