Active NPI 1780695015 Individual Practitioner Male Practitioner

Dr. Wayne Forman , OD

Optometrist • Carmel, NY

Professional Overview & Biography Verified Profile Summary

Dr. Wayne Forman, OD is a registered healthcare professional specializing in Optometrist in Carmel, NY. Practice services are available at 664 STONELEIGH AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, imaging of optic nerve, exam of visual field with extended testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

664 Stoneleigh Ave

Carmel, NY 105123940

Telephone 8452792000

Fax 8452797730

Associated Practice Facility / Clinic

🏢 Allan H Farquhar Md Pc Facility NPI 1912076852

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Carmel, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

1 Specialists

Practicing in Carmel, NY (3674 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

21.0% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	404	399	$176.71	$132.15
92133 Imaging of optic nerve	55	55	$50.27	$38.76
92083 Exam of visual field with extended testing	52	51	$104.44	$66.94
92012 Established patient problem focused exam of visual system	46	45	$133.41	$95.24
99213 Established patient office or other outpatient visit, typically 15 minutes	46	39	$108.22	$96.87
92134 Imaging of retina	34	34	$59.66	$43.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$72.73	$60.49
92004 New patient complete exam of visual system	22	22	$170.53	$158.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	402	398	$170.61	$134.90
92133 Imaging of optic nerve	60	60	$58.39	$39.52
99213 Established patient office or other outpatient visit, typically 15 minutes	48	42	$109.70	$97.10
92083 Exam of visual field with extended testing	45	45	$94.65	$67.78
92012 Established patient problem focused exam of visual system	40	40	$126.96	$97.00
92134 Imaging of retina	37	36	$47.65	$43.51
92004 New patient complete exam of visual system	24	24	$200.96	$155.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$77.36	$61.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	430	419	$175.94	$136.07
99213 Established patient office or other outpatient visit, typically 15 minutes	70	64	$118.41	$97.33
92133 Imaging of optic nerve	58	58	$59.16	$40.17
92134 Imaging of retina	54	54	$52.55	$43.71
92083 Exam of visual field with extended testing	50	48	$93.13	$67.56
92004 New patient complete exam of visual system	48	48	$189.96	$159.89
92012 Established patient problem focused exam of visual system	40	38	$127.00	$97.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	28	$81.38	$61.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	267	261	$179.50	$137.07
99213 Established patient office or other outpatient visit, typically 15 minutes	81	76	$116.99	$98.60
92004 New patient complete exam of visual system	57	57	$203.35	$162.21
92133 Imaging of optic nerve	45	43	$72.29	$40.85
92083 Exam of visual field with extended testing	37	34	$87.62	$68.50
92012 Established patient problem focused exam of visual system	32	30	$115.61	$97.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	27	$67.82	$61.89
92134 Imaging of retina	21	21	$58.70	$45.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	262	256	$179.65	$134.74
99213 Established patient office or other outpatient visit, typically 15 minutes	82	79	$94.57	$80.91
92004 New patient complete exam of visual system	51	51	$217.20	$159.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	29	$57.67	$49.68
92134 Imaging of retina	29	28	$55.24	$44.27
92133 Imaging of optic nerve	28	27	$51.55	$40.40
92083 Exam of visual field with extended testing	28	26	$104.11	$68.67
92012 Established patient problem focused exam of visual system	21	21	$127.93	$92.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	314	303	$171.00	$131.75
99213 Established patient office or other outpatient visit, typically 15 minutes	124	112	$94.33	$77.97
92004 New patient complete exam of visual system	76	76	$185.59	$159.46
92133 Imaging of optic nerve	46	46	$56.44	$39.28
92134 Imaging of retina	37	36	$63.63	$43.35
92083 Exam of visual field with extended testing	33	33	$93.57	$65.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	27	$61.55	$47.73
92012 Established patient problem focused exam of visual system	31	29	$111.57	$93.28
92225 Examination of eye by ophthalmoscope with retinal drawing	11	11	$46.50	$42.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	299	292	$163.95	$132.90
99213 Established patient office or other outpatient visit, typically 15 minutes	120	109	$96.73	$76.58
92004 New patient complete exam of visual system	91	91	$206.51	$157.01
92133 Imaging of optic nerve	51	50	$59.16	$39.95
92083 Exam of visual field with extended testing	35	34	$118.12	$67.31
92134 Imaging of retina	30	29	$55.20	$44.08
92012 Established patient problem focused exam of visual system	30	30	$108.69	$92.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	26	$57.73	$46.63
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$96.71	$79.60
92250 Photography of the retina	16	16	$81.43	$60.90
92225 Examination of eye by ophthalmoscope with retinal drawing	11	11	$132.41	$49.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	300	296	$153.11	$128.74
92004 New patient complete exam of visual system	120	120	$202.35	$155.53
99213 Established patient office or other outpatient visit, typically 15 minutes	106	99	$90.42	$75.93
92133 Imaging of optic nerve	53	53	$51.25	$39.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	23	$51.86	$46.11
92083 Exam of visual field with extended testing	30	29	$88.70	$66.38
92012 Established patient problem focused exam of visual system	29	29	$105.71	$90.05
92134 Imaging of retina	23	23	$56.18	$43.38
92250 Photography of the retina	17	17	$78.93	$69.83
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$88.76	$79.05
92225 Examination of eye by ophthalmoscope with retinal drawing	12	11	$87.58	$46.82

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NY T003976

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.

Practice Associates & Co-Workers

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

21 Associated Practitioners

Dr. Erich Braun , MD

Ophthalmology

NPI 1063484277

Doctor of Medicine (M.D.)

Dr. Andrew Gutterman , MD

Dermatology

NPI 1083673230

Doctor of Medicine (M.D.)

Dr. Georgia Close , MD

Internal Medicine - Gastroenterology

NPI 1083746556

Doctor of Medicine (M.D.)

Dr. Marcel Goldberger , MD

Specialist

NPI 1134218134

Doctor of Medicine (M.D.)

Dr. Glenn Boyar , MD

Internal Medicine - Cardiovascular Disease

NPI 1144291956

Doctor of Medicine (M.D.)

Dr. Louis Aurisicchio , MD

Internal Medicine - Gastroenterology

NPI 1235155482

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 16, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 16, 2016

Registered at 664 STONELEIGH AVE, CARMEL, NY 105123940 (Tel: 8452792000)

📍

Updated Business Mailing Address November 16, 2016

Registered at 110 S BEDFORD RD, CAREMOUNT MEDICAL PC, MOUNT KISCO, NY 105493446 (Tel: 9142411050)

👤

Provider Name / Credentials Updated November 16, 2016

Recorded as WAYNE FORMAN, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2016

Optometrist (License #T003976 in NY)

🟢

Initial NPI Registration & Enumeration August 11, 2006

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: 1780695015

Entity Type:

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

Enumeration Date: August 11, 2006

Last Update: November 16, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

110 S Bedford Rd, Caremount Medical Pc

Mount Kisco, NY 105493446

Phone: 9142411050

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.