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Active NPI 1558617993 Individual Practitioner Male Practitioner

Dr. Jeffrey Enevoldsen , OD

Optometrist • Lees Summit, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Enevoldsen, OD is a certified Optometrist practicing in Lees Summit, MO. With approximately 14 years of clinical experience since graduating from University Of Missouri St Louis - School Of Optometry in 2012, Dr. Enevoldsen delivers high-quality medical care to the local community at 3660 NE RALPH POWELL RD.

Dr. Enevoldsen is affiliated with Paige Hedgpath Odpc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

3660 Ne Ralph Powell Rd

Lees Summit, MO 640642357

Telephone 8165247400
Fax 8165251700
Associated Practice Facility / Clinic
🏢 Custom Vision, Inc. Facility NPI 1619004280

Medicare Profile & Education

Medical School

University Of Missouri St Louis - School Of Optometry

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Lees Summit, MO

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs -8.1 yrs vs City Avg
City Avg: 22.1 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
27 Specialists

Practicing in Lees Summit, MO (1288 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
47.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Enevoldsen (14 Years) 14 Yrs
Lees Summit Specialty Average (22.1 Years) 22.1 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
99213 Established patient office or other outpatient visit, typically 15 minutes
61 41 $120.00 $87.06
92014 Established patient complete exam of visual system
55 55 $165.00 $119.73
92250 Photography of the retina
33 30 $130.00 $33.57
92134 Imaging of retina
26 19 $100.00 $38.36
92133 Imaging of optic nerve
23 22 $100.00 $34.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
21 20 $190.00 $122.81
92083 Exam of visual field with extended testing
17 16 $120.00 $59.85
92020 Examination of cornea and iris using lens device and slit lamp
15 14 $60.00 $26.14

Medical Specialties & State Licenses

CMS Verified: 2020-01-09
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MO 2012017342

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 KS 1915

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

Paige Hedgpath Odpc

3660 Ne Ralph Powell Rd, Lees Summit, MO 640642357

Phone: 8165247400

Paige Hedgpath Odpc

1400 Forum Blvd, Columbia, MO 652031997

Phone: 5734460331

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1407881105

Doctor of Optometry

NPI 1467487165

Doctor of Optometry

NPI 1851487425

Doctor of Optometry

NPI 1962060293

Doctor of Optometry

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 09, 2020

Registered at 3660 NE RALPH POWELL RD, LEES SUMMIT, MO 640642357 (Tel: 8165247400)

📍
Updated Business Mailing Address January 09, 2020

Registered at 3660 NE RALPH POWELL RD, LEES SUMMIT, MO 640642357 (Tel: 8165247400)

NPI Profile Active December 29, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 29, 2014

Registered at 3465 NE RALPH POWELL RD, LEES SUMMIT, MO 640642361 (Tel: 8165247400)

📍
Updated Business Mailing Address December 29, 2014

Registered at 3465 NE RALPH POWELL RD, LEES SUMMIT, MO 640642361 (Tel: 8165247400)

👤
Provider Name / Credentials Updated December 29, 2014

Recorded as JEFFREY ENEVOLDSEN, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2014

Optometrist (License #2012017342 in MO)

🟢
Initial NPI Registration & Enumeration August 02, 2012

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: 1558617993
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2012
Last Update: January 09, 2020
Sole Proprietor: No

Mailing Address

3660 Ne Ralph Powell Rd

Lees Summit, MO 640642357

Phone: 8165247400

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.