Active NPI 1124133764 Individual Practitioner Male Practitioner

Dr. John C Foley , MD

Ophthalmology • Saint Paul, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Foley, MD is a certified Ophthalmology practicing in Saint Paul, MN. With approximately 29 years of clinical experience since graduating from Northwestern University Feinberg Medical School in 1997, Dr. Foley delivers high-quality medical care to the local community at 1570 CONCORDIA AVE.

Dr. Foley accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1570 Concordia Ave
Suite 201

Saint Paul, MN 551044548

Telephone 6512872020

Fax 6512942020

Associated Practice Facility / Clinic

🏢 Proeyecare Associates Pa Facility NPI 1225324981

Medicare Profile & Education

Medical School

Northwestern University Feinberg Medical School

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Saint Paul, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +12.0 yrs vs City Avg

City Avg: 17.0 Yrs

State Avg: 24.4 Yrs

Regional Practice Density

17 Specialists

Practicing in Saint Paul, MN (457 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Foley (29 Years) 29 Yrs

Saint Paul Specialty Average (17.0 Years) 17.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	768	530	$211.12	$124.09
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	639	482	$58.84	$15.69
92134 Imaging of retina	472	415	$147.14	$37.66
92083 Exam of visual field with extended testing	457	392	$140.00	$62.58
76514 Ultrasound scan of cornea to determine thickness	410	407	$25.00	$10.08
92286 Imaging of front third of eye using a special microscope	304	296	$244.00	$36.57
92250 Photography of the retina	202	196	$125.00	$33.58
92133 Imaging of optic nerve	168	151	$100.60	$32.78
92025 Ct scan of cornea	120	118	$75.00	$32.70
92136 Measurement of corneal curvature and depth of eye	62	43	$150.00	$37.98
66821 Removal of recurring cataract in lens capsule using a laser	45	32	$600.00	$325.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$300.00	$158.89
66984 Removal of cataract with insertion of lens	39	25	$900.00	$487.75
92132 Imaging of front third of eye	16	16	$50.00	$28.08
66982 Complex removal of cataract with insertion of prosthetic lens	16	11	$1300.00	$623.67
92020 Examination of cornea and iris using lens device and slit lamp	12	11	$45.00	$22.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92083 Exam of visual field with extended testing	575	443	$139.51	$62.33
92134 Imaging of retina	518	445	$75.00	$38.02
76514 Ultrasound scan of cornea to determine thickness	440	425	$25.00	$10.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	417	266	$211.00	$123.80
92014 Established patient complete exam of visual system	415	388	$249.04	$126.03
92286 Imaging of front third of eye using a special microscope	269	263	$244.00	$35.96
92133 Imaging of optic nerve	220	192	$99.36	$33.77
92250 Photography of the retina	197	195	$125.00	$34.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$300.00	$158.89
92025 Ct scan of cornea	79	78	$75.00	$33.06
92136 Measurement of corneal curvature and depth of eye	56	37	$150.00	$40.18
66821 Removal of recurring cataract in lens capsule using a laser	49	35	$600.00	$328.30
92132 Imaging of front third of eye	27	27	$50.00	$28.36
92081 Exam of visual field with limited testing	15	15	$75.00	$30.92
92020 Examination of cornea and iris using lens device and slit lamp	13	13	$45.00	$25.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92083 Exam of visual field with extended testing	569	454	$105.00	$63.09
92134 Imaging of retina	538	464	$75.00	$38.76
92014 Established patient complete exam of visual system	439	406	$200.46	$126.85
76514 Ultrasound scan of cornea to determine thickness	430	420	$25.00	$10.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	370	241	$211.24	$126.21
92286 Imaging of front third of eye using a special microscope	267	259	$244.00	$36.96
92133 Imaging of optic nerve	246	213	$65.00	$34.38
92250 Photography of the retina	198	192	$125.00	$34.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	130	130	$300.00	$163.37
92136 Measurement of corneal curvature and depth of eye	97	63	$150.00	$40.77
92025 Ct scan of cornea	72	70	$75.00	$33.64
66821 Removal of recurring cataract in lens capsule using a laser	56	39	$600.00	$330.83
92132 Imaging of front third of eye	50	48	$50.00	$28.84
66982 Complex removal of cataract with insertion of prosthetic lens	47	32	$1300.00	$697.96
66984 Removal of cataract with insertion of lens	35	22	$900.00	$529.57
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$350.00	$218.23
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$145.63	$90.30
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$45.00	$28.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	555	442	$200.00	$128.28
92134 Imaging of retina	468	403	$74.88	$39.66
92083 Exam of visual field with extended testing	466	378	$105.00	$64.22
76514 Ultrasound scan of cornea to determine thickness	337	332	$25.00	$10.77
92250 Photography of the retina	201	198	$125.00	$37.24
92133 Imaging of optic nerve	185	167	$65.00	$35.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	131	$211.00	$128.81
92020 Examination of cornea and iris using lens device and slit lamp	109	107	$45.00	$28.23
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	102	102	$350.00	$216.93
92136 Measurement of corneal curvature and depth of eye	85	54	$150.00	$44.73
92025 Ct scan of cornea	83	81	$75.00	$34.93
66821 Removal of recurring cataract in lens capsule using a laser	65	46	$600.00	$334.64
92132 Imaging of front third of eye	57	56	$50.00	$29.89
66982 Complex removal of cataract with insertion of prosthetic lens	46	30	$1300.00	$730.94
66984 Removal of cataract with insertion of lens	43	24	$900.00	$539.76
92286 Imaging of front third of eye using a special microscope	35	34	$244.00	$37.31
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$142.00	$90.78
92012 Established patient problem focused exam of visual system	17	16	$140.00	$90.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	707	488	$200.00	$127.65
92134 Imaging of retina	479	395	$74.98	$40.09
92083 Exam of visual field with extended testing	435	288	$105.00	$64.18
92250 Photography of the retina	269	258	$123.33	$42.97
92133 Imaging of optic nerve	186	168	$65.00	$35.07
76514 Ultrasound scan of cornea to determine thickness	154	151	$25.00	$11.12
92025 Ct scan of cornea	129	118	$75.00	$34.95
66821 Removal of recurring cataract in lens capsule using a laser	74	52	$571.62	$334.86
99443 Telephone medical discussion with physician, 21-30 minutes	73	68	$80.00	$80.01
92136 Measurement of corneal curvature and depth of eye	67	45	$147.39	$51.12
92012 Established patient problem focused exam of visual system	63	54	$140.00	$89.39
66984 Removal of cataract with insertion of lens	44	27	$900.00	$546.48
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	42	42	$350.00	$205.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$291.67	$161.21
66982 Complex removal of cataract with insertion of prosthetic lens	21	14	$1300.00	$749.71
92132 Imaging of front third of eye	21	21	$50.00	$29.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	840	600	$216.30	$126.08
92134 Imaging of retina	631	542	$94.67	$40.46
92083 Exam of visual field with extended testing	432	305	$151.00	$64.17
92250 Photography of the retina	274	270	$138.16	$48.06
92133 Imaging of optic nerve	263	247	$89.17	$34.51
76514 Ultrasound scan of cornea to determine thickness	176	172	$37.73	$11.52
92012 Established patient problem focused exam of visual system	149	115	$155.77	$88.09
66821 Removal of recurring cataract in lens capsule using a laser	104	76	$774.76	$320.65
92136 Measurement of corneal curvature and depth of eye	94	61	$155.34	$55.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$303.75	$160.65
92025 Ct scan of cornea	71	70	$125.70	$34.71
66984 Removal of cataract with insertion of lens	53	34	$1635.92	$629.18
66982 Complex removal of cataract with insertion of prosthetic lens	44	30	$2155.27	$784.72
92132 Imaging of front third of eye	38	37	$80.00	$29.03
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	37	37	$401.46	$201.93
92020 Examination of cornea and iris using lens device and slit lamp	30	25	$51.90	$27.63
65855 Laser repair to improve eye fluid flow	17	11	$767.82	$245.17
92081 Exam of visual field with limited testing	12	12	$89.58	$31.27
92285 Photography of content of eyes	11	11	$104.55	$20.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	527	387	$239.00	$122.24
92134 Imaging of retina	502	410	$104.00	$39.91
92083 Exam of visual field with extended testing	283	181	$174.00	$61.61
92133 Imaging of optic nerve	189	169	$104.00	$34.51
92012 Established patient problem focused exam of visual system	132	104	$165.00	$84.41
76514 Ultrasound scan of cornea to determine thickness	116	114	$45.00	$13.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	86	86	$406.00	$195.89
92250 Photography of the retina	75	74	$151.00	$51.49
92136 Measurement of corneal curvature and depth of eye	71	49	$171.00	$58.43
66821 Removal of recurring cataract in lens capsule using a laser	59	51	$881.00	$319.78
66984 Removal of cataract with insertion of lens	46	29	$2402.00	$610.54
92025 Ct scan of cornea	45	44	$150.00	$33.79
92020 Examination of cornea and iris using lens device and slit lamp	32	31	$54.00	$26.08
92275 Recording of retinal electrical responses to external stimuli	30	30	$240.00	$146.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$326.00	$156.84
66982 Complex removal of cataract with insertion of prosthetic lens	26	21	$2644.00	$761.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	458	353	$239.36	$122.96
92134 Imaging of retina	297	247	$104.00	$40.31
92083 Exam of visual field with extended testing	216	157	$174.00	$62.60
92133 Imaging of optic nerve	135	125	$103.64	$34.84
92250 Photography of the retina	113	110	$151.00	$64.26
92012 Established patient problem focused exam of visual system	110	82	$164.13	$84.98
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	76	76	$406.00	$199.37
92136 Measurement of corneal curvature and depth of eye	69	43	$170.03	$64.44
76514 Ultrasound scan of cornea to determine thickness	67	65	$45.00	$13.96
92025 Ct scan of cornea	48	48	$150.00	$34.71
66984 Removal of cataract with insertion of lens	47	29	$2402.00	$631.62
66821 Removal of recurring cataract in lens capsule using a laser	33	26	$881.00	$323.45
92275 Recording of retinal electrical responses to external stimuli	25	25	$192.00	$148.40
66982 Complex removal of cataract with insertion of prosthetic lens	23	14	$2644.00	$783.63
92020 Examination of cornea and iris using lens device and slit lamp	13	12	$54.00	$26.85

Medical Specialties & State Licenses

CMS Verified: 2022-10-25

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MN 43920

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

742678000 (MN)

Commercial Insurance / Payer ID Medicare - Foley Eye

180001530 (MN)

Commercial Insurance / Payer ID Medica

0800622 (MN)

Commercial Insurance / Payer ID Medicare - Pro Eye

180042491 (MN)

Commercial Insurance / Payer ID Rr Medicare

180042491

Commercial Insurance / Payer ID Blue Cross

52F33FO (MN)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 26, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 26, 2015

Registered at 1570 CONCORDIA AVE, SUITE 201, SAINT PAUL, MN 551044548 (Tel: 6512872020)

📍

Updated Business Mailing Address June 26, 2015

Registered at 2854 HIGHWAY 55, SUITE 130, EAGAN, MN 551212156 (Tel: 6518423328)

👤

Provider Name / Credentials Updated June 26, 2015

Recorded as JOHN FOLEY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2015

Ophthalmology (License #43920 in MN)

🟢

Initial NPI Registration & Enumeration August 21, 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: 1124133764

Entity Type:

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

Enumeration Date: August 21, 2006

Last Update: October 25, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2854 Highway 55, Suite 130

Eagan, MN 551212156

Phone: 6518423328

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.