Active NPI 1467443804 Individual Practitioner Male Practitioner

Dr. Jerry A Vaughan , OD

Optometrist • Kearney, NE

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Vaughan, OD is a registered healthcare professional specializing in Optometrist in Kearney, NE. Practice services are available at 411 W. 39TH ST. under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

411 W. 39th St.

Kearney, NE 68845

Telephone 3088652760

Fax 3088652769

Associated Practice Facility / Clinic

🏢 Kearney Eye Institute, P.c. Facility NPI 1437218476

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Kearney, NE

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.7 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

12 Specialists

Practicing in Kearney, NE (469 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

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	22	22	$210.00	$102.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	280	279	$242.00	$120.29
99213 Established patient office or other outpatient visit, typically 15 minutes	211	144	$142.00	$70.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	67	$210.00	$101.89
92134 Imaging of retina	45	41	$90.00	$38.85
92133 Imaging of optic nerve	32	31	$90.00	$35.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	22	$84.00	$42.30
92004 New patient complete exam of visual system	23	23	$289.00	$144.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	311	225	$142.00	$68.09
92014 Established patient complete exam of visual system	200	198	$242.00	$118.48
92134 Imaging of retina	69	64	$90.00	$38.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	49	$84.00	$40.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	49	$210.00	$100.86
92012 Established patient problem focused exam of visual system	46	44	$149.00	$82.27
92133 Imaging of optic nerve	45	44	$90.00	$35.26
92083 Exam of visual field with extended testing	19	17	$168.00	$59.99
92004 New patient complete exam of visual system	15	15	$289.00	$142.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	410	347	$142.00	$68.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	187	116	$84.00	$40.29
92012 Established patient problem focused exam of visual system	48	47	$149.00	$78.81
92134 Imaging of retina	48	47	$87.71	$38.02
92133 Imaging of optic nerve	37	37	$90.00	$35.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$205.00	$99.86

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NE 834

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

10025593300 (NE)

Medicaid State Provider ID

47077269013 (NE)

Commercial Insurance / Payer ID Blue Cross Blue Shield Ne

6721 (NE)

Commercial Insurance / Payer ID Railroad Indiv Provider #

410016528 (NE)

Practice Associates & Co-Workers

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

8 Associated Practitioners

Jennifer Daup , OTR, L

Specialist

NPI 1376637736

Occupational Therapist Registered, L

Dr. Cassondra Lux-O'callaghan , OD

Optometrist

NPI 1386121911

Doctor of Optometry

Dr. Kyle Craw , OD

Optometrist

NPI 1447877733

Doctor of Optometry

Dr. Elyse Bower , OD

Optometrist

NPI 1508478892

Doctor of Optometry

Dr. Thomas Clinch , MD

Ophthalmology

NPI 1568465987

Doctor of Medicine (M.D.)

Dr. Daniel Agraz , MD

Ophthalmology

NPI 1578092839

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 November 18, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location November 18, 2009

Registered at 411 W. 39TH ST., KEARNEY, NE 68845 (Tel: 3088652760)

📍

Updated Business Mailing Address November 18, 2009

Registered at 411 W. 39TH ST., KEARNEY, NE 68845 (Tel: 3088652760)

👤

Provider Name / Credentials Updated November 18, 2009

Recorded as JERRY VAUGHAN, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2009

Optometrist (License #834 in NE)

🟢

Initial NPI Registration & Enumeration November 03, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Jerry Vaughan. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1467443804

Entity Type:

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

Enumeration Date: November 03, 2005

Last Update: November 18, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

411 W. 39th St.

Kearney, NE 68845

Phone: 3088652760

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.