Active NPI 1497857429 Individual Practitioner Male Practitioner

Dr. Troy Michael Avery , OD

Optometrist • Lewiston, ME

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Troy Avery, OD is a certified Optometrist practicing in Lewiston, ME. With approximately 31 years of clinical experience since graduating from Pacific University - College Of Optometry in 1995, Dr. Avery delivers high-quality medical care to the local community at 181 RUSSELL ST.

Dr. Avery is affiliated with Dale Rodrigue Eyecare Center, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, 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

181 Russell St

Lewiston, ME 042405436

Telephone 2077841814

Fax 2077833159

Associated Practice Facility / Clinic

🏢 Central Maine Eye Optical Facility NPI 1225149370

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Lewiston, ME

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +12.4 yrs vs City Avg

City Avg: 18.6 Yrs

State Avg: 24.2 Yrs

Regional Practice Density

19 Specialists

Practicing in Lewiston, ME (324 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Avery (31 Years) 31 Yrs

Lewiston Specialty Average (18.6 Years) 18.6 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	289	249	$166.89	$80.21
92014 Established patient complete exam of visual system	131	130	$301.55	$110.80
92250 Photography of the retina	124	117	$175.68	$32.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	37	$103.84	$49.67
92004 New patient complete exam of visual system	40	40	$360.43	$131.28
92133 Imaging of optic nerve	28	28	$175.00	$31.87
92134 Imaging of retina	19	18	$150.00	$33.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$228.00	$98.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	220	189	$90.00	$79.39
92014 Established patient complete exam of visual system	189	189	$205.00	$111.33
92250 Photography of the retina	134	128	$170.00	$32.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	36	$60.00	$49.85
92004 New patient complete exam of visual system	43	43	$235.00	$133.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$165.00	$99.23
92012 Established patient problem focused exam of visual system	22	22	$145.00	$79.62
92133 Imaging of optic nerve	20	20	$175.00	$32.44
92134 Imaging of retina	19	17	$150.00	$35.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	199	175	$90.00	$81.24
92014 Established patient complete exam of visual system	142	142	$205.00	$112.10
92250 Photography of the retina	100	97	$170.00	$32.99
92012 Established patient problem focused exam of visual system	57	57	$145.00	$79.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	13	$60.00	$50.11
92004 New patient complete exam of visual system	20	20	$235.00	$134.42
92133 Imaging of optic nerve	18	17	$175.00	$32.75
92134 Imaging of retina	15	15	$150.00	$36.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	164	164	$160.55	$113.93
99213 Established patient office or other outpatient visit, typically 15 minutes	151	105	$90.00	$82.46
92250 Photography of the retina	140	132	$170.00	$34.62
92012 Established patient problem focused exam of visual system	132	132	$91.82	$80.01
92004 New patient complete exam of visual system	30	30	$191.00	$135.83
92002 New patient problem focused exam of visual system	28	28	$119.82	$77.37
92133 Imaging of optic nerve	25	24	$152.00	$33.34
92134 Imaging of retina	14	12	$150.00	$36.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	225	225	$145.00	$114.70
99213 Established patient office or other outpatient visit, typically 15 minutes	139	97	$90.00	$67.55
92250 Photography of the retina	134	128	$170.00	$40.04
92012 Established patient problem focused exam of visual system	89	89	$85.00	$80.73
92004 New patient complete exam of visual system	36	36	$175.00	$134.87
92133 Imaging of optic nerve	18	18	$150.00	$33.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	353	350	$145.00	$117.75
99213 Established patient office or other outpatient visit, typically 15 minutes	101	79	$90.00	$68.72
92004 New patient complete exam of visual system	101	101	$175.00	$141.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	49	$60.00	$42.31
92250 Photography of the retina	51	49	$170.00	$45.89
92012 Established patient problem focused exam of visual system	42	42	$85.00	$82.78
92133 Imaging of optic nerve	38	36	$150.00	$34.77
92134 Imaging of retina	15	13	$150.00	$38.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$140.00	$101.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	308	308	$145.00	$113.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	89	66	$60.00	$39.25
92004 New patient complete exam of visual system	87	87	$175.00	$136.08
99213 Established patient office or other outpatient visit, typically 15 minutes	69	65	$90.00	$65.62
92133 Imaging of optic nerve	34	30	$150.00	$34.00
92012 Established patient problem focused exam of visual system	23	23	$85.00	$79.11
92002 New patient problem focused exam of visual system	18	18	$110.00	$75.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$140.00	$89.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	339	338	$145.00	$113.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	106	73	$60.00	$39.71
99213 Established patient office or other outpatient visit, typically 15 minutes	67	63	$90.00	$66.94
92004 New patient complete exam of visual system	54	54	$175.00	$136.89
92012 Established patient problem focused exam of visual system	36	36	$85.00	$77.93
92133 Imaging of optic nerve	30	30	$150.00	$34.24
92002 New patient problem focused exam of visual system	18	18	$110.00	$73.89
92134 Imaging of retina	12	11	$150.00	$37.48

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License ME OPT814

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.

Hospital & Practice Group Affiliations

Dale Rodrigue Eyecare Center, Inc.

58 State St, Augusta, ME 043305124

Phone: 2076235099

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. John Lonsdale , MD

Ophthalmology

NPI 1669583662

Doctor of Medicine (M.D.)

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 181 RUSSELL ST, LEWISTON, ME 042405436 (Tel: 2077841814)

📍

Updated Business Mailing Address July 08, 2007

Registered at 181 RUSSELL STREET, LEWISTON, ME 04240 (Tel: 2077841814)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as TROY AVERY, O.D.

🎓

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

Optometrist (License #OPT814 in ME)

🟢

Initial NPI Registration & Enumeration September 01, 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: 1497857429

Entity Type:

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

Enumeration Date: September 01, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

181 Russell Street

Lewiston, ME 04240

Phone: 2077841814

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.