Active NPI 1669522900 Individual Practitioner Male Practitioner

Dr. John S Ray , OD

Optometrist • Newark, NY

Professional Overview & Biography Verified Profile Summary

Dr. John Ray, OD is a registered healthcare professional specializing in Optometrist in Newark, NY. Practice services are available at 1210 DRIVING PARK AVE under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

1210 Driving Park Ave

Newark, NY 145131057

Telephone 5853942020

Fax 5853949261

Associated Practice Facility / Clinic

🏢 M S Napoleon Md Pc Facility NPI 1164470019

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Newark, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 26.7 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

7 Specialists

Practicing in Newark, NY (3674 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

26.8% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	142	142	$175.09	$120.93
99213 Established patient office or other outpatient visit, typically 15 minutes	110	83	$103.68	$88.01
92133 Imaging of optic nerve	39	39	$51.33	$35.44
92134 Imaging of retina	38	35	$56.63	$39.21
92083 Exam of visual field with extended testing	24	23	$87.36	$60.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$62.24	$55.00
92004 New patient complete exam of visual system	15	15	$209.12	$146.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	271	269	$174.46	$124.17
99213 Established patient office or other outpatient visit, typically 15 minutes	174	120	$102.81	$87.79
92133 Imaging of optic nerve	65	65	$51.48	$35.51
92134 Imaging of retina	60	45	$56.37	$38.72
92083 Exam of visual field with extended testing	57	55	$87.01	$58.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	31	$62.20	$55.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$150.21	$117.84
92004 New patient complete exam of visual system	13	13	$207.89	$148.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	296	296	$172.91	$124.47
99213 Established patient office or other outpatient visit, typically 15 minutes	170	115	$101.16	$89.79
92133 Imaging of optic nerve	73	71	$50.99	$36.53
92134 Imaging of retina	67	54	$55.93	$40.53
92083 Exam of visual field with extended testing	60	60	$86.32	$62.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	33	$61.24	$55.55
92004 New patient complete exam of visual system	28	28	$206.45	$149.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$148.36	$128.40
92012 Established patient problem focused exam of visual system	12	11	$121.11	$88.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	334	331	$172.98	$124.30
99213 Established patient office or other outpatient visit, typically 15 minutes	229	153	$99.91	$73.38
92133 Imaging of optic nerve	85	82	$50.79	$36.86
92083 Exam of visual field with extended testing	83	81	$87.42	$61.68
92134 Imaging of retina	69	55	$56.01	$40.31
92004 New patient complete exam of visual system	21	21	$201.43	$146.85
92012 Established patient problem focused exam of visual system	12	12	$120.24	$87.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	289	289	$166.98	$122.84
99213 Established patient office or other outpatient visit, typically 15 minutes	268	198	$97.19	$70.92
92133 Imaging of optic nerve	96	95	$50.61	$35.93
92083 Exam of visual field with extended testing	95	93	$86.63	$61.22
92134 Imaging of retina	64	56	$55.44	$39.49
92004 New patient complete exam of visual system	27	27	$201.24	$147.68
76514 Ultrasound scan of cornea to determine thickness	18	18	$20.39	$11.42
92020 Examination of cornea and iris using lens device and slit lamp	14	14	$36.55	$27.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	196	195	$167.91	$122.21
99213 Established patient office or other outpatient visit, typically 15 minutes	109	89	$97.78	$70.27
92133 Imaging of optic nerve	40	40	$52.95	$36.56
92134 Imaging of retina	39	37	$57.19	$40.29
92004 New patient complete exam of visual system	38	38	$201.70	$142.85
92083 Exam of visual field with extended testing	31	31	$91.17	$61.98
92020 Examination of cornea and iris using lens device and slit lamp	25	25	$37.33	$26.26
76514 Ultrasound scan of cornea to determine thickness	12	12	$20.77	$14.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	147	126	$100.00	$69.87
92014 Established patient complete exam of visual system	115	115	$173.00	$119.11
92133 Imaging of optic nerve	32	32	$64.00	$36.11
92004 New patient complete exam of visual system	32	32	$210.00	$143.55
92083 Exam of visual field with extended testing	30	30	$122.00	$61.83
92134 Imaging of retina	21	20	$64.00	$39.47
92020 Examination of cornea and iris using lens device and slit lamp	18	18	$39.00	$26.03

Medical Specialties & State Licenses

CMS Verified: 2020-09-30

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NY NYTW006745

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

02649705 (NY)

Secondary Practice Locations

325 West St

Canandaigua, NY 144241787

Phone: 5853942020

784 Pre Emption Rd

Geneva, NY 144562092

Phone: 5853942020

Practice Associates & Co-Workers

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

18 Associated Practitioners

Dr. Sungjun Hwang , MD

Ophthalmology

NPI 1255334132

Doctor of Medicine (M.D.)

Dr. Holly Hindman , MD

Ophthalmology

NPI 1285770602

Doctor of Medicine (M.D.)

Jillian Dinan

Optometrist

NPI 1316389448

Dr. Dawn Pisello , OD

Optometrist

NPI 1386647154

Doctor of Optometry

Michael Firlit

Technician/Technologist - Optician

NPI 1427561117

Michelle Bullock

Technician/Technologist - Optician

NPI 1457864134

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 13, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location November 13, 2013

Registered at 1210 DRIVING PARK AVE, NEWARK, NY 145131057 (Tel: 3153318921)

📍

Updated Business Mailing Address November 13, 2013

Registered at 1210 DRIVING PARK AVE, NEWARK, NY 145131057 (Tel: 3153318921)

👤

Provider Name / Credentials Updated November 13, 2013

Recorded as JOHN RAY, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2013

Optometrist (License #NYTW006745 in NY)

🟢

Initial NPI Registration & Enumeration January 11, 2007

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: 1669522900

Entity Type:

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

Enumeration Date: January 11, 2007

Last Update: September 30, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1210 Driving Park Ave

Newark, NY 145131057

Phone: 3153318921

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.