Active NPI 1710948674 Individual Practitioner Male Practitioner

Dr. Franklin H Spirn , MD

Ophthalmology • Edison, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Franklin Spirn, MD is a certified Ophthalmology practicing in Edison, NJ. With approximately 59 years of clinical experience since graduating from State University Of New York At Buffalo School Of Medicine in 1967, Dr. Spirn delivers high-quality medical care to the local community at 1656 OAK TREE RD.

Dr. Spirn accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused 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

1656 Oak Tree Rd

Edison, NJ 08820

Telephone 7325498080

Fax 7325490528

Associated Practice Facility / Clinic

🏢 Franklin H Spirn Md Inc Facility NPI 1972532059

Medicare Profile & Education

Medical School

State University Of New York At Buffalo School Of Medicine

Graduation Year

1967

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Edison, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

59 Yrs +21.6 yrs vs City Avg

City Avg: 37.4 Yrs

State Avg: 32.1 Yrs

Regional Practice Density

9 Specialists

Practicing in Edison, NJ (700 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Spirn (59 Years) 59 Yrs

Edison Specialty Average (37.4 Years) 37.4 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
92014 Established patient complete exam of visual system	1,072	759	$278.94	$138.49
92012 Established patient problem focused exam of visual system	393	246	$196.28	$97.35
92134 Imaging of retina	174	157	$90.38	$43.67
92083 Exam of visual field with extended testing	139	124	$141.50	$70.48
92133 Imaging of optic nerve	135	132	$82.58	$39.92
92136 Measurement of corneal curvature and depth of eye	125	75	$144.32	$25.72
92004 New patient complete exam of visual system	77	77	$331.56	$164.62
66984 Removal of cataract with insertion of lens	42	35	$1201.26	$575.34
92202 Extended exam of the back part of the eye with optic nerve drawing	41	40	$34.72	$16.68
92020 Examination of cornea and iris using lens device and slit lamp	30	29	$60.88	$30.09
66821 Removal of recurring cataract in lens capsule using a laser	26	23	$739.44	$348.47
66982 Complex removal of cataract with insertion of prosthetic lens	13	13	$1646.68	$806.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,145	846	$278.94	$141.21
92012 Established patient problem focused exam of visual system	499	296	$196.28	$100.39
92134 Imaging of retina	190	168	$90.38	$44.07
92133 Imaging of optic nerve	176	166	$82.58	$40.90
92083 Exam of visual field with extended testing	137	122	$141.50	$71.39
92202 Extended exam of the back part of the eye with optic nerve drawing	92	87	$34.72	$16.67
92004 New patient complete exam of visual system	91	91	$331.56	$164.40
92136 Measurement of corneal curvature and depth of eye	69	63	$140.62	$46.85
66984 Removal of cataract with insertion of lens	60	48	$1201.26	$597.25
92020 Examination of cornea and iris using lens device and slit lamp	41	38	$60.88	$30.03
66821 Removal of recurring cataract in lens capsule using a laser	35	29	$739.44	$374.74
92201 Extended exam of the back part of the eye with retinal drawing	31	25	$54.80	$27.12
92002 New patient problem focused exam of visual system	18	18	$186.90	$96.60
67820 Removal of eyelashes using forceps	15	12	$58.66	$21.09
66982 Complex removal of cataract with insertion of prosthetic lens	15	11	$1646.68	$816.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$237.52	$130.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,192	859	$278.94	$144.04
92012 Established patient problem focused exam of visual system	371	255	$196.28	$101.54
92133 Imaging of optic nerve	154	152	$82.58	$41.74
92083 Exam of visual field with extended testing	150	124	$141.50	$71.98
92134 Imaging of retina	142	133	$90.38	$45.33
92004 New patient complete exam of visual system	97	97	$331.56	$166.50
66984 Removal of cataract with insertion of lens	67	56	$1201.26	$590.42
76519 Ultrasound of eye for determination of lens power	60	59	$149.36	$78.53
66821 Removal of recurring cataract in lens capsule using a laser	37	30	$739.44	$381.82
92020 Examination of cornea and iris using lens device and slit lamp	32	32	$60.88	$30.64
92201 Extended exam of the back part of the eye with retinal drawing	32	29	$54.80	$26.37
66982 Complex removal of cataract with insertion of prosthetic lens	15	15	$1646.68	$827.50
92136 Measurement of corneal curvature and depth of eye	13	13	$139.56	$56.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,110	828	$278.94	$145.05
92012 Established patient problem focused exam of visual system	438	275	$196.28	$102.42
92133 Imaging of optic nerve	203	185	$82.58	$42.14
92134 Imaging of retina	138	129	$90.38	$46.58
92083 Exam of visual field with extended testing	104	91	$141.50	$72.36
76519 Ultrasound of eye for determination of lens power	90	90	$149.36	$79.01
92004 New patient complete exam of visual system	75	75	$331.56	$172.88
66984 Removal of cataract with insertion of lens	67	54	$1201.26	$611.29
66821 Removal of recurring cataract in lens capsule using a laser	40	37	$739.44	$387.08
92002 New patient problem focused exam of visual system	35	35	$186.90	$100.07
92020 Examination of cornea and iris using lens device and slit lamp	23	23	$60.88	$30.48
66982 Complex removal of cataract with insertion of prosthetic lens	14	14	$1646.68	$840.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	686	573	$208.42	$143.29
92012 Established patient problem focused exam of visual system	270	198	$152.93	$100.82
92133 Imaging of optic nerve	113	107	$61.00	$41.79
92134 Imaging of retina	96	94	$67.48	$46.04
76519 Ultrasound of eye for determination of lens power	84	82	$104.26	$77.60
66984 Removal of cataract with insertion of lens	62	47	$943.38	$604.91
92002 New patient problem focused exam of visual system	35	35	$156.08	$96.98
66821 Removal of recurring cataract in lens capsule using a laser	20	20	$668.26	$382.96
92004 New patient complete exam of visual system	17	17	$237.53	$171.55
92083 Exam of visual field with extended testing	14	14	$78.50	$73.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,055	774	$144.46	$141.63
92012 Established patient problem focused exam of visual system	254	188	$102.10	$98.21
76519 Ultrasound of eye for determination of lens power	122	111	$78.48	$70.55
66984 Removal of cataract with insertion of lens	103	77	$758.84	$699.46
92133 Imaging of optic nerve	88	80	$43.76	$41.22
92083 Exam of visual field with extended testing	85	79	$75.47	$73.24
92134 Imaging of retina	74	72	$48.36	$45.99
92002 New patient problem focused exam of visual system	45	45	$97.32	$92.66
66821 Removal of recurring cataract in lens capsule using a laser	37	32	$381.28	$375.43
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$83.41	$82.38
92004 New patient complete exam of visual system	21	21	$171.43	$169.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$121.74	$120.27
67820 Removal of eyelashes using forceps	13	11	$37.77	$37.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,329	938	$144.40	$136.91
66984 Removal of cataract with insertion of lens	116	85	$757.12	$687.42
76519 Ultrasound of eye for determination of lens power	116	104	$93.94	$73.42
92134 Imaging of retina	98	95	$48.79	$44.76
92083 Exam of visual field with extended testing	98	89	$76.69	$70.82
92133 Imaging of optic nerve	94	89	$46.83	$40.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	76	$121.12	$111.47
99213 Established patient office or other outpatient visit, typically 15 minutes	72	51	$82.06	$78.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$183.15	$170.04
66821 Removal of recurring cataract in lens capsule using a laser	25	24	$380.02	$362.75
92012 Established patient problem focused exam of visual system	22	22	$104.91	$92.25
92004 New patient complete exam of visual system	21	21	$171.99	$153.13
68810 Insertion of probe into nasal tear duct	14	12	$178.67	$164.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,431	1,019	$140.99	$135.35
92133 Imaging of optic nerve	182	153	$44.65	$41.08
92083 Exam of visual field with extended testing	126	105	$76.11	$71.35
66984 Removal of cataract with insertion of lens	120	93	$737.34	$696.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	95	$120.84	$112.83
76519 Ultrasound of eye for determination of lens power	106	105	$97.81	$86.48
99213 Established patient office or other outpatient visit, typically 15 minutes	83	56	$81.15	$78.95
92134 Imaging of retina	83	73	$49.42	$45.22
92012 Established patient problem focused exam of visual system	52	52	$102.41	$91.56
66821 Removal of recurring cataract in lens capsule using a laser	31	29	$376.77	$364.87
92004 New patient complete exam of visual system	22	22	$168.75	$158.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$182.78	$177.33
92020 Examination of cornea and iris using lens device and slit lamp	17	17	$30.29	$29.56
68810 Insertion of probe into nasal tear duct	13	13	$207.70	$187.69

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NJ 25MA02850500

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0806706 (NJ)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Benjamin Spirn , MD

Ophthalmology - Retina Specialist

NPI 1417941592

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 July 08, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2010

Registered at 1656 OAK TREE RD, EDISON, NJ 08820 (Tel: 7325498080)

📍

Updated Business Mailing Address July 08, 2010

Registered at 1656 OAK TREE RD, EDISON, NJ 08820 (Tel: 7325498080)

👤

Provider Name / Credentials Updated July 08, 2010

Recorded as FRANKLIN SPIRN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2010

Ophthalmology (License #25MA02850500 in NJ)

🟢

Initial NPI Registration & Enumeration March 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1710948674

Entity Type:

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

Enumeration Date: March 30, 2006

Last Update: July 08, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1656 Oak Tree Rd

Edison, NJ 08820

Phone: 7325498080

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.