Active NPI 1508861659 Individual Practitioner Male Practitioner

Dr. Paul H Ernest , MD

Ophthalmology • Jackson, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Ernest, MD is a certified Ophthalmology practicing in Jackson, MI. With approximately 53 years of clinical experience since graduating from Wayne State University School Of Medicine in 1973, Dr. Ernest delivers high-quality medical care to the local community at 1116 W GANSON ST.

Dr. Ernest is affiliated with Mid Michigan Eye Care Center Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, measurement of corneal curvature and depth of eye, new 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

1116 W Ganson St

Jackson, MI 492024240

Telephone 5177829436

Fax 5177825166

Associated Practice Facility / Clinic

🏢 Drs. Ravin, Birndorf & Ravin, Inc. Facility NPI 1316043110

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

1973

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Jackson, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

53 Yrs +23.8 yrs vs City Avg

City Avg: 29.2 Yrs

State Avg: 27.6 Yrs

Regional Practice Density

10 Specialists

Practicing in Jackson, MI (843 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ernest (53 Years) 53 Yrs

Jackson Specialty Average (29.2 Years) 29.2 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
66984 Removal of cataract with insertion of lens	457	244	$1277.90	$439.37
92136 Measurement of corneal curvature and depth of eye	257	257	$200.00	$42.96
92136 Measurement of corneal curvature and depth of eye	229	229	$200.00	$27.73
66984 Removal of cataract with insertion of lens	209	138	$200.00	$15.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	181	181	$250.00	$157.64
92134 Imaging of retina	56	56	$100.00	$33.80
92004 New patient complete exam of visual system	53	53	$225.00	$136.96
92025 Ct scan of cornea	52	52	$80.00	$30.77
92014 Established patient complete exam of visual system	22	22	$200.00	$117.15
66982 Complex removal of cataract with insertion of prosthetic lens	21	12	$1595.24	$609.07
92286 Imaging of front third of eye using a special microscope	16	16	$80.00	$36.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$200.00	$122.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	592	316	$1256.42	$441.81
92136 Measurement of corneal curvature and depth of eye	337	331	$200.00	$44.26
66984 Removal of cataract with insertion of lens	329	203	$210.33	$20.33
92136 Measurement of corneal curvature and depth of eye	298	298	$200.00	$28.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	267	267	$250.00	$160.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	54	$200.00	$123.28
92134 Imaging of retina	53	53	$100.00	$35.65
92025 Ct scan of cornea	43	42	$80.00	$31.25
66982 Complex removal of cataract with insertion of prosthetic lens	32	18	$1590.47	$611.92
92004 New patient complete exam of visual system	30	30	$225.00	$139.12
66821 Removal of recurring cataract in lens capsule using a laser	25	19	$619.00	$255.58
92133 Imaging of optic nerve	14	14	$100.00	$32.03
92286 Imaging of front third of eye using a special microscope	14	14	$80.00	$37.01
92014 Established patient complete exam of visual system	13	13	$200.00	$119.93
92083 Exam of visual field with extended testing	11	11	$135.00	$58.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	705	381	$1257.87	$440.59
92136 Measurement of corneal curvature and depth of eye	435	434	$200.00	$47.05
66984 Removal of cataract with insertion of lens	395	240	$203.04	$17.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	356	356	$250.00	$160.77
92136 Measurement of corneal curvature and depth of eye	346	346	$200.00	$28.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	136	$200.00	$122.90
66821 Removal of recurring cataract in lens capsule using a laser	79	61	$636.52	$265.62
92134 Imaging of retina	49	49	$100.00	$36.05
66982 Complex removal of cataract with insertion of prosthetic lens	25	14	$1633.00	$627.39
92286 Imaging of front third of eye using a special microscope	24	23	$80.00	$33.11
92133 Imaging of optic nerve	13	13	$100.00	$32.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	732	393	$1256.83	$447.33
92136 Measurement of corneal curvature and depth of eye	474	468	$200.00	$51.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	370	370	$250.00	$163.41
66984 Removal of cataract with insertion of lens	367	236	$193.80	$22.19
92136 Measurement of corneal curvature and depth of eye	355	354	$200.00	$29.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	122	$200.00	$126.37
66821 Removal of recurring cataract in lens capsule using a laser	86	67	$653.55	$278.56
92134 Imaging of retina	31	31	$100.00	$36.81
92286 Imaging of front third of eye using a special microscope	26	26	$80.00	$34.60
66982 Complex removal of cataract with insertion of prosthetic lens	25	15	$1585.00	$605.98
92004 New patient complete exam of visual system	18	18	$230.28	$145.06
66982 Complex removal of cataract with insertion of prosthetic lens	15	12	$160.00	$23.20
92014 Established patient complete exam of visual system	13	13	$200.00	$121.89
92025 Ct scan of cornea	11	11	$80.00	$32.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	600	325	$1271.33	$465.42
92136 Measurement of corneal curvature and depth of eye	375	369	$200.00	$59.61
92004 New patient complete exam of visual system	299	299	$240.00	$144.81
92136 Measurement of corneal curvature and depth of eye	291	291	$200.00	$30.64
66984 Removal of cataract with insertion of lens	223	152	$25.00	$16.82
66821 Removal of recurring cataract in lens capsule using a laser	130	98	$668.96	$290.33
92014 Established patient complete exam of visual system	127	125	$200.00	$121.34
92286 Imaging of front third of eye using a special microscope	21	21	$80.00	$33.16
92134 Imaging of retina	21	21	$100.00	$37.07
66982 Complex removal of cataract with insertion of prosthetic lens	17	11	$1627.35	$655.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	986	536	$1266.53	$540.57
92136 Measurement of corneal curvature and depth of eye	571	569	$200.00	$66.17
92004 New patient complete exam of visual system	479	479	$240.00	$145.76
92136 Measurement of corneal curvature and depth of eye	472	472	$200.00	$30.78
92014 Established patient complete exam of visual system	201	199	$200.00	$121.71
66821 Removal of recurring cataract in lens capsule using a laser	187	143	$660.53	$286.28
92286 Imaging of front third of eye using a special microscope	36	36	$80.00	$34.51
66982 Complex removal of cataract with insertion of prosthetic lens	33	21	$1654.09	$710.33
92134 Imaging of retina	28	28	$100.00	$37.21
76514 Ultrasound scan of cornea to determine thickness	17	17	$35.00	$11.52
92083 Exam of visual field with extended testing	11	11	$135.00	$59.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,017	558	$1268.24	$532.51
92136 Measurement of corneal curvature and depth of eye	690	666	$200.00	$70.20
92004 New patient complete exam of visual system	519	519	$240.00	$144.57
92136 Measurement of corneal curvature and depth of eye	427	426	$200.00	$30.24
92014 Established patient complete exam of visual system	239	231	$200.00	$120.38
66821 Removal of recurring cataract in lens capsule using a laser	161	129	$644.81	$270.79
92286 Imaging of front third of eye using a special microscope	57	57	$80.00	$33.76
66982 Complex removal of cataract with insertion of prosthetic lens	33	23	$1635.91	$687.56
92134 Imaging of retina	26	26	$100.00	$37.53
76513 Ultrasound scan of eye using water bath method	24	24	$275.00	$132.02
76512 Ultrasound of eye disease, growth, or structure	15	15	$200.00	$65.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$250.00	$115.18
92083 Exam of visual field with extended testing	13	12	$135.00	$59.76
76514 Ultrasound scan of cornea to determine thickness	12	12	$35.00	$13.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	1,140	673	$200.00	$57.24
66984 Removal of cataract with insertion of lens	1,035	563	$1271.69	$505.41
92004 New patient complete exam of visual system	523	523	$240.00	$135.22
92014 Established patient complete exam of visual system	250	242	$200.00	$111.87
66821 Removal of recurring cataract in lens capsule using a laser	247	188	$651.90	$257.97
66982 Complex removal of cataract with insertion of prosthetic lens	35	21	$1642.14	$651.60
92134 Imaging of retina	31	30	$100.00	$34.77
92286 Imaging of front third of eye using a special microscope	27	27	$80.00	$32.04
92083 Exam of visual field with extended testing	19	16	$135.00	$56.63
76513 Ultrasound scan of eye using water bath method	13	13	$215.38	$91.39
92133 Imaging of optic nerve	12	11	$100.00	$31.33

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MI 4301034151

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

3286304 (MI)

Medicaid State Provider ID

3037757 (MI)

Medicaid State Provider ID

3229602 (MI)

Commercial Insurance / Payer ID Railroad Medicare

180019352

Commercial Insurance / Payer ID Bcbsm

180H149970 (MI)

Commercial Insurance / Payer ID Bcbsm

180C846310 (MI)

Commercial Insurance / Payer ID Bcbsm

180F373640 (MI)

Hospital & Practice Group Affiliations

Mid Michigan Eye Care Center Pc

1116 W Ganson St, Jackson, MI 492024240

Phone: 5177829436

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Kevin Vandenbosch , OD

Optometrist

NPI 1215299367

Doctor of Optometry

Dr. Mahmoud El-Yassir , MD

Ophthalmology

NPI 1245590868

Doctor of Medicine (M.D.)

Dr. Kevin Lavery , MD

Ophthalmology

NPI 1629073036

Doctor of Medicine (M.D.)

Dr. Raffaello Addiego , MD

Ophthalmology

NPI 1841275427

Doctor of Medicine (M.D.)

Dr. Joshua Halm , OD

Optometrist

NPI 1881101582

Doctor of Optometry

Dr. Tiffany Humes , OD

Optometrist

NPI 1922360650

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address September 19, 2018

Registered at 850 W NORTH ST STE 104, JACKSON, MI 492023196 (Tel: 5178413022)

✅

NPI Profile Active October 23, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location October 23, 2008

Registered at 1116 W GANSON ST, JACKSON, MI 492024240 (Tel: 5177829436)

📍

Updated Business Mailing Address October 23, 2008

Registered at 2723 S STATE ST, STE 220, ANN ARBOR, MI 481046188 (Tel: 7347612444)

👤

Provider Name / Credentials Updated October 23, 2008

Recorded as PAUL ERNEST, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2008

Ophthalmology (License #4301034151 in MI)

🟢

Initial NPI Registration & Enumeration June 16, 2005

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: 1508861659

Entity Type:

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

Enumeration Date: June 16, 2005

Last Update: September 19, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

850 W North St Ste 104

Jackson, MI 492023196

Phone: 5178413022

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.