Active NPI 1104828482 Individual Practitioner Male Practitioner

Dr. James W Klein , MD

Ophthalmology • St Clair Shores, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Klein, MD is a certified Ophthalmology practicing in St Clair Shores, MI. With approximately 55 years of clinical experience since graduating from Illinois Medical College in 1971, Dr. Klein delivers high-quality medical care to the local community at 21711 GREATER MACK AVE.

Dr. Klein is affiliated with Richard C Mertz Jr Md Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, faricimab-svoa, 0.1 mg, injection, aflibercept hd, 1 mg, established patient problem focused 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

21711 Greater Mack Ave

St Clair Shores, MI 480802418

Telephone 5867740393

Associated Practice Facility / Clinic

🏢 Richard C Mertz Jr Md Pc Facility NPI 1467408914

Medicare Profile & Education

Medical School

Illinois Medical College

Graduation Year

1971

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in St Clair Shores, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

55 Yrs +10.5 yrs vs City Avg

City Avg: 44.5 Yrs

State Avg: 27.6 Yrs

Regional Practice Density

6 Specialists

Practicing in St Clair Shores, MI (843 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Klein (55 Years) 55 Yrs

St Clair Shores Specialty Average (44.5 Years) 44.5 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
J2777 Injection, faricimab-svoa, 0.1 mg	2,521	13	$41.37	$34.82
J0177 Injection, aflibercept hd, 1 mg	688	26	$450.00	$331.28
92012 Established patient problem focused exam of visual system	414	281	$115.00	$86.99
92014 Established patient complete exam of visual system	355	354	$155.00	$122.97
92250 Photography of the retina	334	300	$130.00	$36.24
92134 Imaging of retina	317	101	$75.00	$39.75
67028 Injection of drug into eye	282	58	$500.00	$112.05
83861 Microfluid analysis of tears	280	98	$25.00	$22.03
J0178 Injection, aflibercept, 1 mg	239	35	$1508.37	$829.97
92083 Exam of visual field with extended testing	159	154	$130.00	$61.99
92133 Imaging of optic nerve	154	151	$75.00	$33.23
99213 Established patient office or other outpatient visit, typically 15 minutes	89	72	$99.78	$91.25
92020 Examination of cornea and iris using lens device and slit lamp	54	52	$52.00	$26.93
92004 New patient complete exam of visual system	21	21	$185.00	$144.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	12	$140.00	$128.67
66821 Removal of recurring cataract in lens capsule using a laser	14	12	$500.00	$292.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	5,220	15	$40.00	$36.51
92012 Established patient problem focused exam of visual system	566	341	$115.00	$90.97
J0178 Injection, aflibercept, 1 mg	468	52	$1500.00	$872.11
92014 Established patient complete exam of visual system	381	379	$155.00	$127.60
92134 Imaging of retina	377	109	$75.00	$40.85
67028 Injection of drug into eye	357	63	$500.00	$115.80
83861 Microfluid analysis of tears	346	114	$25.00	$22.03
92250 Photography of the retina	319	283	$130.00	$37.81
92133 Imaging of optic nerve	159	154	$75.00	$34.96
92083 Exam of visual field with extended testing	146	144	$130.00	$62.79
66821 Removal of recurring cataract in lens capsule using a laser	22	20	$500.00	$316.34
65855 Laser repair to improve eye fluid flow	21	14	$500.00	$205.28
92004 New patient complete exam of visual system	20	20	$185.00	$150.94
92002 New patient problem focused exam of visual system	17	17	$115.00	$86.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	735	415	$115.00	$91.56
J0178 Injection, aflibercept, 1 mg	640	64	$1500.00	$902.70
83861 Microfluid analysis of tears	439	142	$25.00	$22.21
92014 Established patient complete exam of visual system	420	419	$155.00	$129.60
92134 Imaging of retina	381	128	$75.00	$41.61
67028 Injection of drug into eye	355	73	$500.00	$116.78
92250 Photography of the retina	322	294	$130.00	$37.78
92133 Imaging of optic nerve	169	161	$75.00	$35.52
92083 Exam of visual field with extended testing	163	157	$130.00	$63.87
92004 New patient complete exam of visual system	51	51	$185.00	$149.82
66821 Removal of recurring cataract in lens capsule using a laser	36	29	$500.00	$319.82
65855 Laser repair to improve eye fluid flow	29	18	$500.00	$211.01
92002 New patient problem focused exam of visual system	21	21	$115.00	$88.48
76514 Ultrasound scan of cornea to determine thickness	14	14	$25.00	$11.42
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	14	14	$300.00	$129.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	830	68	$1500.00	$918.72
92012 Established patient problem focused exam of visual system	785	472	$115.00	$92.59
83861 Microfluid analysis of tears	522	182	$25.00	$22.48
92134 Imaging of retina	475	149	$75.00	$42.18
92014 Established patient complete exam of visual system	455	449	$155.00	$129.98
67028 Injection of drug into eye	445	73	$500.00	$118.72
92133 Imaging of optic nerve	199	192	$75.00	$36.35
92250 Photography of the retina	169	163	$130.00	$40.47
92083 Exam of visual field with extended testing	136	134	$130.00	$64.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	82	$137.32	$134.72
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	55	52	$278.73	$135.28
66821 Removal of recurring cataract in lens capsule using a laser	35	29	$500.00	$323.65
65855 Laser repair to improve eye fluid flow	31	20	$500.00	$207.69
92004 New patient complete exam of visual system	18	18	$185.00	$148.24
76514 Ultrasound scan of cornea to determine thickness	11	11	$25.00	$11.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	811	476	$115.00	$90.59
J0178 Injection, aflibercept, 1 mg	758	66	$1500.00	$931.05
83861 Microfluid analysis of tears	564	221	$25.00	$22.32
67028 Injection of drug into eye	443	82	$500.00	$106.45
92134 Imaging of retina	424	140	$75.00	$42.11
92014 Established patient complete exam of visual system	413	410	$155.00	$129.72
92250 Photography of the retina	251	240	$130.00	$46.12
92133 Imaging of optic nerve	176	171	$75.00	$36.38
92083 Exam of visual field with extended testing	122	115	$130.00	$64.82
92136 Measurement of corneal curvature and depth of eye	82	63	$127.13	$54.45
66984 Removal of cataract with insertion of lens	76	52	$3000.00	$572.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	60	$125.00	$113.50
66821 Removal of recurring cataract in lens capsule using a laser	59	48	$500.00	$325.12
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	46	42	$210.00	$134.22
J3590 Unclassified biologics	45	17	$200.00	$50.80
92004 New patient complete exam of visual system	35	35	$185.00	$154.28
65855 Laser repair to improve eye fluid flow	34	25	$514.71	$222.31
92020 Examination of cornea and iris using lens device and slit lamp	20	18	$52.00	$28.43
92002 New patient problem focused exam of visual system	13	13	$115.00	$86.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,109	644	$115.00	$89.61
83861 Microfluid analysis of tears	887	333	$25.00	$22.03
J0178 Injection, aflibercept, 1 mg	728	67	$1500.00	$943.49
92014 Established patient complete exam of visual system	557	554	$155.00	$128.69
92134 Imaging of retina	554	170	$75.00	$41.79
67028 Injection of drug into eye	491	89	$500.00	$105.94
92250 Photography of the retina	383	363	$130.00	$51.12
92133 Imaging of optic nerve	211	207	$75.00	$36.13
92083 Exam of visual field with extended testing	132	131	$130.00	$64.71
92136 Measurement of corneal curvature and depth of eye	128	92	$126.56	$59.01
J3590 Unclassified biologics	113	25	$200.00	$50.23
66984 Removal of cataract with insertion of lens	113	82	$3000.00	$664.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	97	$125.00	$111.15
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	72	69	$159.03	$135.36
66821 Removal of recurring cataract in lens capsule using a laser	70	58	$500.00	$322.72
92004 New patient complete exam of visual system	33	33	$185.00	$154.17
65855 Laser repair to improve eye fluid flow	30	25	$500.00	$217.13
92002 New patient problem focused exam of visual system	23	23	$115.00	$83.51
92285 Photography of content of eyes	23	20	$80.00	$21.92
92020 Examination of cornea and iris using lens device and slit lamp	19	19	$52.00	$28.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,054	640	$115.00	$88.37
83861 Microfluid analysis of tears	906	356	$25.00	$22.01
J0178 Injection, aflibercept, 1 mg	844	76	$1387.44	$953.47
92134 Imaging of retina	557	183	$75.00	$42.00
92014 Established patient complete exam of visual system	537	536	$155.00	$127.42
67028 Injection of drug into eye	534	98	$500.00	$104.81
92250 Photography of the retina	411	392	$130.00	$57.31
92133 Imaging of optic nerve	257	248	$75.00	$36.02
92083 Exam of visual field with extended testing	206	201	$130.00	$64.49
92136 Measurement of corneal curvature and depth of eye	115	79	$118.70	$60.70
J3590 Unclassified biologics	113	23	$200.00	$50.24
66984 Removal of cataract with insertion of lens	111	73	$3000.00	$650.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	107	$125.00	$109.81
66821 Removal of recurring cataract in lens capsule using a laser	73	59	$500.00	$318.38
92275 Recording of retinal electrical responses to external stimuli	51	50	$248.04	$150.03
92004 New patient complete exam of visual system	51	51	$185.00	$152.79
65855 Laser repair to improve eye fluid flow	30	20	$500.00	$214.45
92002 New patient problem focused exam of visual system	14	14	$115.00	$83.96
67840 Removal of eyelid growth	12	12	$450.00	$156.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	1,248	462	$25.00	$22.21
92012 Established patient problem focused exam of visual system	1,162	645	$115.00	$85.57
J0178 Injection, aflibercept, 1 mg	910	87	$1250.00	$962.82
67028 Injection of drug into eye	570	112	$500.00	$103.66
92134 Imaging of retina	557	184	$75.00	$41.17
92014 Established patient complete exam of visual system	500	494	$155.00	$124.07
92250 Photography of the retina	448	412	$130.00	$65.71
92133 Imaging of optic nerve	266	250	$75.00	$35.46
92083 Exam of visual field with extended testing	222	215	$130.00	$64.21
92136 Measurement of corneal curvature and depth of eye	121	86	$121.49	$67.55
66984 Removal of cataract with insertion of lens	113	78	$3000.00	$649.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	100	$125.00	$108.58
J3590 Unclassified biologics	98	23	$165.31	$50.21
66821 Removal of recurring cataract in lens capsule using a laser	58	52	$508.62	$316.98
92004 New patient complete exam of visual system	44	44	$185.00	$149.64
65855 Laser repair to improve eye fluid flow	26	20	$500.00	$211.58
92286 Imaging of front third of eye using a special microscope	22	22	$185.00	$38.72
92002 New patient problem focused exam of visual system	19	19	$115.00	$81.16
92285 Photography of content of eyes	18	17	$80.00	$20.88
92235 Exam of retinal blood vessels using a special camera after injection of a dye	14	13	$255.00	$77.77
76519 Ultrasound of eye for determination of lens power	12	12	$150.00	$84.40
92020 Examination of cornea and iris using lens device and slit lamp	12	12	$52.00	$26.91

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MI 4301039578

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

Commercial Insurance / Payer ID Medicare Railroad

180041197 (MI)

Hospital & Practice Group Affiliations

Richard C Mertz Jr Md Pc

21711 Greater Mack Ave, Saint Clair Shores, MI 480802418

Phone: 8107740393

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Mariann Channell , MD

Ophthalmology

NPI 1225030596

Doctor of Medicine (M.D.)

Dr. Mark Bernthal , OD

Optometrist

NPI 1811991391

Doctor of Optometry

Dr. Richard Mertz , MD

Ophthalmology

NPI 1841292109

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 June 03, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 03, 2008

Registered at 21711 GREATER MACK AVE, ST CLAIR SHORES, MI 480802418 (Tel: 5867740393)

📍

Updated Business Mailing Address June 03, 2008

Registered at 21711 GREATER MACK AVE, ST CLAIR SHORES, MI 480802418 (Tel: 5867740393)

👤

Provider Name / Credentials Updated June 03, 2008

Recorded as JAMES KLEIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2008

Ophthalmology (License #4301039578 in MI)

🟢

Initial NPI Registration & Enumeration June 01, 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: 1104828482

Entity Type:

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

Enumeration Date: June 01, 2005

Last Update: June 03, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

21711 Greater Mack Ave

St Clair Shores, MI 480802418

Phone: 5867740393

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.