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Active NPI 1215099759 Individual Practitioner Male Practitioner

Dr. Gary P Luppens , MD

Ophthalmology • Salisbury, MD

Professional Overview & Biography Verified Profile Summary

Dr. Gary Luppens, MD is a registered healthcare professional specializing in Ophthalmology in Salisbury, MD. Practice services are available at 101 MILFORD ST under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

101 Milford St

Salisbury, MD 218046952

Telephone 4107499290
Fax 4105439087
Associated Practice Facility / Clinic
🏢 Peninsula Eye Center, P.a Facility NPI 1811059306

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Salisbury, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 28.5 Yrs
Regional Practice Density
17 Specialists

Practicing in Salisbury, MD (624 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
32.3% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
1,152 1,135 $135.00 $129.66
99213 Established patient office or other outpatient visit, typically 15 minutes
843 572 $80.00 $74.79
92133 Imaging of optic nerve
418 391 $50.00 $38.18
92083 Exam of visual field with extended testing
382 358 $95.00 $66.14
66984 Removal of cataract with insertion of lens
194 123 $1157.73 $632.55
92136 Measurement of corneal curvature and depth of eye
181 122 $100.00 $62.02
92134 Imaging of retina
127 115 $50.00 $42.36
92012 Established patient problem focused exam of visual system
122 115 $95.00 $90.26
92020 Examination of cornea and iris using lens device and slit lamp
101 93 $50.00 $27.58
66821 Removal of recurring cataract in lens capsule using a laser
82 67 $350.00 $320.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
71 68 $120.00 $110.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
31 28 $50.00 $45.11
76514 Ultrasound scan of cornea to determine thickness
28 28 $20.00 $15.10
66984 Removal of cataract with insertion of lens
24 15 $50.58 $37.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
21 21 $181.00 $169.01
92250 Photography of the retina
18 17 $90.00 $55.46
92004 New patient complete exam of visual system
17 17 $165.00 $155.48
67820 Removal of eyelashes using forceps
17 15 $100.00 $42.02
65855 Laser repair to improve eye fluid flow
15 12 $600.00 $254.22
66982 Complex removal of cataract with insertion of prosthetic lens
13 11 $1150.00 $808.37

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MD D0022099

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
0000090501 (DE)
Medicaid State Provider ID
961001400 (MD)
Medicaid State Provider ID
006340709 (VA)
Commercial Insurance / Payer ID Carefirst Blue Choice
T6990004 (MD)
Commercial Insurance / Payer ID Aetna
4410364
Commercial Insurance / Payer ID Mamsi
20886
Commercial Insurance / Payer ID Carefirst Bcbs
331190 (MD)

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1144382615

Doctor of Medicine (M.D.)

NPI 1588725733

Doctor of Optometry

NPI 1609938224

Doctor of Medicine (M.D.)

NPI 1689736134

Doctor of Medicine (M.D.)

NPI 1871769059

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 April 14, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2014

Registered at 101 MILFORD ST, SALISBURY, MD 218046952 (Tel: 4107499290)

📍
Updated Business Mailing Address April 14, 2014

Registered at 101 MILFORD ST, SALISBURY, MD 218046952 (Tel: 4107499290)

👤
Provider Name / Credentials Updated April 14, 2014

Recorded as GARY LUPPENS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2014

Ophthalmology (License #D0022099 in MD)

🟢
Initial NPI Registration & Enumeration December 14, 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: 1215099759
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2006
Last Update: April 14, 2014
Sole Proprietor: Yes

Mailing Address

101 Milford St

Salisbury, MD 218046952

Phone: 4107499290

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.