Active NPI 1861461766 Individual Practitioner Male Practitioner

Dr. Theodore James Billy , OD

Optometrist • Chesaning, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Billy, OD is a certified Optometrist practicing in Chesaning, MI. With approximately 28 years of clinical experience since graduating from Ohio State University - College Of Optometry in 1998, Dr. Billy delivers high-quality medical care to the local community at 1555 BRADY ROAD.

Dr. Billy is affiliated with Aeg Michigan Professional Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, removal of cataract with insertion of lens, 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

1555 Brady Road

Chesaning, MI 486160355

Telephone 9898457050

Fax 9898452036

Associated Practice Facility / Clinic

🏢 David E. Duryea, O.d., P.c. Facility NPI 1285603092

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Chesaning, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs -9.0 yrs vs City Avg

City Avg: 37.0 Yrs

State Avg: 21.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Chesaning, MI (2032 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Billy (28 Years) 28 Yrs

Chesaning Specialty Average (37.0 Years) 37.0 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
92014 Established patient complete exam of visual system	104	104	$165.29	$116.91
66984 Removal of cataract with insertion of lens	22	14	$830.00	$99.78
99213 Established patient office or other outpatient visit, typically 15 minutes	20	15	$120.00	$85.97
92004 New patient complete exam of visual system	18	18	$193.33	$138.65
92250 Photography of the retina	14	14	$130.00	$34.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	86	86	$161.74	$118.88
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$117.73	$86.06
66984 Removal of cataract with insertion of lens	18	11	$757.22	$93.10
92250 Photography of the retina	16	16	$117.19	$35.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	214	212	$145.00	$119.86
99213 Established patient office or other outpatient visit, typically 15 minutes	34	25	$95.00	$87.00
92250 Photography of the retina	32	32	$110.00	$34.22
92004 New patient complete exam of visual system	28	28	$173.93	$142.47
66984 Removal of cataract with insertion of lens	22	15	$175.00	$92.89
92133 Imaging of optic nerve	15	15	$75.00	$34.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	229	227	$144.00	$121.04
92250 Photography of the retina	30	30	$110.00	$37.31
99213 Established patient office or other outpatient visit, typically 15 minutes	26	19	$92.69	$87.20
92004 New patient complete exam of visual system	26	26	$172.69	$144.68
66984 Removal of cataract with insertion of lens	22	15	$175.00	$96.02
92133 Imaging of optic nerve	14	14	$75.00	$35.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	222	222	$135.00	$120.66
92004 New patient complete exam of visual system	34	34	$158.53	$144.54
92250 Photography of the retina	34	33	$110.00	$42.85
66984 Removal of cataract with insertion of lens	21	12	$175.00	$94.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	11	$50.00	$43.84
92012 Established patient problem focused exam of visual system	14	14	$90.00	$85.04
92133 Imaging of optic nerve	14	14	$75.00	$35.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	268	267	$135.00	$117.09
92250 Photography of the retina	50	49	$110.00	$45.79
92004 New patient complete exam of visual system	41	41	$160.00	$138.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	18	$50.00	$41.91
92083 Exam of visual field with extended testing	23	22	$95.00	$58.57
92133 Imaging of optic nerve	21	21	$75.00	$34.13
92012 Established patient problem focused exam of visual system	21	20	$90.00	$82.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	296	296	$135.00	$113.09
92250 Photography of the retina	56	56	$109.73	$50.31
92004 New patient complete exam of visual system	45	45	$160.00	$136.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	25	$50.00	$39.69
66984 Removal of cataract with insertion of lens	33	17	$175.00	$98.00
92133 Imaging of optic nerve	27	27	$75.00	$33.26
92012 Established patient problem focused exam of visual system	27	26	$90.00	$77.65
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$80.00	$66.36
92083 Exam of visual field with extended testing	24	24	$95.00	$57.35
92134 Imaging of retina	18	16	$75.00	$37.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	385	384	$131.44	$113.41
92250 Photography of the retina	53	52	$92.06	$59.16
92004 New patient complete exam of visual system	53	53	$150.75	$135.15
66984 Removal of cataract with insertion of lens	41	24	$175.00	$95.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	27	$47.86	$40.06
92012 Established patient problem focused exam of visual system	29	28	$81.72	$77.77
92133 Imaging of optic nerve	26	26	$75.00	$33.53
92083 Exam of visual field with extended testing	26	26	$91.35	$56.83
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$75.38	$66.03
92134 Imaging of retina	11	11	$75.00	$37.24

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MI 4901003965

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

944316613 (MI)

Hospital & Practice Group Affiliations

Aeg Michigan Professional Llc

1555 Brady St, Chesaning, MI 486161022

Phone: 9898457050

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. David Duryea , OD

Optometrist

NPI 1679542633

Doctor of Optometry

Dr. Autumn Wicke , OD

Optometrist

NPI 1770552671

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 02, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location July 02, 2009

Registered at 1555 BRADY ROAD, CHESANING, MI 486160355 (Tel: 9898457050)

📍

Updated Business Mailing Address July 02, 2009

Registered at 1555 BRADY ROAD, CHESANING, MI 486160355 (Tel: 9898457050)

👤

Provider Name / Credentials Updated July 02, 2009

Recorded as THEODORE BILLY, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2009

Optometrist (License #4901003965 in MI)

🟢

Initial NPI Registration & Enumeration March 15, 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: 1861461766

Entity Type:

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

Enumeration Date: March 15, 2006

Last Update: July 02, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1555 Brady Road

Chesaning, MI 486160355

Phone: 9898457050

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.