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Active NPI 1578517306 Individual Practitioner Female Practitioner

Dr. Amy Joanne Knickerbocker , OD

Optometrist • Hannibal, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Amy Knickerbocker, OD is a certified Optometrist practicing in Hannibal, MO. With approximately 27 years of clinical experience since graduating from Southern College Of Optometry in 1999, Dr. Knickerbocker delivers high-quality medical care to the local community at 3650 STARDUST DRIVE.

Dr. Knickerbocker accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, established patient outpatient office visit, established patient complete 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

3650 Stardust Drive

Hannibal, MO 63401

Telephone 5734061503
Fax 5734061057
Associated Practice Facility / Clinic
🏢 Paul Tracy Od Facility NPI 1043485949

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Hannibal, MO

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs +0.8 yrs vs City Avg
City Avg: 26.2 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Hannibal, MO (1288 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
42.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Knickerbocker (27 Years) 27 Yrs
Hannibal Specialty Average (26.2 Years) 26.2 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
90 48 $505.00 $94.43
99213 Established patient office or other outpatient visit, typically 15 minutes
58 51 $85.00 $83.38
92014 Established patient complete exam of visual system
32 31 $117.00 $112.94
92004 New patient complete exam of visual system
28 28 $139.00 $134.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
22 22 $121.00 $117.97
92082 Exam of visual field with intermediate testing
15 15 $43.00 $41.62

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MO 200143624

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License IL 046009247

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 25, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2014

Registered at 3650 STARDUST DRIVE, HANNIBAL, MO 63401 (Tel: 5734061503)

📍
Updated Business Mailing Address March 25, 2014

Registered at 7 OAK RIDGE POND ROAD, HANNIBAL, MO 63401 (Tel: 5734065276)

👤
Provider Name / Credentials Updated March 25, 2014

Recorded as AMY KNICKERBOCKER, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2014

Optometrist (License #200143624 in MO)

🟢
Initial NPI Registration & Enumeration May 19, 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: 1578517306
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2006
Last Update: March 25, 2014
Sole Proprietor: Yes

Mailing Address

7 Oak Ridge Pond Road

Hannibal, MO 63401

Phone: 5734065276

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.