Active NPI 1760573547 Individual Practitioner Male Practitioner

Dr. Brian Steven Lambert , MD

Ophthalmology • South Williamson, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Lambert, MD is a certified Ophthalmology practicing in South Williamson, KY. With approximately 30 years of clinical experience since graduating from University Of Louisville School Of Medicine in 1996, Dr. Lambert delivers high-quality medical care to the local community at 28531 US HIGHWAY 119.

Dr. Lambert accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, established 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

28531 Us Highway 119

South Williamson, KY 415033928

Telephone 6062377196

Fax 6062377205

Associated Practice Facility / Clinic

🏢 Lambert Eyecare Associates Psc Facility NPI 1003907726

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in South Williamson, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs Matches City Avg

City Avg: 30.0 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

1 Specialists

Practicing in South Williamson, KY (265 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

37.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lambert (30 Years) 30 Yrs

South Williamson Specialty Average (30.0 Years) 30.0 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
66984 Removal of cataract with insertion of lens	470	18	$55.53	$21.93
99213 Established patient office or other outpatient visit, typically 15 minutes	275	207	$100.00	$82.87
92250 Photography of the retina	251	245	$90.00	$33.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	213	206	$125.00	$116.90
92134 Imaging of retina	170	163	$100.00	$35.55
92083 Exam of visual field with extended testing	59	57	$80.00	$56.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	37	$65.00	$50.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$150.00	$148.11
76519 Ultrasound of eye for determination of lens power	30	23	$134.00	$50.79
92133 Imaging of optic nerve	20	20	$100.00	$32.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	327	233	$100.00	$83.05
92250 Photography of the retina	276	271	$90.00	$33.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	223	216	$125.00	$117.75
92134 Imaging of retina	169	167	$100.00	$35.99
92083 Exam of visual field with extended testing	75	71	$80.00	$56.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$150.00	$144.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	28	$65.00	$51.29
76519 Ultrasound of eye for determination of lens power	40	30	$131.50	$50.22
66984 Removal of cataract with insertion of lens	36	24	$1200.00	$496.55
92133 Imaging of optic nerve	31	30	$100.00	$32.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	325	222	$100.00	$84.74
92250 Photography of the retina	293	285	$90.00	$33.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	230	$125.00	$119.82
92134 Imaging of retina	174	168	$100.00	$36.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$150.00	$146.56
92083 Exam of visual field with extended testing	45	42	$80.00	$56.96
92133 Imaging of optic nerve	34	34	$100.00	$33.22
76519 Ultrasound of eye for determination of lens power	24	19	$134.83	$50.42
66984 Removal of cataract with insertion of lens	24	16	$1200.00	$501.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	307	206	$100.00	$84.12
92250 Photography of the retina	297	291	$90.00	$36.33
92134 Imaging of retina	183	171	$100.00	$38.17
92014 Established patient complete exam of visual system	161	159	$125.00	$119.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$150.00	$151.30
99213 Established patient office or other outpatient visit, typically 15 minutes	88	70	$100.00	$85.59
92083 Exam of visual field with extended testing	88	85	$80.00	$58.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	41	$125.00	$119.37
76519 Ultrasound of eye for determination of lens power	40	28	$134.00	$50.98
66984 Removal of cataract with insertion of lens	36	27	$1200.00	$514.91
92133 Imaging of optic nerve	31	31	$100.00	$33.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$65.00	$53.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	340	206	$100.00	$83.31
92250 Photography of the retina	311	311	$90.00	$41.35
92083 Exam of visual field with extended testing	167	167	$80.00	$58.99
92134 Imaging of retina	167	164	$100.00	$37.37
92014 Established patient complete exam of visual system	135	134	$125.00	$119.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	103	103	$150.00	$150.18
99213 Established patient office or other outpatient visit, typically 15 minutes	82	56	$100.00	$68.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	49	$125.00	$98.57
92133 Imaging of optic nerve	46	46	$100.00	$33.22
66984 Removal of cataract with insertion of lens	34	25	$1200.00	$524.54
76519 Ultrasound of eye for determination of lens power	34	25	$122.82	$50.15
92285 Photography of content of eyes	14	14	$45.00	$18.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	405	260	$100.00	$82.78
92250 Photography of the retina	399	397	$90.00	$46.51
92134 Imaging of retina	225	215	$100.00	$38.19
92014 Established patient complete exam of visual system	185	178	$125.00	$119.11
92083 Exam of visual field with extended testing	144	142	$80.00	$59.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	139	139	$150.00	$149.06
99213 Established patient office or other outpatient visit, typically 15 minutes	116	86	$100.00	$68.69
92133 Imaging of optic nerve	70	70	$100.00	$32.90
76519 Ultrasound of eye for determination of lens power	60	46	$132.33	$50.68
66984 Removal of cataract with insertion of lens	53	37	$1200.00	$610.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	52	$125.00	$98.04
92285 Photography of content of eyes	21	20	$45.00	$17.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	445	274	$100.00	$81.29
92250 Photography of the retina	369	367	$90.00	$51.48
92134 Imaging of retina	236	231	$100.00	$38.45
92014 Established patient complete exam of visual system	168	166	$125.00	$117.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	133	133	$150.00	$148.08
92083 Exam of visual field with extended testing	129	127	$80.00	$58.27
99213 Established patient office or other outpatient visit, typically 15 minutes	84	63	$100.00	$67.94
92133 Imaging of optic nerve	66	66	$100.00	$33.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	56	$125.00	$97.81
76519 Ultrasound of eye for determination of lens power	55	44	$122.18	$53.90
66984 Removal of cataract with insertion of lens	54	40	$1200.00	$602.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	25	$65.00	$40.64
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	23	12	$650.00	$276.62
66821 Removal of recurring cataract in lens capsule using a laser	19	17	$380.00	$307.07
92285 Photography of content of eyes	15	15	$45.00	$17.11
67840 Removal of eyelid growth	14	11	$350.00	$253.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	387	244	$100.00	$73.77
92250 Photography of the retina	377	362	$89.88	$55.06
92014 Established patient complete exam of visual system	212	209	$125.12	$107.22
92134 Imaging of retina	194	190	$99.74	$34.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	120	120	$150.00	$144.29
92083 Exam of visual field with extended testing	114	113	$79.65	$52.65
99213 Established patient office or other outpatient visit, typically 15 minutes	86	74	$100.00	$61.60
92133 Imaging of optic nerve	77	77	$100.00	$30.12
76519 Ultrasound of eye for determination of lens power	61	47	$124.66	$55.87
66984 Removal of cataract with insertion of lens	49	35	$1200.00	$558.60
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	41	23	$650.00	$252.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$125.00	$91.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	13	$65.00	$37.47
92285 Photography of content of eyes	16	16	$45.00	$16.07
66821 Removal of recurring cataract in lens capsule using a laser	15	14	$380.00	$284.28

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License KY 35663

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64016702 (KY)

Medicaid State Provider ID

1803615000 (WV)

Commercial Insurance / Payer ID Anthem Bs

000000180119 (KY)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Don Lambert , OD

Optometrist

NPI 1396836201

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 28531 US HIGHWAY 119, SOUTH WILLIAMSON, KY 415033928 (Tel: 6062377196)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 169, FOREST HILLS, KY 415270169 (Tel: 6062377196)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as BRIAN LAMBERT, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #35663 in KY)

🟢

Initial NPI Registration & Enumeration September 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1760573547

Entity Type:

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

Enumeration Date: September 27, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 169

Forest Hills, KY 415270169

Phone: 6062377196

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.