Active NPI 1114908340 Individual Practitioner Female Practitioner

Dr. Sonia Valle , OD

Optometrist • Commack, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sonia Valle, OD is a certified Optometrist practicing in Commack, NY. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Valle delivers high-quality medical care to the local community at 77 VETERANS MEMORIAL HWY.

Dr. Valle is affiliated with Professional Optometry Vision Care Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of content of eyes, established patient outpatient office visit, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

77 Veterans Memorial Hwy
Suite 6

Commack, NY 117253410

Telephone 6314998811

Fax 6314998846

Associated Practice Facility / Clinic

🏢 Stuart L Krieger & Stuart M Podell & Sonia Valle Ptr Facility NPI 1942369582

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Commack, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +3.5 yrs vs City Avg

City Avg: 26.5 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

8 Specialists

Practicing in Commack, NY (3674 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

30.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Valle (30 Years) 30 Yrs

Commack Specialty Average (26.5 Years) 26.5 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
92285 Photography of content of eyes	549	417	$62.98	$27.45
99213 Established patient office or other outpatient visit, typically 15 minutes	301	217	$149.87	$103.79
92250 Photography of the retina	228	222	$82.46	$39.75
92014 Established patient complete exam of visual system	219	216	$178.36	$142.62
92134 Imaging of retina	197	180	$89.21	$43.79
92133 Imaging of optic nerve	180	149	$88.33	$38.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	118	$198.85	$145.83
92083 Exam of visual field with extended testing	65	56	$100.00	$71.69
92004 New patient complete exam of visual system	56	56	$193.75	$167.76
92012 Established patient problem focused exam of visual system	38	35	$125.66	$100.92
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	16	16	$200.00	$145.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	217	217	$180.00	$145.82
92250 Photography of the retina	193	185	$75.13	$43.39
99213 Established patient office or other outpatient visit, typically 15 minutes	158	117	$150.00	$105.33
92134 Imaging of retina	134	124	$75.00	$46.46
92133 Imaging of optic nerve	124	93	$75.00	$41.34
92012 Established patient problem focused exam of visual system	109	85	$125.00	$104.74
92083 Exam of visual field with extended testing	56	51	$100.00	$72.45
92004 New patient complete exam of visual system	38	38	$186.84	$171.59
92285 Photography of content of eyes	32	30	$59.38	$28.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	23	$100.00	$66.57
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	21	21	$203.57	$150.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$209.52	$148.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,027	16	$2.61	$1.43
92014 Established patient complete exam of visual system	299	283	$154.52	$148.32
92250 Photography of the retina	273	260	$103.75	$44.12
92012 Established patient problem focused exam of visual system	167	131	$111.95	$102.08
92133 Imaging of optic nerve	131	110	$116.60	$42.40
92134 Imaging of retina	118	112	$112.71	$47.87
99213 Established patient office or other outpatient visit, typically 15 minutes	113	95	$146.02	$107.53
92083 Exam of visual field with extended testing	72	63	$100.31	$75.15
92004 New patient complete exam of visual system	51	51	$146.86	$144.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$188.10	$147.29
76514 Ultrasound scan of cornea to determine thickness	16	16	$81.25	$13.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,647	21	$3.40	$1.50
92250 Photography of the retina	431	411	$100.12	$47.03
92014 Established patient complete exam of visual system	431	415	$150.00	$150.00
92012 Established patient problem focused exam of visual system	227	153	$124.89	$107.73
92133 Imaging of optic nerve	114	101	$125.00	$43.51
92134 Imaging of retina	99	92	$125.01	$48.71
92004 New patient complete exam of visual system	70	70	$150.71	$150.40
92083 Exam of visual field with extended testing	69	60	$100.00	$76.46
99213 Established patient office or other outpatient visit, typically 15 minutes	39	36	$137.56	$107.23
76514 Ultrasound scan of cornea to determine thickness	14	14	$98.21	$13.71
92002 New patient problem focused exam of visual system	11	11	$125.00	$103.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,037	14	$3.28	$1.45
92250 Photography of the retina	221	215	$100.11	$53.81
92014 Established patient complete exam of visual system	203	197	$150.00	$148.55
92012 Established patient problem focused exam of visual system	101	87	$124.26	$104.17
92133 Imaging of optic nerve	72	63	$125.00	$43.82
92134 Imaging of retina	59	57	$125.00	$48.34
99213 Established patient office or other outpatient visit, typically 15 minutes	46	43	$146.09	$89.93
92004 New patient complete exam of visual system	30	30	$150.00	$149.46
92083 Exam of visual field with extended testing	18	15	$100.00	$75.72
92002 New patient problem focused exam of visual system	14	14	$123.93	$98.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$130.77	$116.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,768	24	$3.28	$1.66
92012 Established patient problem focused exam of visual system	210	155	$123.69	$102.36
92250 Photography of the retina	191	182	$100.00	$59.29
92014 Established patient complete exam of visual system	158	155	$150.00	$146.53
92225 Examination of eye by ophthalmoscope with retinal drawing	82	40	$75.00	$31.47
92133 Imaging of optic nerve	82	74	$125.30	$42.64
92134 Imaging of retina	46	43	$125.00	$47.59
92004 New patient complete exam of visual system	41	41	$150.37	$148.13
92083 Exam of visual field with extended testing	27	23	$100.00	$75.23
92002 New patient problem focused exam of visual system	11	11	$125.00	$97.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,130	24	$3.10	$1.55
92012 Established patient problem focused exam of visual system	184	127	$123.91	$96.20
92014 Established patient complete exam of visual system	154	150	$150.00	$138.00
92250 Photography of the retina	147	144	$100.00	$63.33
92225 Examination of eye by ophthalmoscope with retinal drawing	145	71	$75.52	$29.44
92133 Imaging of optic nerve	79	71	$124.56	$40.98
92004 New patient complete exam of visual system	46	46	$150.00	$146.88
92134 Imaging of retina	44	44	$125.00	$45.59
92060 Exam to measure eye deviation and range of motion	27	20	$147.22	$69.34
92083 Exam of visual field with extended testing	23	22	$100.00	$71.16
92002 New patient problem focused exam of visual system	13	13	$125.00	$91.11
76514 Ultrasound scan of cornea to determine thickness	13	13	$96.15	$16.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,020	12	$3.33	$1.42
92225 Examination of eye by ophthalmoscope with retinal drawing	261	128	$78.16	$29.91
92012 Established patient problem focused exam of visual system	206	133	$124.03	$92.67
92014 Established patient complete exam of visual system	128	125	$150.23	$133.88
92250 Photography of the retina	108	105	$102.31	$72.76
92133 Imaging of optic nerve	94	76	$125.00	$40.51
92134 Imaging of retina	59	56	$125.00	$44.46
92004 New patient complete exam of visual system	37	37	$152.70	$146.77
92083 Exam of visual field with extended testing	22	18	$100.00	$69.38
92060 Exam to measure eye deviation and range of motion	20	13	$146.25	$70.11
92002 New patient problem focused exam of visual system	12	12	$125.00	$87.53

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NY TUV005746

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

01783586 (NY)

Commercial Insurance / Payer ID Blue Cross Blue Shield

C48841 (NY)

Commercial Insurance / Payer ID Aetna

5199710 (NY)

Commercial Insurance / Payer ID Ghi

6599949 (NY)

Commercial Insurance / Payer ID Oxford

P809109 (NY)

Commercial Insurance / Payer ID Healthnet

2C5067 (NY)

Hospital & Practice Group Affiliations

Professional Optometry Vision Care Pllc

77 Veterans Hwy, Commack, NY 117253410

Phone: 6314998811

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Stuart Krieger , OD

Optometrist

NPI 1104808500

Doctor of Optometry

Dr. Stuart Podell , OD

Optometrist

NPI 1366424442

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 26, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location May 26, 2011

Registered at 77 VETERANS MEMORIAL HWY, SUITE 6, COMMACK, NY 117253410 (Tel: 6314998811)

📍

Updated Business Mailing Address May 26, 2011

Registered at 77 VETERANS MEMORIAL HWY, SUITE 6, COMMACK, NY 117253410 (Tel: 6314998811)

👤

Provider Name / Credentials Updated May 26, 2011

Recorded as SONIA VALLE, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2011

Optometrist (License #TUV005746 in NY)

🟢

Initial NPI Registration & Enumeration November 05, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1114908340

Entity Type:

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

Enumeration Date: November 05, 2005

Last Update: May 26, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

77 Veterans Memorial Hwy, Suite 6

Commack, NY 117253410

Phone: 6314998811

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.