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Active NPI 1609842210 Individual Practitioner Male Practitioner

Dr. Martin J Theobald , OD

Optometrist • Duluth, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Martin Theobald, OD is a certified Optometrist practicing in Duluth, MN. With approximately 31 years of clinical experience since graduating from University Of Houston - College Of Optometry in 1995, Dr. Theobald delivers high-quality medical care to the local community at 3308 W ARROWHEAD RD.

Dr. Theobald is affiliated with Theobald Family Eye Care, Llp and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

3308 W Arrowhead Rd

Duluth, MN 558114000

Telephone 2187276400
Associated Practice Facility / Clinic
🏢 Theobald Family Eye Care, Llp Facility NPI 1720173909

Medicare Profile & Education

Medical School

University Of Houston - College Of Optometry

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Duluth, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
31 Yrs +8.2 yrs vs City Avg
City Avg: 22.8 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
24 Specialists

Practicing in Duluth, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Theobald (31 Years) 31 Yrs
Duluth Specialty Average (22.8 Years) 22.8 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
77 77 $166.32 $124.63
92250 Photography of the retina
40 38 $246.75 $36.37
92133 Imaging of optic nerve
38 30 $220.32 $33.75
99213 Established patient office or other outpatient visit, typically 15 minutes
37 31 $185.07 $88.42
92083 Exam of visual field with extended testing
30 26 $246.75 $63.01
92134 Imaging of retina
19 17 $220.32 $39.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
11 11 $255.57 $124.36

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 2549

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 Preferred One
A62871023475 (MN)
Commercial Insurance / Payer ID Ucare
110960 (MN)
Commercial Insurance / Payer ID Medica
2207594 (MN)
Commercial Insurance / Payer ID First Plan Minnesota
6C248TH (MN)
Commercial Insurance / Payer ID Preferred One
897821023475 (MN)
Commercial Insurance / Payer ID Atrium & Bcbs
6C248TH (MN)
Commercial Insurance / Payer ID Medica
2203074 (MN)

Hospital & Practice Group Affiliations

Theobald Family Eye Care, Llp

416 N Central Ave, Duluth, MN 558072548

Phone: 2186242095

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1902872518

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 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3308 W ARROWHEAD RD, DULUTH, MN 558114000 (Tel: 2187276400)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3308 W ARROWHEAD RD, DULUTH, MN 558114000 (Tel: 2187276400)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARTIN THEOBALD, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #2549 in MN)

🟢
Initial NPI Registration & Enumeration February 23, 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: 1609842210
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

3308 W Arrowhead Rd

Duluth, MN 558114000

Phone: 2187276400

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.