Active NPI 1821177692 Individual Practitioner Female Practitioner

Dr. Tracy A Jackson , OD

Optometrist • Waconia, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tracy Jackson, OD is a certified Optometrist practicing in Waconia, MN. With approximately 32 years of clinical experience since graduating from Ohio State University - College Of Optometry in 1994, Dr. Jackson delivers high-quality medical care to the local community at 424 W STATE HIGHWAY 5.

Dr. Jackson is affiliated with Lakeview Clinic, Ltd. and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

424 W State Highway 5

Waconia, MN 553871723

Telephone 9524424461

Fax 9524421218

Associated Practice Facility / Clinic

🏢 Lakeview Clinic, Ltd. Facility NPI 1669599981

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Waconia, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +5.7 yrs vs City Avg

City Avg: 26.3 Yrs

State Avg: 21.7 Yrs

Regional Practice Density

5 Specialists

Practicing in Waconia, MN (1178 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (32 Years) 32 Yrs

Waconia Specialty Average (26.3 Years) 26.3 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
66984 Removal of cataract with insertion of lens	1,422	13	$3.69	$1.16
92014 Established patient complete exam of visual system	170	168	$375.00	$124.61
99213 Established patient office or other outpatient visit, typically 15 minutes	100	76	$275.00	$88.22
92133 Imaging of optic nerve	68	59	$120.00	$35.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	43	$160.00	$55.10
92134 Imaging of retina	54	41	$125.00	$39.70
92012 Established patient problem focused exam of visual system	39	38	$275.00	$88.19
92083 Exam of visual field with extended testing	26	25	$190.00	$63.07
92250 Photography of the retina	15	15	$160.00	$36.49
92082 Exam of visual field with intermediate testing	14	13	$145.00	$46.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	162	162	$375.00	$127.88
99213 Established patient office or other outpatient visit, typically 15 minutes	103	87	$272.86	$89.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	47	$160.43	$56.26
92133 Imaging of optic nerve	64	60	$120.00	$36.79
92134 Imaging of retina	44	36	$125.00	$40.69
92012 Established patient problem focused exam of visual system	36	36	$274.44	$90.85
92083 Exam of visual field with extended testing	29	28	$190.00	$63.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	182	182	$375.00	$128.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	69	$158.64	$56.18
99213 Established patient office or other outpatient visit, typically 15 minutes	79	70	$254.24	$90.16
92012 Established patient problem focused exam of visual system	53	53	$265.00	$90.51
92133 Imaging of optic nerve	48	45	$120.00	$36.76
92134 Imaging of retina	33	31	$125.00	$41.01
92082 Exam of visual field with intermediate testing	21	21	$145.00	$46.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	144	143	$374.86	$128.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	90	62	$139.80	$56.50
99213 Established patient office or other outpatient visit, typically 15 minutes	59	53	$224.66	$91.26
92012 Established patient problem focused exam of visual system	45	45	$265.00	$91.49
92133 Imaging of optic nerve	32	32	$120.00	$37.74
92134 Imaging of retina	20	20	$125.00	$41.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	138	138	$369.09	$127.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	53	$130.71	$45.64
99213 Established patient office or other outpatient visit, typically 15 minutes	43	39	$215.00	$75.23
92012 Established patient problem focused exam of visual system	40	40	$259.50	$90.46
92133 Imaging of optic nerve	35	35	$120.00	$37.89
92134 Imaging of retina	17	14	$120.00	$41.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	142	140	$344.44	$127.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	94	71	$119.79	$44.29
99213 Established patient office or other outpatient visit, typically 15 minutes	53	48	$200.00	$71.94
92012 Established patient problem focused exam of visual system	48	48	$240.00	$89.34
92133 Imaging of optic nerve	33	30	$120.00	$35.03
92134 Imaging of retina	27	21	$120.00	$41.58
92082 Exam of visual field with intermediate testing	12	12	$140.00	$48.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	73	73	$295.11	$126.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	41	$109.07	$43.39
99213 Established patient office or other outpatient visit, typically 15 minutes	43	34	$177.50	$71.99
92133 Imaging of optic nerve	23	20	$120.00	$37.82
92012 Established patient problem focused exam of visual system	16	16	$215.00	$87.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	69	69	$131.69	$123.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	31	$44.32	$42.59
99213 Established patient office or other outpatient visit, typically 15 minutes	40	31	$79.36	$69.48
92012 Established patient problem focused exam of visual system	14	14	$85.99	$84.93
92133 Imaging of optic nerve	12	11	$84.10	$37.48

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 2905

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.

Hospital & Practice Group Affiliations

Lakeview Clinic, Ltd.

424 W State Hwy 5, Waconia, MN 553871723

Phone: 9524424461

Lakeview Clinic, Ltd.

424 W Hwy 5, Waconia, MN 553871723

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Tessa Somermeyer , DNP

Nurse Practitioner

NPI 1003439969

Doctor of Nursing Practice

Dr. John Beithon , MD

Family Medicine

NPI 1023195450

Doctor of Medicine (M.D.)

Dr. Kathryn Howell , MD

Pediatrics

NPI 1033571278

Doctor of Medicine (M.D.)

Laurie Grotzinger , PA-C

Physician Assistant - Medical

NPI 1043566003

Physician Assistant (Certified)

Dr. Amy Meath , MD

Obstetrics & Gynecology

NPI 1063591725

Doctor of Medicine (M.D.)

Dr. Timothy Thormodsgard , MD

Surgery

NPI 1063611770

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 July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 424 W STATE HIGHWAY 5, WACONIA, MN 553871723 (Tel: 9524424461)

📍

Updated Business Mailing Address July 08, 2007

Registered at 424 W STATE HIGHWAY 5, WACONIA, MN 553871723 (Tel: 9524424461)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as TRACY JACKSON, O.D.

🎓

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

Optometrist (License #2905 in MN)

🟢

Initial NPI Registration & Enumeration November 03, 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: 1821177692

Entity Type:

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

Enumeration Date: November 03, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

424 W State Highway 5

Waconia, MN 553871723

Phone: 9524424461

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.