Active NPI 1063441830 Individual Practitioner Male Practitioner

Dr. Michael D Ackermann , OD

Optometrist • Lake City, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Ackermann, OD is a certified Optometrist practicing in Lake City, MN. With approximately 28 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 1998, Dr. Ackermann delivers high-quality medical care to the local community at 117 W CENTER ST.

Dr. Ackermann accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, imaging of 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

117 W Center St

Lake City, MN 55041

Telephone 6513453039

Fax 6513453506

Associated Practice Facility / Clinic

🏢 Ackermann Total Eye Care Inc Facility NPI 1760511398

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Lake City, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs Matches City Avg

City Avg: 28.0 Yrs

State Avg: 21.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Lake City, MN (1178 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

29.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ackermann (28 Years) 28 Yrs

Lake City Specialty Average (28.0 Years) 28.0 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	414	414	$144.00	$124.40
92134 Imaging of retina	128	65	$65.00	$19.93
92133 Imaging of optic nerve	86	40	$65.00	$17.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	38	$90.37	$54.99
92004 New patient complete exam of visual system	46	46	$144.00	$142.31
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$110.00	$88.29
92083 Exam of visual field with extended testing	14	12	$106.43	$62.76
92012 Established patient problem focused exam of visual system	14	14	$124.00	$87.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	339	338	$134.00	$126.01
92133 Imaging of optic nerve	68	33	$65.00	$18.14
92004 New patient complete exam of visual system	59	59	$134.00	$132.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	37	$90.00	$55.41
92134 Imaging of retina	38	19	$65.00	$19.86
92012 Established patient problem focused exam of visual system	11	11	$114.00	$89.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	288	287	$119.47	$118.27
92004 New patient complete exam of visual system	65	65	$119.23	$118.15
92133 Imaging of optic nerve	64	32	$55.31	$18.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	40	$80.34	$55.80
92134 Imaging of retina	37	18	$55.00	$20.17
92083 Exam of visual field with extended testing	13	13	$95.00	$63.31
92012 Established patient problem focused exam of visual system	13	12	$99.00	$89.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	275	275	$119.00	$119.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	42	$78.87	$56.15
92133 Imaging of optic nerve	52	27	$55.00	$18.89
92004 New patient complete exam of visual system	48	48	$119.00	$119.00
92134 Imaging of retina	27	12	$55.00	$24.41
92083 Exam of visual field with extended testing	14	14	$95.00	$64.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	292	292	$108.93	$108.77
92133 Imaging of optic nerve	61	31	$55.00	$19.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	39	$70.00	$45.32
92004 New patient complete exam of visual system	34	34	$109.00	$108.64
92134 Imaging of retina	33	15	$55.00	$21.28
92083 Exam of visual field with extended testing	14	14	$95.00	$64.30
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$90.00	$74.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	345	345	$109.00	$107.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	87	58	$69.93	$44.63
92133 Imaging of optic nerve	66	34	$55.00	$18.60
92004 New patient complete exam of visual system	59	59	$109.00	$107.72
92083 Exam of visual field with extended testing	25	25	$95.00	$64.52
99213 Established patient office or other outpatient visit, typically 15 minutes	16	13	$90.00	$73.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	491	490	$104.00	$102.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	140	84	$65.00	$42.09
92133 Imaging of optic nerve	89	43	$50.00	$18.27
92004 New patient complete exam of visual system	65	65	$104.00	$102.69
99213 Established patient office or other outpatient visit, typically 15 minutes	31	28	$85.00	$69.86
92083 Exam of visual field with extended testing	23	23	$90.00	$62.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	451	450	$99.00	$97.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	102	66	$65.00	$40.87
92133 Imaging of optic nerve	102	52	$50.00	$18.15
92004 New patient complete exam of visual system	55	55	$99.00	$97.57
92083 Exam of visual field with extended testing	15	15	$90.00	$61.35

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 2672

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

Medicaid State Provider ID

455515500 (MN)

Commercial Insurance / Payer ID Blue Cross Blue Shield

80G78AC (MN)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 26, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location February 26, 2008

Registered at 117 W CENTER ST, LAKE CITY, MN 55041 (Tel: 6513453039)

📍

Updated Business Mailing Address February 26, 2008

Registered at 117 W CENTER ST, LAKE CITY, MN 55041 (Tel: 6513453039)

👤

Provider Name / Credentials Updated February 26, 2008

Recorded as MICHAEL ACKERMANN, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2008

Optometrist (License #2672 in MN)

🟢

Initial NPI Registration & Enumeration July 02, 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: 1063441830

Entity Type:

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

Enumeration Date: July 02, 2006

Last Update: February 26, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

117 W Center St

Lake City, MN 55041

Phone: 6513453039

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.