Active NPI 1720167323 Individual Practitioner Female Practitioner

Dr. Annessa M Dix , OD

Optometrist • Grand Rapids, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Annessa Dix, OD is a certified Optometrist practicing in Grand Rapids, MI. With approximately 22 years of clinical experience since graduating from Ferris State College - College Of Optometry in 2004, Dr. Dix delivers high-quality medical care to the local community at 750 E BELTLINE AVE NE.

Dr. Dix is affiliated with Blue Sky Vision Eye Care Pc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

750 E Beltline Ave Ne

Grand Rapids, MI 495256049

Telephone 6169492600

Associated Practice Facility / Clinic

🏢 Dermatology Center Of Grand Rapids Pc Facility NPI 1275527053

Medicare Profile & Education

Medical School

Ferris State College - College Of Optometry

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Grand Rapids, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +4.6 yrs vs City Avg

City Avg: 17.4 Yrs

State Avg: 21.1 Yrs

Regional Practice Density

105 Specialists

Practicing in Grand Rapids, MI (2032 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dix (22 Years) 22 Yrs

Grand Rapids Specialty Average (17.4 Years) 17.4 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	288	265	$195.00	$116.95
99213 Established patient office or other outpatient visit, typically 15 minutes	120	107	$155.00	$86.27
92134 Imaging of retina	108	90	$100.00	$37.80
92133 Imaging of optic nerve	19	19	$90.00	$33.88
92004 New patient complete exam of visual system	19	19	$230.00	$139.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$220.00	$122.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	270	243	$195.00	$120.15
99213 Established patient office or other outpatient visit, typically 15 minutes	133	125	$155.00	$86.59
92134 Imaging of retina	126	110	$100.00	$38.24
92004 New patient complete exam of visual system	27	27	$230.00	$138.97
92133 Imaging of optic nerve	22	20	$90.00	$34.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$220.00	$123.81
92083 Exam of visual field with extended testing	13	13	$150.00	$55.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$280.00	$161.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	345	296	$195.00	$120.14
92134 Imaging of retina	134	105	$100.00	$38.89
99213 Established patient office or other outpatient visit, typically 15 minutes	79	70	$155.00	$88.19
92133 Imaging of optic nerve	29	29	$90.00	$34.19
92004 New patient complete exam of visual system	12	12	$230.00	$144.27
92250 Photography of the retina	11	11	$125.00	$35.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	180	165	$139.67	$88.61
92014 Established patient complete exam of visual system	174	164	$190.98	$122.21
92134 Imaging of retina	122	113	$100.00	$39.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	92	$167.42	$125.19
92133 Imaging of optic nerve	33	33	$94.85	$35.26
92083 Exam of visual field with extended testing	20	18	$150.00	$60.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$169.23	$110.17
92004 New patient complete exam of visual system	12	12	$228.33	$146.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$240.00	$150.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	188	173	$160.00	$107.04
92014 Established patient complete exam of visual system	186	171	$175.00	$121.82
92134 Imaging of retina	74	68	$100.00	$39.57
92133 Imaging of optic nerve	22	21	$100.00	$35.53
92004 New patient complete exam of visual system	20	20	$225.00	$147.20
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$115.00	$73.52
92083 Exam of visual field with extended testing	12	12	$150.00	$60.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$225.00	$161.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	264	220	$150.00	$121.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	251	219	$125.00	$105.41
92134 Imaging of retina	124	101	$80.00	$39.69
92225 Examination of eye by ophthalmoscope with retinal drawing	39	35	$107.69	$42.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$200.00	$161.00
92133 Imaging of optic nerve	23	22	$80.00	$35.72
92083 Exam of visual field with extended testing	14	14	$150.00	$61.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	257	228	$125.00	$103.16
92014 Established patient complete exam of visual system	206	200	$150.00	$119.27
92134 Imaging of retina	99	92	$80.00	$39.71
92225 Examination of eye by ophthalmoscope with retinal drawing	67	59	$80.45	$30.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$200.00	$154.32
92083 Exam of visual field with extended testing	26	22	$150.00	$60.83
92133 Imaging of optic nerve	20	19	$80.00	$34.74
92004 New patient complete exam of visual system	12	12	$195.00	$144.47
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$100.00	$70.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	388	301	$125.00	$103.05
92134 Imaging of retina	50	46	$80.00	$39.02
92083 Exam of visual field with extended testing	24	22	$150.00	$58.94
92133 Imaging of optic nerve	19	19	$80.00	$34.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$200.00	$158.04

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MI AD000806

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

Blue Sky Vision Eye Care Pc

750 E Beltline Ave Ne, Grand Rapids, MI 495256049

Phone: 6165886506

Blue Sky Vision Eye Care Pc

3300 Walker Vw Nw, Walker, MI 495449139

Phone: 6169492600

Practice Associates & Co-Workers

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

29 Associated Practitioners

Dr. Laura Piippo , MD

Ophthalmology

NPI 1023012481

Doctor of Medicine (M.D.)

Dr. Robert Roosenberg , MD

Ophthalmology

NPI 1043214554

Doctor of Medicine (M.D.)

Ali Chukr

Optometrist

NPI 1104673144

Dr. Mark Sheldon , MD

Ophthalmology

NPI 1154329548

Doctor of Medicine (M.D.)

Dr. Brian Dolphin , OD

Optometrist

NPI 1174594105

Doctor of Optometry

Dr. Marcus Muallem , MD

Ophthalmology

NPI 1194927335

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 October 21, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 21, 2011

Registered at 750 E BELTLINE AVE NE, GRAND RAPIDS, MI 495256049 (Tel: 6169492600)

📍

Updated Business Mailing Address October 21, 2011

Registered at 750 E BELTLINE AVE NE, GRAND RAPIDS, MI 495256049 (Tel: 6169492600)

👤

Provider Name / Credentials Updated October 21, 2011

Recorded as ANNESSA DIX, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2011

Optometrist (License #AD000806 in MI)

🟢

Initial NPI Registration & Enumeration November 03, 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: 1720167323

Entity Type:

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

Enumeration Date: November 03, 2006

Last Update: October 21, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

750 E Beltline Ave Ne

Grand Rapids, MI 495256049

Phone: 6169492600

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.