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Active NPI 1205973195 Individual Practitioner Male Practitioner

Dr. Thomas P Reyburn , OD

Optometrist • Ada, MI

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Reyburn, OD is a registered healthcare professional specializing in Optometrist in Ada, MI. Practice services are available at 400 ADA DR SE under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

400 Ada Dr Se

Ada, MI 493018429

Telephone 6166761283
Fax 6166769133
Associated Practice Facility / Clinic
🏢 Ada Vision Center Pllc Facility NPI 1467479212

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Ada, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.5 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Ada, MI (2032 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
39.7% 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 (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92250 Photography of the retina
33 32 $132.00 $34.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
20 20 $116.00 $114.74

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MI 4901002630

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
94-4140369 (MI)

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 400 ADA DR SE, ADA, MI 493018429 (Tel: 6166761283)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 219, ADA, MI 493010219 (Tel: 6166761283)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS REYBURN, O.D.

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

Optometrist (License #4901002630 in MI)

🟢
Initial NPI Registration & Enumeration January 31, 2007

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: 1205973195
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 219

Ada, MI 493010219

Phone: 6166761283

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.