Deactivated NPI 1710981691 Deactivated / Inactive NPI Male Practitioner

Dr. Peter A Studebaker , OD

Optometrist • Englewood, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Peter Studebaker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 09, 2005

NPI Deactivation Date August 02, 2022

Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Peter Studebaker, OD was a registered Optometrist practicing in Englewood, OH. Throughout an active medical career spanning 17 years, Dr. Studebaker provided care at the practice location at 639 W NATIONAL RD until profile deactivation on 2022-08-02.

Historical Medicare Part B clinical services included established patient complete exam of visual system, imaging of optic nerve, exam of visual field with extended testing. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

639 W National Rd

Englewood, OH 453221155

Telephone 9378363041

Fax 9378361937

Associated Practice Facility / Clinic

🏢 Northwest Optometry Llc Facility NPI 1316004187

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Englewood, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 39.0 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

4 Specialists

Practicing in Englewood, OH (2535 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.5% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	38	38	$126.84	$121.81
92133 Imaging of optic nerve	21	21	$137.67	$35.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	113	113	$125.00	$121.86
92133 Imaging of optic nerve	64	64	$136.00	$35.66
92083 Exam of visual field with extended testing	63	60	$99.00	$60.26
99213 Established patient office or other outpatient visit, typically 15 minutes	54	50	$85.00	$85.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	39	$69.00	$54.37
92134 Imaging of retina	23	22	$136.00	$39.27
92020 Examination of cornea and iris using lens device and slit lamp	12	11	$52.00	$26.99
92004 New patient complete exam of visual system	12	12	$150.00	$145.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	134	134	$125.00	$121.49
92133 Imaging of optic nerve	69	67	$136.00	$35.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	36	$69.00	$43.88
92083 Exam of visual field with extended testing	37	35	$99.00	$60.22
99213 Established patient office or other outpatient visit, typically 15 minutes	35	32	$85.00	$72.78
92134 Imaging of retina	20	16	$136.00	$39.29
92020 Examination of cornea and iris using lens device and slit lamp	15	15	$52.00	$26.85
92004 New patient complete exam of visual system	12	12	$150.00	$144.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	176	176	$125.00	$120.87
92083 Exam of visual field with extended testing	83	75	$99.45	$60.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	50	$69.00	$42.94
99213 Established patient office or other outpatient visit, typically 15 minutes	55	49	$84.71	$71.32
92133 Imaging of optic nerve	50	47	$136.00	$35.48
92134 Imaging of retina	40	34	$136.00	$38.98
92020 Examination of cornea and iris using lens device and slit lamp	16	15	$52.00	$26.53
92004 New patient complete exam of visual system	15	15	$150.00	$144.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	165	165	$125.00	$113.96
99213 Established patient office or other outpatient visit, typically 15 minutes	77	66	$85.00	$66.28
92083 Exam of visual field with extended testing	75	63	$99.00	$57.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	34	$69.00	$39.62
92250 Photography of the retina	40	37	$97.00	$50.81
92133 Imaging of optic nerve	30	30	$136.00	$34.00
92134 Imaging of retina	23	18	$136.00	$37.33
92020 Examination of cornea and iris using lens device and slit lamp	20	19	$52.00	$24.42
92284 Evaluation of eye adaptation to light and dark with interpretation and report	12	12	$86.00	$55.58
92004 New patient complete exam of visual system	11	11	$150.00	$136.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	162	161	$125.00	$110.47
92250 Photography of the retina	74	70	$97.00	$57.79
92083 Exam of visual field with extended testing	59	56	$99.00	$56.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	47	$69.00	$38.89
99213 Established patient office or other outpatient visit, typically 15 minutes	47	43	$84.66	$65.46
92133 Imaging of optic nerve	38	38	$136.00	$33.32
92134 Imaging of retina	28	23	$136.00	$36.19
92004 New patient complete exam of visual system	20	20	$150.00	$133.81
92020 Examination of cornea and iris using lens device and slit lamp	15	13	$52.00	$24.13

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 4320

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

2 Associated Practitioners

Dr. Joseph Studebaker , OD

Optometrist

NPI 1124022090

Doctor of Optometry

Dr. James Studebaker , OD

Optometrist

NPI 1982608261

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events

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NPI Profile Deactivated August 02, 2022

Record deactivated on August 02, 2022

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NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 639 W NATIONAL RD, ENGLEWOOD, OH 453221155 (Tel: 9378363041)

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Updated Business Mailing Address July 08, 2007

Registered at 639 W NATIONAL RD, ENGLEWOOD, OH 453221155 (Tel: 9378363041)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PETER STUDEBAKER, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #4320 in OH)

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Initial NPI Registration & Enumeration June 09, 2005

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: 1710981691

Entity Type:

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

Enumeration Date: June 09, 2005

Last Update: July 08, 2007

Deactivation Date: August 02, 2022

Update or Correct Profile

Mailing Address

639 W National Rd

Englewood, OH 453221155

Phone: 9378363041

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.