Active NPI 1265429641 Individual Practitioner Female Practitioner

Dr. Adria N Porter , OD

Optometrist • Providence, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Adria Porter, OD is a certified Optometrist practicing in Providence, KY. With approximately 22 years of clinical experience since graduating from University Alabama Birmingham - School Of Optometry in 2004, Dr. Porter delivers high-quality medical care to the local community at 215 E MAIN ST.

Dr. Porter accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of cataract with insertion of lens. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

215 E Main St

Providence, KY 424501261

Telephone 2706677017

Fax 2706679065

Associated Practice Facility / Clinic

🏢 Baptist Health Madisonville Inc Facility NPI 1194850420

Medicare Profile & Education

Medical School

University Alabama Birmingham - School Of Optometry

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Providence, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs Matches City Avg

City Avg: 22.0 Yrs

State Avg: 21.9 Yrs

Regional Practice Density

1 Specialists

Practicing in Providence, KY (836 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

3.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Porter (22 Years) 22 Yrs

Providence Specialty Average (22.0 Years) 22.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	234	220	$87.00	$83.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$106.00	$102.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	33	$122.00	$118.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	4,013	24	$1.56	$1.10
99213 Established patient office or other outpatient visit, typically 15 minutes	232	209	$87.00	$83.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$106.00	$104.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$122.00	$118.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$55.00	$51.97
92083 Exam of visual field with extended testing	12	12	$77.00	$56.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,639	25	$1.60	$1.14
99213 Established patient office or other outpatient visit, typically 15 minutes	219	194	$86.93	$84.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$105.65	$104.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	18	$55.00	$52.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$121.89	$120.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	4,606	31	$1.56	$1.13
99213 Established patient office or other outpatient visit, typically 15 minutes	216	188	$85.26	$84.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$100.60	$100.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$118.75	$118.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	20	$55.00	$52.55
92014 Established patient complete exam of visual system	12	12	$88.33	$88.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,773	11	$1.56	$1.15
92014 Established patient complete exam of visual system	178	178	$76.85	$76.67
92004 New patient complete exam of visual system	57	57	$80.96	$80.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	47	$46.00	$42.42
99213 Established patient office or other outpatient visit, typically 15 minutes	44	40	$61.00	$60.87
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$71.00	$70.77
92083 Exam of visual field with extended testing	11	11	$77.00	$58.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	4,640	33	$1.56	$1.34
92014 Established patient complete exam of visual system	134	133	$76.72	$75.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	67	$90.45	$89.37
99213 Established patient office or other outpatient visit, typically 15 minutes	64	59	$61.00	$60.20
92004 New patient complete exam of visual system	61	61	$81.72	$80.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	48	$46.00	$41.67
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$71.00	$70.11
92083 Exam of visual field with extended testing	14	14	$77.00	$58.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	5,435	39	$1.56	$1.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	124	$90.12	$88.83
99213 Established patient office or other outpatient visit, typically 15 minutes	100	84	$61.00	$60.15
92004 New patient complete exam of visual system	78	78	$81.41	$80.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	60	$46.00	$39.48
92014 Established patient complete exam of visual system	50	50	$77.20	$76.33
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$71.00	$67.99
92083 Exam of visual field with extended testing	13	13	$77.00	$53.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	5,102	35	$1.56	$1.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	152	$90.29	$87.59
92004 New patient complete exam of visual system	93	93	$81.08	$79.02
99213 Established patient office or other outpatient visit, typically 15 minutes	80	74	$61.00	$59.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	56	$46.00	$37.65
92014 Established patient complete exam of visual system	38	38	$75.66	$73.63
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$71.00	$64.93
92083 Exam of visual field with extended testing	14	14	$77.00	$55.22

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License KY 1619-DT

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

77001212 (KY)

Secondary Practice Locations

713 S Main St

Marion, KY 420641807

Phone: 2709655280

Practice Associates & Co-Workers

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

27 Associated Practitioners

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Nurse Practitioner - Women's Health

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Advanced Registered Nurse Practitioner

Lori Conger , RD, LD

Dietitian, Registered

NPI 1043437817

Registered Dietitian, Licensed Dietitian

Jane Smith , RPH

Pharmacist - Ambulatory Care

NPI 1053776005

Registered Pharmacist

Dr. Kumarasooriyar Kumaravelu , MD

Pediatrics

NPI 1114146081

Doctor of Medicine (M.D.)

Lori Marrero , APRN

Nurse Practitioner - Family

NPI 1124425418

Advanced Practice Registered Nurse

Jennifer Collins , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1205239860

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active March 02, 2018

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address March 02, 2018

Registered at PO BOX 37, PROVIDENCE, KY 424500037 (Tel: 2706677017)

📍

Updated Practice Location March 02, 2018

Registered at 713 S MAIN ST, MARION, KY 420641807 (Tel: 2709655280)

👤

Provider Name / Credentials Updated March 02, 2018

Recorded as ADRIA PORTER, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2018

Optometrist (License #1619-DT in KY)

✅

NPI Profile Active March 16, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location March 16, 2009

Registered at 713 S MAIN ST, MARION, KY 420641807 (Tel: 2709655280)

📍

Updated Business Mailing Address March 16, 2009

Registered at 713 S MAIN ST, MARION, KY 420641807 (Tel: 2709655280)

👤

Provider Name / Credentials Updated March 16, 2009

Recorded as ADRIA PORTER, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2009

Optometrist (License #1619-DT in KY)

🟢

Initial NPI Registration & Enumeration September 30, 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: 1265429641

Entity Type:

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

Enumeration Date: September 30, 2005

Last Update: March 02, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 37

Providence, KY 424500037

Phone: 2706677017

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.