Active NPI 1164441002 Individual Practitioner Male Practitioner

Dr. Ronald D Plotnik , MD

Ophthalmology • Rochester, NY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ronald Plotnik, MD is a certified Ophthalmology practicing in Rochester, NY. With approximately 40 years of clinical experience since graduating from University Of Michigan Medical School in 1986, Dr. Plotnik delivers high-quality medical care to the local community at 601 ELMWOOD AVE.

Dr. Plotnik is affiliated with University Of Rochester Cornea Services and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, 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

601 Elmwood Ave
Box 659

Rochester, NY 146420001

Telephone 5852733937

Fax 5852760236

Associated Practice Facility / Clinic

🏢 Endocrine Practice Group Facility NPI 1811946825

Medicare Profile & Education

Medical School

University Of Michigan Medical School

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Rochester, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +12.4 yrs vs City Avg

City Avg: 27.6 Yrs

State Avg: 32.5 Yrs

Regional Practice Density

77 Specialists

Practicing in Rochester, NY (1980 Statewide)

Telehealth Adoption Rate

1.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

75.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Plotnik (40 Years) 40 Yrs

Rochester Specialty Average (27.6 Years) 27.6 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	283	115	$384.33	$88.07
99213 Established patient office or other outpatient visit, typically 15 minutes	112	53	$195.76	$63.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	86	$545.00	$124.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	50	$271.00	$93.91
92012 Established patient problem focused exam of visual system	35	20	$385.00	$85.97
92134 Imaging of retina	29	24	$175.00	$39.11
92012 Established patient problem focused exam of visual system	21	13	$149.00	$48.33
92014 Established patient complete exam of visual system	20	20	$540.00	$117.27
92133 Imaging of optic nerve	18	15	$80.00	$20.59
92133 Imaging of optic nerve	17	17	$160.00	$35.12
92134 Imaging of retina	16	14	$95.00	$23.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	188	93	$305.00	$86.93
99213 Established patient office or other outpatient visit, typically 15 minutes	153	79	$125.56	$64.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	64	$445.00	$121.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	54	$184.34	$95.16
92014 Established patient complete exam of visual system	45	45	$213.00	$74.38
92014 Established patient complete exam of visual system	26	26	$515.00	$123.18
92012 Established patient problem focused exam of visual system	25	16	$149.00	$49.35
92012 Established patient problem focused exam of visual system	24	12	$360.00	$87.48
92133 Imaging of optic nerve	20	18	$80.00	$20.92
92134 Imaging of retina	18	17	$95.00	$24.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	207	102	$125.00	$65.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	97	$182.00	$96.00
99213 Established patient office or other outpatient visit, typically 15 minutes	87	47	$284.02	$85.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	52	$409.83	$122.18
92012 Established patient problem focused exam of visual system	58	37	$149.00	$49.77
92012 Established patient problem focused exam of visual system	39	24	$330.00	$85.94
92014 Established patient complete exam of visual system	36	36	$213.00	$75.21
92134 Imaging of retina	23	17	$95.00	$24.62
92133 Imaging of optic nerve	21	20	$80.00	$21.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	173	86	$149.00	$50.39
99213 Established patient office or other outpatient visit, typically 15 minutes	90	64	$125.00	$66.61
92012 Established patient problem focused exam of visual system	85	44	$330.00	$84.00
92014 Established patient complete exam of visual system	79	74	$213.00	$76.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	62	$182.00	$98.42
92133 Imaging of optic nerve	30	27	$80.00	$21.63
92134 Imaging of retina	29	28	$95.00	$25.06
92014 Established patient complete exam of visual system	27	26	$470.00	$114.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$405.00	$120.20
99213 Established patient office or other outpatient visit, typically 15 minutes	21	17	$280.00	$86.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	167	107	$149.00	$51.96
92012 Established patient problem focused exam of visual system	135	78	$315.00	$83.13
92014 Established patient complete exam of visual system	100	100	$213.00	$78.45
92014 Established patient complete exam of visual system	55	52	$450.00	$119.22
92134 Imaging of retina	50	48	$93.60	$25.55
92133 Imaging of optic nerve	31	28	$80.00	$22.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	401	179	$310.00	$85.44
92014 Established patient complete exam of visual system	268	212	$440.00	$122.13
92134 Imaging of retina	57	49	$75.70	$25.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$575.00	$158.07
92133 Imaging of optic nerve	26	24	$63.85	$21.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$375.00	$101.04
92134 Imaging of retina	13	13	$103.46	$27.76
92012 Established patient problem focused exam of visual system	13	12	$122.46	$51.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$380.00	$92.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	330	144	$285.00	$84.18
92014 Established patient complete exam of visual system	255	219	$410.00	$120.90
92134 Imaging of retina	58	54	$89.74	$25.19
92012 Established patient problem focused exam of visual system	35	31	$265.46	$51.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	26	$355.00	$103.91
92133 Imaging of optic nerve	33	32	$76.52	$22.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$545.00	$156.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$360.00	$103.40
92014 Established patient complete exam of visual system	13	13	$391.08	$78.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	321	136	$270.00	$81.91
92014 Established patient complete exam of visual system	260	212	$390.00	$118.26
92133 Imaging of optic nerve	45	43	$90.11	$22.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	32	$340.00	$103.48
92134 Imaging of retina	35	32	$95.00	$25.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$520.00	$157.79
92012 Established patient problem focused exam of visual system	18	18	$270.00	$51.66
92014 Established patient complete exam of visual system	17	16	$390.00	$78.23

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NY 186313

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology - Cornea and External Diseases Specialist

NUCC Taxonomy Code: 207WX0120X

State License NY 186313

An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

01253534 (NY)

Hospital & Practice Group Affiliations

University Of Rochester Cornea Services

601 Elmwood Ave, Rochester, NY 146420002

Phone: 5852733937

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Vardaan Sood , OD

Optometrist

NPI 1003194671

Doctor of Optometry

Dr. Donald Grover , MD

Ophthalmology

NPI 1013134956

Doctor of Medicine (M.D.)

Dr. Brynn Johnson , OD

Optometrist

NPI 1033043997

Doctor of Optometry

Dr. Amde Selassie Shifera , MD, PhD

Ophthalmology

NPI 1093031486

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Matthew Gearinger , MD

Ophthalmology

NPI 1093733651

Doctor of Medicine (M.D.)

Dr. Frederick Dushay , MD

Ophthalmology

NPI 1104923937

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2023

Ophthalmology (License #186313 in NY)

✅

NPI Profile Active April 02, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location April 02, 2009

Registered at 601 ELMWOOD AVE, BOX 659, ROCHESTER, NY 146420001 (Tel: 5852733937)

📍

Updated Business Mailing Address April 02, 2009

Registered at 601 ELMWOOD AVE, BOX 659, ROCHESTER, NY 146420001 (Tel: 5852733937)

👤

Provider Name / Credentials Updated April 02, 2009

Recorded as RONALD PLOTNIK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2009

Ophthalmology (License #186313 in NY)

🟢

Initial NPI Registration & Enumeration July 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1164441002

Entity Type:

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

Enumeration Date: July 19, 2006

Last Update: July 03, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

601 Elmwood Ave, Box 659

Rochester, NY 146420001

Phone: 5852733937

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.