Active NPI 1255335907 Individual Practitioner Male Practitioner

Dr. Thomas Robert Elmer , MD

Specialist • Amherst, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Elmer, MD is a certified Specialist practicing in Amherst, NY. With approximately 29 years of clinical experience since graduating from State University Of New York At Buffalo School Of Medicine in 1997, Dr. Elmer delivers high-quality medical care to the local community at 2825 NIAGARA FALLS BLVD.

Dr. Elmer is affiliated with Fichte-Endl And Elmer Eye Surgery Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of cataract with insertion of lens, measurement of corneal curvature and depth of eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2825 Niagara Falls Blvd
Ste 130

Amherst, NY 142282021

Telephone 7165642020

Fax 7165642060

Associated Practice Facility / Clinic

🏢 Fichte-Endl & Elmer Eye Surgery, Pc Facility NPI 1063459808

Medicare Profile & Education

Medical School

State University Of New York At Buffalo School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Amherst, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs -11.0 yrs vs City Avg

City Avg: 40.0 Yrs

State Avg: 34.9 Yrs

Regional Practice Density

80 Specialists

Practicing in Amherst, NY (23296 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Elmer (29 Years) 29 Yrs

Amherst Specialty Average (40.0 Years) 40.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	140	113	$126.00	$86.05
66984 Removal of cataract with insertion of lens	133	77	$1000.00	$501.89
92136 Measurement of corneal curvature and depth of eye	106	105	$74.01	$40.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$231.00	$159.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	57	$178.00	$120.75
66821 Removal of recurring cataract in lens capsule using a laser	40	32	$463.13	$312.43
92014 Established patient complete exam of visual system	39	37	$172.00	$119.86
92060 Exam to measure eye deviation and range of motion	20	16	$100.00	$60.48
92133 Imaging of optic nerve	12	11	$60.00	$34.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	109	77	$93.35	$38.50
66984 Removal of cataract with insertion of lens	104	64	$1000.00	$487.08
99213 Established patient office or other outpatient visit, typically 15 minutes	103	90	$126.00	$88.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$231.00	$157.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	53	$178.00	$123.17
66821 Removal of recurring cataract in lens capsule using a laser	53	41	$435.75	$313.97
92014 Established patient complete exam of visual system	39	37	$172.00	$121.23
92060 Exam to measure eye deviation and range of motion	25	20	$100.00	$61.55
92134 Imaging of retina	23	21	$60.00	$39.39
92012 Established patient problem focused exam of visual system	11	11	$123.00	$87.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	134	99	$126.15	$88.96
66984 Removal of cataract with insertion of lens	114	65	$1000.00	$471.42
92136 Measurement of corneal curvature and depth of eye	111	76	$87.57	$38.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	59	$178.00	$123.12
66821 Removal of recurring cataract in lens capsule using a laser	59	42	$435.00	$315.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$231.00	$161.41
92014 Established patient complete exam of visual system	46	44	$172.00	$124.72
92060 Exam to measure eye deviation and range of motion	44	32	$100.00	$61.72
92004 New patient complete exam of visual system	18	18	$205.00	$140.86
92012 Established patient problem focused exam of visual system	14	14	$137.21	$87.83
92134 Imaging of retina	13	13	$60.00	$38.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	126	87	$89.73	$42.44
66984 Removal of cataract with insertion of lens	121	74	$1000.00	$481.92
99213 Established patient office or other outpatient visit, typically 15 minutes	107	87	$126.00	$90.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	62	$178.00	$126.80
66821 Removal of recurring cataract in lens capsule using a laser	56	45	$434.82	$320.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$231.00	$160.43
92014 Established patient complete exam of visual system	37	35	$172.00	$123.54
92012 Established patient problem focused exam of visual system	33	26	$123.00	$89.03
92060 Exam to measure eye deviation and range of motion	25	19	$100.00	$62.89
92134 Imaging of retina	17	16	$60.00	$40.25
92004 New patient complete exam of visual system	12	12	$205.00	$149.42
67311 Realignment of the eye with repair of one horizontal eye muscle	12	11	$732.50	$606.70
92133 Imaging of optic nerve	12	11	$60.00	$36.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	111	65	$1000.00	$511.06
92136 Measurement of corneal curvature and depth of eye	106	69	$67.09	$45.61
92012 Established patient problem focused exam of visual system	95	87	$91.08	$87.04
66821 Removal of recurring cataract in lens capsule using a laser	73	57	$429.11	$327.50
92014 Established patient complete exam of visual system	66	65	$135.00	$123.76
99213 Established patient office or other outpatient visit, typically 15 minutes	51	38	$90.00	$74.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$203.15	$162.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	39	$146.34	$107.57
92060 Exam to measure eye deviation and range of motion	20	15	$100.00	$62.79
92134 Imaging of retina	19	15	$60.00	$40.27
92004 New patient complete exam of visual system	19	19	$155.00	$149.38
92133 Imaging of optic nerve	16	15	$60.00	$36.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	167	108	$69.71	$50.07
66984 Removal of cataract with insertion of lens	167	96	$1000.00	$597.89
92012 Established patient problem focused exam of visual system	131	123	$89.00	$84.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$192.67	$154.98
92014 Established patient complete exam of visual system	72	70	$135.00	$122.47
99213 Established patient office or other outpatient visit, typically 15 minutes	66	40	$89.02	$72.16
66821 Removal of recurring cataract in lens capsule using a laser	54	43	$425.00	$324.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$136.13	$105.83
92004 New patient complete exam of visual system	28	28	$155.00	$147.22
68761 Closure of tear duct opening using plug	23	12	$180.00	$110.52
92060 Exam to measure eye deviation and range of motion	21	17	$100.00	$63.08
92133 Imaging of optic nerve	16	15	$60.00	$36.29
92134 Imaging of retina	14	14	$60.00	$40.14
92083 Exam of visual field with extended testing	13	13	$85.00	$62.41
76519 Ultrasound of eye for determination of lens power	13	13	$95.00	$64.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	167	108	$70.64	$55.35
66984 Removal of cataract with insertion of lens	165	100	$1000.00	$586.62
92012 Established patient problem focused exam of visual system	122	115	$89.00	$83.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	109	109	$185.00	$154.54
92014 Established patient complete exam of visual system	96	90	$135.00	$119.93
66821 Removal of recurring cataract in lens capsule using a laser	73	53	$425.00	$306.76
99213 Established patient office or other outpatient visit, typically 15 minutes	52	38	$85.00	$68.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$125.00	$100.89
68761 Closure of tear duct opening using plug	26	14	$180.00	$110.68
92083 Exam of visual field with extended testing	20	19	$85.00	$62.09
66821 Removal of recurring cataract in lens capsule using a laser	18	13	$425.00	$278.06
92134 Imaging of retina	15	15	$60.00	$40.11
92004 New patient complete exam of visual system	13	13	$155.00	$146.54
92133 Imaging of optic nerve	13	13	$60.00	$36.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$165.00	$139.83
76519 Ultrasound of eye for determination of lens power	11	11	$98.64	$68.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	148	88	$1000.00	$601.16
92012 Established patient problem focused exam of visual system	141	125	$89.00	$80.55
92136 Measurement of corneal curvature and depth of eye	130	88	$72.80	$63.32
92014 Established patient complete exam of visual system	130	121	$135.00	$117.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$185.00	$157.68
66821 Removal of recurring cataract in lens capsule using a laser	69	52	$425.00	$311.82
99213 Established patient office or other outpatient visit, typically 15 minutes	48	41	$85.00	$69.11
92060 Exam to measure eye deviation and range of motion	37	27	$100.00	$59.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	32	$125.00	$103.34
92133 Imaging of optic nerve	25	22	$60.00	$36.04
68761 Closure of tear duct opening using plug	21	12	$180.00	$111.09
92004 New patient complete exam of visual system	19	19	$155.00	$138.53
92083 Exam of visual field with extended testing	17	17	$85.00	$61.77
92134 Imaging of retina	14	13	$60.00	$39.59

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 224822-2

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

02286299 (NY)

Commercial Insurance / Payer ID Nova

161578122 (NY)

Commercial Insurance / Payer ID Amerisight

161578122 (NY)

Commercial Insurance / Payer ID Nova

251744484 (NY)

Commercial Insurance / Payer ID North American Preferred

161578122 (NY)

Commercial Insurance / Payer ID Empire - United Healthcar

251744484 (NY)

Commercial Insurance / Payer ID Medicare Railroad

P00225786 (NY)

Commercial Insurance / Payer ID Univera

00011122301 (NY)

Commercial Insurance / Payer ID Vision Lca

161578122 (NY)

Commercial Insurance / Payer ID Empire - United Healthcar

161578122 (NY)

Hospital & Practice Group Affiliations

Fichte-Endl And Elmer Eye Surgery Pc

2825 Niagara Falls Blvd, Amherst, NY 142282021

Phone: 7165642020

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Linda Shenkle , OD

Optometrist

NPI 1144225152

Doctor of Optometry

Dr. Mark Rodman , OD

Optometrist

NPI 1255306023

Doctor of Optometry

Dr. Lisa Genovese , OD

Optometrist

NPI 1487659553

Doctor of Optometry

Dr. Adrienne Cassata , OD

Optometrist

NPI 1548200801

Doctor of Optometry

Dr. Marissa Seider , OD

Optometrist

NPI 1558048728

Doctor of Optometry

Dr. Claus Fichte , MD

Specialist

NPI 1689679730

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 June 01, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 01, 2016

Registered at 2825 NIAGARA FALLS BLVD, STE 130, AMHERST, NY 142282021 (Tel: 7165642020)

📍

Updated Business Mailing Address June 01, 2016

Registered at 1837 WINTER RD, GRAND ISLAND, NY 140721053 (Tel: 7168645479)

👤

Provider Name / Credentials Updated June 01, 2016

Recorded as THOMAS ELMER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2016

Specialist (License #224822-2 in NY)

🟢

Initial NPI Registration & Enumeration June 10, 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. Thomas Elmer. 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: 1255335907

Entity Type:

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

Enumeration Date: June 10, 2005

Last Update: June 01, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1837 Winter Rd

Grand Island, NY 140721053

Phone: 7168645479

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.