Active NPI 1093734154 Individual Practitioner Male Practitioner

Dr. Adam J Ketteler , OD

Optometrist • Atkinson, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Adam Ketteler, OD is a certified Optometrist practicing in Atkinson, NE. With approximately 22 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 2004, Dr. Ketteler delivers high-quality medical care to the local community at 313 W PEARL ST.

Dr. Ketteler accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

313 W Pearl St

Atkinson, NE 687134958

Telephone 4029252669

Fax 4029252306

Associated Practice Facility / Clinic

🏢 West Holt Memorial Hospital Facility NPI 1811913767

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Atkinson, NE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs Matches City Avg

City Avg: 22.0 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Atkinson, NE (469 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

5.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ketteler (22 Years) 22 Yrs

Atkinson Specialty Average (22.0 Years) 22.0 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	134	70	$122.00	$117.76
92134 Imaging of retina	67	41	$40.00	$36.69
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	49	26	$20.00	$15.16
99213 Established patient office or other outpatient visit, typically 15 minutes	16	11	$86.00	$83.52

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	109	73	$122.00	$118.08
92134 Imaging of retina	54	36	$40.00	$37.16
92133 Imaging of optic nerve	17	14	$40.00	$33.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$157.00	$152.99
92083 Exam of visual field with extended testing	12	11	$60.00	$57.64

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	97	64	$121.29	$119.26
92134 Imaging of retina	47	31	$40.00	$37.80
99213 Established patient office or other outpatient visit, typically 15 minutes	25	13	$87.44	$84.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$157.09	$155.11

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	91	66	$105.75	$105.75
92134 Imaging of retina	51	37	$39.61	$38.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$148.00	$148.00

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	75	57	$105.00	$102.63
92134 Imaging of retina	33	26	$40.00	$38.24

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	72	52	$105.00	$101.68
92250 Photography of the retina	24	23	$59.38	$45.17
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$73.08	$68.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$105.00	$100.32

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	75	53	$105.00	$100.97
92250 Photography of the retina	27	26	$62.22	$51.13
99213 Established patient office or other outpatient visit, typically 15 minutes	25	14	$70.00	$68.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$105.00	$100.00

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	80	54	$105.00	$100.39
92250 Photography of the retina	28	24	$70.00	$60.75
99213 Established patient office or other outpatient visit, typically 15 minutes	26	15	$70.00	$67.84

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NE 1218

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

10025583200 (NE)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 21, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 21, 2009

Registered at 313 W PEARL ST, ATKINSON, NE 687134958 (Tel: 4029252669)

📍

Updated Business Mailing Address December 21, 2009

Registered at PO BOX 995, ATKINSON, NE 687130995 (Tel: 4029252669)

👤

Provider Name / Credentials Updated December 21, 2009

Recorded as ADAM KETTELER, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2009

Optometrist (License #1218 in NE)

🟢

Initial NPI Registration & Enumeration July 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1093734154

Entity Type:

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

Enumeration Date: July 19, 2006

Last Update: December 21, 2009

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 995

Atkinson, NE 687130995

Phone: 4029252669

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.