Active NPI 1366584344 Individual Practitioner Male Practitioner

Dr. Thomas F. Essman , MD

Ophthalmology • Joplin, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Essman, MD is a certified Ophthalmology practicing in Joplin, MO. With approximately 37 years of clinical experience since graduating from University Of Missouri, Columbia School Of Medicine in 1989, Dr. Essman delivers high-quality medical care to the local community at 1703 W 30TH ST STE B.

Dr. Essman is affiliated with Ramesh R Shah Md Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include imaging of retina, established patient outpatient office visit, injection of drug into eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1703 W 30th St Ste B

Joplin, MO 648041519

Telephone 1747812616

Fax 4177812934

Associated Practice Facility / Clinic

🏢 Mercy Clinic Hospitalists Facility NPI 1033181474

Medicare Profile & Education

Medical School

University Of Missouri, Columbia School Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Joplin, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +1.0 yrs vs City Avg

City Avg: 36.0 Yrs

State Avg: 30.4 Yrs

Regional Practice Density

8 Specialists

Practicing in Joplin, MO (374 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Essman (37 Years) 37 Yrs

Joplin Specialty Average (36.0 Years) 36.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	678	352	$165.00	$37.56
99213 Established patient office or other outpatient visit, typically 15 minutes	436	286	$114.00	$85.54
67028 Injection of drug into eye	434	180	$523.82	$124.82
J9035 Injection, bevacizumab, 10 mg	421	146	$53.81	$50.99
J0178 Injection, aflibercept, 1 mg	280	44	$1789.00	$910.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	44	$163.00	$121.21
92014 Established patient complete exam of visual system	32	32	$215.00	$117.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$249.00	$158.65
92235 Exam of retinal blood vessels using a special camera after injection of a dye	24	24	$329.00	$113.54
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	12	11	$4331.00	$1064.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,526	510	$165.43	$37.99
67028 Injection of drug into eye	1,075	252	$492.87	$122.11
92012 Established patient problem focused exam of visual system	983	400	$150.30	$83.17
J9035 Injection, bevacizumab, 10 mg	874	206	$59.38	$53.65
J0178 Injection, aflibercept, 1 mg	508	48	$1724.56	$918.83
99213 Established patient office or other outpatient visit, typically 15 minutes	231	188	$113.95	$86.34
92014 Established patient complete exam of visual system	136	126	$215.00	$116.88
J3590 Unclassified biologics	123	95	$50.41	$49.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$249.00	$157.83
92235 Exam of retinal blood vessels using a special camera after injection of a dye	51	50	$329.00	$106.74
92004 New patient complete exam of visual system	49	49	$259.00	$140.86
92250 Photography of the retina	38	37	$169.00	$33.83
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	27	27	$4331.00	$1077.91
67108 Repair of detached retina and drainage of eye fluid between lens and retina	20	18	$4334.00	$1088.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$162.83	$123.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,508	544	$166.00	$38.20
67028 Injection of drug into eye	1,247	303	$497.18	$111.38
J3590 Unclassified biologics	1,197	253	$52.72	$52.38
92012 Established patient problem focused exam of visual system	1,191	466	$135.38	$82.49
J0178 Injection, aflibercept, 1 mg	643	68	$1665.00	$930.87
92014 Established patient complete exam of visual system	189	171	$191.19	$116.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$249.00	$156.11
92235 Exam of retinal blood vessels using a special camera after injection of a dye	48	47	$329.00	$95.53
92250 Photography of the retina	48	46	$177.00	$38.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$166.00	$102.20
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	23	21	$4331.00	$1103.55
76512 Ultrasound of eye disease, growth, or structure	18	14	$339.00	$48.63
67108 Repair of detached retina and drainage of eye fluid between lens and retina	16	16	$4334.00	$1144.05
67210 Laser destruction of retinal growth, 1 or more sessions	15	15	$1857.00	$462.38
92004 New patient complete exam of visual system	14	14	$237.57	$141.81
92083 Exam of visual field with extended testing	12	11	$193.00	$54.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,763	588	$166.00	$38.23
92012 Established patient problem focused exam of visual system	1,460	490	$117.00	$81.92
67028 Injection of drug into eye	1,271	285	$501.62	$112.28
J3590 Unclassified biologics	938	232	$60.98	$59.54
J0178 Injection, aflibercept, 1 mg	623	60	$1665.00	$942.23
92014 Established patient complete exam of visual system	304	249	$170.00	$117.77
J9035 Injection, bevacizumab, 10 mg	162	106	$108.56	$79.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$249.00	$155.95
92235 Exam of retinal blood vessels using a special camera after injection of a dye	64	63	$329.00	$84.25
92250 Photography of the retina	61	61	$163.72	$42.18
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	38	38	$4331.00	$1103.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$166.00	$102.41
76512 Ultrasound of eye disease, growth, or structure	25	19	$339.00	$56.41
67210 Laser destruction of retinal growth, 1 or more sessions	17	14	$2075.47	$519.63
67108 Repair of detached retina and drainage of eye fluid between lens and retina	17	16	$4334.00	$1149.52
67036 Removal of eye fluid (vitreous) between the lens and retina	12	12	$3365.00	$766.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	2,069	676	$166.00	$38.32
92012 Established patient problem focused exam of visual system	1,732	553	$117.00	$80.04
67028 Injection of drug into eye	1,528	353	$498.50	$110.36
J3590 Unclassified biologics	1,254	308	$61.08	$59.13
J0178 Injection, aflibercept, 1 mg	782	65	$1665.00	$951.56
92014 Established patient complete exam of visual system	366	317	$170.00	$116.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	146	146	$249.00	$153.57
92250 Photography of the retina	102	99	$159.00	$46.60
92235 Exam of retinal blood vessels using a special camera after injection of a dye	91	91	$329.00	$78.49
J9035 Injection, bevacizumab, 10 mg	34	30	$87.32	$67.46
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	32	32	$4331.00	$1060.65
76512 Ultrasound of eye disease, growth, or structure	24	16	$339.00	$67.48
67210 Laser destruction of retinal growth, 1 or more sessions	23	21	$2260.70	$537.29
67110 Repair of detached retina by injection of air or gas	15	14	$2270.00	$817.31
92083 Exam of visual field with extended testing	15	13	$186.00	$57.44
67108 Repair of detached retina and drainage of eye fluid between lens and retina	12	12	$4334.00	$1087.68
67036 Removal of eye fluid (vitreous) between the lens and retina	11	11	$3365.00	$809.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,772	607	$166.00	$37.38
92012 Established patient problem focused exam of visual system	1,475	516	$117.00	$77.63
67028 Injection of drug into eye	1,227	292	$502.17	$109.93
J3590 Unclassified biologics	1,046	258	$63.96	$56.33
J0178 Injection, aflibercept, 1 mg	462	42	$1665.00	$958.99
92014 Established patient complete exam of visual system	296	252	$170.00	$112.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	126	126	$244.36	$153.44
92250 Photography of the retina	82	81	$159.00	$57.87
92235 Exam of retinal blood vessels using a special camera after injection of a dye	53	52	$329.00	$76.44
92083 Exam of visual field with extended testing	25	19	$186.00	$55.56
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	23	22	$4331.00	$1072.76
J9035 Injection, bevacizumab, 10 mg	22	22	$100.59	$72.85
67210 Laser destruction of retinal growth, 1 or more sessions	17	15	$2184.71	$520.44
76512 Ultrasound of eye disease, growth, or structure	14	14	$339.00	$83.17

Medical Specialties & State Licenses

CMS Verified: 2024-08-27

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MO 106707

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.

Ophthalmology - Retina Specialist

NUCC Taxonomy Code: 207WX0107X

State License MO 106707

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

207707704 (MO)

Hospital & Practice Group Affiliations

Ramesh R Shah Md Pc

1703 W 30th St, Joplin, MO 648041519

Phone: 4177812616

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Ramesh Shah , MD, FACS

Specialist

NPI 1134120603

Doctor of Medicine (M.D.), FACS

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location August 27, 2024

Registered at 1703 W 30TH ST STE B, JOPLIN, MO 648041519 (Tel: 1747812616)

✅

NPI Profile Active July 22, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location July 22, 2008

Registered at 1229 E SEMINOLE ST, SPRINGFIELD, MO 658042227 (Tel: 4178209393)

📍

Updated Business Mailing Address July 22, 2008

Registered at PO BOX 2580, SPRINGFIELD, MO 658012580 (Tel: 4178294620)

👤

Provider Name / Credentials Updated July 22, 2008

Recorded as THOMAS ESSMAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2008

Ophthalmology (License #106707 in MO)

🟢

Initial NPI Registration & Enumeration February 13, 2007

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: 1366584344

Entity Type:

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

Enumeration Date: February 13, 2007

Last Update: August 27, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2580

Springfield, MO 658012580

Phone: 4178294620

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.