Active NPI 1215990114 Individual Practitioner Male Practitioner

Dr. Richard J. Sims , OD

Optometrist • Mason, MI

Professional Overview & Biography Verified Profile Summary

Dr. Richard Sims, OD is a certified Optometrist practicing in Mason, MI. With approximately 39 years of clinical experience since graduating from Ferris State College - College Of Optometry in 1987, Dr. Sims delivers high-quality medical care to the local community at 1103 S CEDAR ST.

Dr. Sims is affiliated with Myeyedr Optometry Of Michigan Llc and does not directly accept Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1103 S Cedar St

Mason, MI 488542081

Telephone 5176769350

Fax 5176768040

Associated Practice Facility / Clinic

🏢 Physiotherapy Associates Inc Facility NPI 1326146077

Medicare Profile & Education

Medical School

Ferris State College - College Of Optometry

Graduation Year

1987

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Mason, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +6.0 yrs vs City Avg

City Avg: 33.0 Yrs

State Avg: 21.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Mason, MI (2032 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sims (39 Years) 39 Yrs

Mason Specialty Average (33.0 Years) 33.0 Yrs

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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$75.00	$51.48
92083 Exam of visual field with extended testing	13	12	$120.00	$56.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	36	36	$143.47	$117.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	26	$75.00	$51.40
92250 Photography of the retina	23	21	$111.96	$35.89
92083 Exam of visual field with extended testing	22	19	$116.59	$57.77
92134 Imaging of retina	15	13	$76.33	$35.77
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$100.91	$85.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	165	165	$140.18	$118.91
92250 Photography of the retina	103	101	$125.00	$41.39
99213 Established patient office or other outpatient visit, typically 15 minutes	42	40	$90.00	$71.50
92083 Exam of visual field with extended testing	38	36	$105.00	$59.28
92082 Exam of visual field with intermediate testing	35	25	$95.00	$44.08
92134 Imaging of retina	28	27	$95.00	$39.16
92004 New patient complete exam of visual system	17	17	$170.00	$145.28
92133 Imaging of optic nerve	11	11	$95.00	$35.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	228	227	$140.00	$118.88
92250 Photography of the retina	167	158	$125.00	$47.05
99213 Established patient office or other outpatient visit, typically 15 minutes	74	58	$90.00	$69.91
92083 Exam of visual field with extended testing	51	45	$105.00	$58.56
92004 New patient complete exam of visual system	37	37	$170.00	$144.92
92082 Exam of visual field with intermediate testing	33	28	$95.00	$45.26
92134 Imaging of retina	18	18	$95.00	$37.02
92133 Imaging of optic nerve	12	12	$95.00	$35.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	208	207	$140.00	$111.40
92250 Photography of the retina	153	145	$125.00	$50.93
99213 Established patient office or other outpatient visit, typically 15 minutes	73	57	$90.00	$65.01
92083 Exam of visual field with extended testing	56	47	$105.00	$57.38
92004 New patient complete exam of visual system	28	28	$170.00	$133.13
66984 Removal of cataract with insertion of lens	25	13	$180.00	$91.06
92082 Exam of visual field with intermediate testing	19	17	$95.00	$42.93
92134 Imaging of retina	17	17	$95.00	$37.54
76514 Ultrasound scan of cornea to determine thickness	16	16	$45.00	$13.30
92133 Imaging of optic nerve	12	12	$95.00	$30.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	218	218	$139.91	$110.60
92250 Photography of the retina	175	165	$125.00	$57.81
99213 Established patient office or other outpatient visit, typically 15 minutes	76	65	$89.74	$65.08
92083 Exam of visual field with extended testing	42	37	$104.05	$55.56
92082 Exam of visual field with intermediate testing	28	28	$91.43	$42.69
92133 Imaging of optic nerve	26	22	$95.00	$33.10
92004 New patient complete exam of visual system	21	21	$170.00	$133.61
92134 Imaging of retina	20	19	$95.00	$36.18

Medical Specialties & State Licenses

CMS Verified: 2021-01-14

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MI 4901003152

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

Commercial Insurance / Payer ID Blue Cross Blue Shield

0C31249 (MI)

Hospital & Practice Group Affiliations

Myeyedr Optometry Of Michigan Llc

1103 S Cedar St, Mason, MI 488542081

Phone: 5176769350

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Holly Swartz , OD

Optometrist

NPI 1164560439

Doctor of Optometry

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location January 14, 2021

Registered at 1103 S CEDAR ST, MASON, MI 488542081 (Tel: 5176769350)

📍

Updated Business Mailing Address January 14, 2021

Registered at 1950 OLD GALLOWS RD STE 520, VIENNA, VA 221823970 (Tel: 7038478899)

✅

NPI Profile Active January 20, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address January 20, 2017

Registered at 1103 S CEDAR ST, STE 200, MASON, MI 488542079 (Tel: 5173364545)

📍

Updated Practice Location January 20, 2017

Registered at 2900 HANNAH BLVD, SUITE 106, EAST LANSING, MI 488235384 (Tel: 5173364545)

👤

Provider Name / Credentials Updated January 20, 2017

Recorded as RICHARD SIMS, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2017

Optometrist (License #4901003152 in MI)

✅

NPI Profile Active October 10, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 10, 2011

Registered at 2900 HANNAH BLVD, SUITE 106, EAST LANSING, MI 488235384 (Tel: 5173364545)

📍

Updated Business Mailing Address October 10, 2011

Registered at 2900 HANNAH BLVD, SUITE 106, EAST LANSING, MI 488235384 (Tel: 5173364545)

👤

Provider Name / Credentials Updated October 10, 2011

Recorded as RICHARD SIMS, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2011

Optometrist (License #4901003152 in MI)

🟢

Initial NPI Registration & Enumeration April 11, 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: 1215990114

Entity Type:

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

Enumeration Date: April 11, 2006

Last Update: January 14, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1950 Old Gallows Rd Ste 520

Vienna, VA 221823970

Phone: 7038478899

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.