Active NPI 1730238072 Individual Practitioner Male Practitioner

Wayne A Helderman , OPTOMETRIST

Optometrist • Mount Sterling, KY

Professional Overview & Biography Verified Profile Summary

Wayne Helderman, OPTOMETRIST is a registered healthcare professional specializing in Optometrist in Mount Sterling, KY. Practice services are available at 1 N MAYSVILLE ST under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

1 N Maysville St

Mount Sterling, KY 403531315

Telephone 8594986001

Fax 8594970222

Associated Practice Facility / Clinic

🏢 Helderman & Jacobs Vison Center, Pllc Facility NPI 1659420602

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Mount Sterling, KY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.8 Yrs

State Avg: 21.9 Yrs

Regional Practice Density

6 Specialists

Practicing in Mount Sterling, KY (836 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

32.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	105	$130.00	$118.16
99213 Established patient office or other outpatient visit, typically 15 minutes	68	54	$100.00	$83.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$150.00	$104.04
92250 Photography of the retina	20	20	$90.00	$34.06
92133 Imaging of optic nerve	18	15	$65.00	$33.01
92134 Imaging of retina	18	16	$65.00	$35.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,340	20	$2.31	$1.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	205	197	$130.00	$115.85
99213 Established patient office or other outpatient visit, typically 15 minutes	157	117	$100.00	$81.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$150.00	$101.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$185.00	$153.81
92250 Photography of the retina	12	12	$90.00	$32.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,211	23	$2.44	$1.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	212	$128.48	$121.68
99213 Established patient office or other outpatient visit, typically 15 minutes	156	107	$99.68	$86.08
92250 Photography of the retina	119	115	$90.00	$36.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$151.25	$105.94
92133 Imaging of optic nerve	39	35	$65.00	$34.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$184.61	$159.22
92134 Imaging of retina	21	19	$65.00	$38.11
92285 Photography of content of eyes	12	12	$50.00	$20.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,210	28	$2.43	$1.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	204	$115.00	$103.04
92250 Photography of the retina	159	149	$90.00	$41.61
99213 Established patient office or other outpatient visit, typically 15 minutes	112	80	$85.00	$70.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$170.00	$156.41
92133 Imaging of optic nerve	31	29	$65.00	$34.42
92134 Imaging of retina	23	22	$65.00	$38.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$136.94	$101.77
92083 Exam of visual field with extended testing	11	11	$100.00	$58.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	4,201	32	$2.43	$1.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	322	303	$108.11	$100.47
99213 Established patient office or other outpatient visit, typically 15 minutes	164	115	$78.99	$68.96
92250 Photography of the retina	116	111	$87.16	$45.38
92133 Imaging of optic nerve	68	59	$57.28	$33.82
92134 Imaging of retina	54	52	$57.22	$37.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$163.27	$154.27
92083 Exam of visual field with extended testing	44	43	$94.55	$58.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	4,970	40	$2.41	$1.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	322	311	$100.00	$98.12
99213 Established patient office or other outpatient visit, typically 15 minutes	177	124	$70.00	$66.32
92133 Imaging of optic nerve	81	76	$50.00	$33.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$154.19	$149.88
92134 Imaging of retina	68	64	$50.00	$37.50
92250 Photography of the retina	58	58	$75.00	$49.91
92083 Exam of visual field with extended testing	39	38	$85.00	$57.11
92285 Photography of content of eyes	12	11	$35.00	$18.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	4,037	31	$2.43	$1.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	252	244	$100.00	$93.36
99213 Established patient office or other outpatient visit, typically 15 minutes	237	154	$70.00	$63.43
92133 Imaging of optic nerve	91	85	$50.00	$31.50
92250 Photography of the retina	70	68	$75.00	$55.60
92083 Exam of visual field with extended testing	61	59	$85.00	$53.63
92134 Imaging of retina	58	56	$50.00	$34.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$155.00	$144.96
92285 Photography of content of eyes	32	28	$35.00	$17.29

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License KY 762DT

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

77007623 (KY)

Commercial Insurance / Payer ID Bcbs

000000382769 (KY)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Tyler Fruth , OD

Optometrist

NPI 1457086142

Doctor of Optometry

Edward Jacobs , OPTOMETRIST

Optometrist

NPI 1487703732

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 1 N MAYSVILLE ST, MOUNT STERLING, KY 403531315 (Tel: 8594986001)

📍

Updated Business Mailing Address July 09, 2007

Registered at 1 N MAYSVILLE ST, MOUNT STERLING, KY 403531315 (Tel: 8594986001)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as WAYNE HELDERMAN, OPTOMETRIST

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Optometrist (License #762DT in KY)

🟢

Initial NPI Registration & Enumeration January 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1730238072

Entity Type:

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

Enumeration Date: January 09, 2007

Last Update: July 09, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 N Maysville St

Mount Sterling, KY 403531315

Phone: 8594986001

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.