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Active NPI 1164823142 Individual Practitioner Male Practitioner

Dr. Nicholas E Bem , OD

Optometrist • Cannon Afb, NM

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Bem, OD is a registered healthcare professional specializing in Optometrist in Cannon Afb, NM. Practice services are available at 27TH SPECIAL OPERATIONS MEDICAL GROUP under active NPI credentials.

Frequently performed procedures and clinical services include new 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

27th Special Operations Medical Group
224 W D.l. Ingram Avenue, Bldg. 1408

Cannon Afb, NM 88103

Telephone 5759043881

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Cannon Afb, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Cannon Afb, NM (350 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
12.9% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92004 New patient complete exam of visual system
66 66 $149.85 $142.39
92012 Established patient problem focused exam of visual system
64 62 $87.00 $81.70
92134 Imaging of retina
40 40 $65.00 $38.88
99213 Established patient office or other outpatient visit, typically 15 minutes
38 34 $71.42 $68.16
92014 Established patient complete exam of visual system
31 31 $125.00 $117.88
92002 New patient problem focused exam of visual system
23 23 $85.00 $78.29
92133 Imaging of optic nerve
19 19 $65.00 $35.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
12 11 $45.00 $40.89

Medical Specialties & State Licenses

CMS Verified: 2024-03-22
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License UT 11106297-9934

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

Commercial Insurance / Payer ID State Of Utah Department Of Commerce
11106297-9934 (UT)
Commercial Insurance / Payer ID Nc Board Of Optometry
2376 (NC)

Practice Associates & Co-Workers

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

21 Associated Practitioners
Randi Parker , LCSW

Social Worker

NPI 1023487576

Licensed Clinical Social Worker

NPI 1063895068

Doctor of Psychology (Psy.D.)

Ashton Bierbrauer-Martin , APRN, FNP-C

Nurse Practitioner - Primary Care

NPI 1073344149

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Stephanie Valverde , LCSW

Social Worker - Clinical

NPI 1114646718

Licensed Clinical Social Worker

Dr. Jonathan Levin , DO

Military Health Care Provider

NPI 1144750522

Doctor of Osteopathic Medicine (D.O.)

Sang Ngo

Pharmacist

NPI 1154653749

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location March 26, 2024

Registered at 27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D.L. INGRAM AVENUE, BLDG. 1408, CANNON AFB, NM 88103 (Tel: 5759043881)

📍
Updated Business Mailing Address March 26, 2024

Registered at 27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D.L. INGRAM AVENUE, BLDG. 1408, CANNON AFB, NM 88103

📍
Updated Practice Location July 21, 2022

Registered at UNIT 5024, APO, AP 963195024 (Tel: 8142427321)

📍
Updated Business Mailing Address July 21, 2022

Registered at UNIT 5024, APO, AP 963195024

📍
Updated Practice Location July 22, 2020

Registered at UNIT 5024, APO, AP 96319-5024 (Tel: 8142427321)

📍
Updated Business Mailing Address July 22, 2020

Registered at UNIT 5024, APO, AP 96319-5024

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2020

Optometrist (License #11106297-9934 in UT)

📍
Updated Practice Location July 02, 2018

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191 (Tel: 7026533010)

📍
Updated Business Mailing Address July 02, 2018

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191 (Tel: 7026533010)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2018

Optometrist (License #2376 in NC)

NPI Profile Active September 24, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2014

Registered at 1813 W EHRINGHAUS ST, ELIZABETH CITY, NC 279094555 (Tel: 2523331155)

📍
Updated Business Mailing Address September 24, 2014

Registered at 1813 W EHRINGHAUS ST, ELIZABETH CITY, NC 279094555 (Tel: 2523331155)

👤
Provider Name / Credentials Updated September 24, 2014

Recorded as NICHOLAS BEM, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2014

Optometrist (License #2376 in NC)

🟢
Initial NPI Registration & Enumeration September 10, 2014

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: 1164823142
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2014
Last Update: March 26, 2024
Sole Proprietor: No

Mailing Address

27th Special Operations Medical Group, 224 W D.l. Ingram Avenue, Bldg. 1408

Cannon Afb, NM 88103

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.