Active NPI 1669447553 Individual Practitioner Male Practitioner

Dr. Todd W Oates , OD

Optometrist • Kenton, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Todd Oates, OD is a certified Optometrist practicing in Kenton, OH. With approximately 33 years of clinical experience since graduating from Ohio State University - College Of Optometry in 1993, Dr. Oates delivers high-quality medical care to the local community at 315 N DETROIT ST.

Dr. Oates is affiliated with Kenton Family Eye Care, Inc. and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

315 N Detroit St

Kenton, OH 433261575

Telephone 4196735201

Associated Practice Facility / Clinic

🏢 Kenton Family Eye Care, Inc. Facility NPI 1306044516

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Kenton, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +2.2 yrs vs City Avg

City Avg: 30.8 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

5 Specialists

Practicing in Kenton, OH (2535 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

5.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Oates (33 Years) 33 Yrs

Kenton Specialty Average (30.8 Years) 30.8 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
66984 Removal of cataract with insertion of lens	1,480	15	$1.47	$1.12
92014 Established patient complete exam of visual system	254	253	$90.00	$88.80
99213 Established patient office or other outpatient visit, typically 15 minutes	67	46	$90.00	$85.54
92083 Exam of visual field with extended testing	33	33	$60.00	$58.23
92134 Imaging of retina	26	25	$45.00	$37.17
92004 New patient complete exam of visual system	13	13	$100.00	$98.98
92133 Imaging of optic nerve	12	12	$40.00	$32.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,160	12	$1.51	$1.13
92014 Established patient complete exam of visual system	283	281	$89.93	$88.79
99213 Established patient office or other outpatient visit, typically 15 minutes	64	53	$89.77	$85.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	29	$54.69	$53.35
92083 Exam of visual field with extended testing	31	28	$60.00	$58.23
92004 New patient complete exam of visual system	23	23	$100.00	$99.14
92134 Imaging of retina	21	21	$44.76	$37.74
92133 Imaging of optic nerve	15	14	$40.00	$32.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	270	268	$80.00	$79.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	33	$45.00	$44.50
99213 Established patient office or other outpatient visit, typically 15 minutes	37	32	$75.00	$74.12
92004 New patient complete exam of visual system	32	32	$90.00	$89.25
92083 Exam of visual field with extended testing	28	27	$55.00	$54.49
92134 Imaging of retina	26	25	$40.00	$38.70
92250 Photography of the retina	19	19	$55.00	$34.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,034	13	$1.40	$1.17
92014 Established patient complete exam of visual system	269	269	$80.00	$80.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	38	$45.00	$45.00
99213 Established patient office or other outpatient visit, typically 15 minutes	42	32	$75.00	$75.00
92134 Imaging of retina	34	31	$40.00	$39.05
92083 Exam of visual field with extended testing	24	24	$55.00	$55.00
92004 New patient complete exam of visual system	22	22	$90.00	$90.00
92250 Photography of the retina	12	12	$55.00	$36.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,761	17	$1.47	$1.18
92014 Established patient complete exam of visual system	232	232	$79.94	$79.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	31	$45.00	$43.90
92004 New patient complete exam of visual system	29	29	$89.48	$89.47
99213 Established patient office or other outpatient visit, typically 15 minutes	28	25	$75.00	$72.90
92083 Exam of visual field with extended testing	26	26	$55.00	$54.84
92134 Imaging of retina	21	21	$40.00	$39.08
92133 Imaging of optic nerve	15	15	$36.00	$34.59
92250 Photography of the retina	14	14	$55.00	$42.59
92012 Established patient problem focused exam of visual system	13	13	$71.15	$71.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,711	16	$1.47	$1.37
92014 Established patient complete exam of visual system	261	261	$77.93	$77.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	49	$45.00	$42.95
99213 Established patient office or other outpatient visit, typically 15 minutes	37	33	$75.00	$71.26
92083 Exam of visual field with extended testing	29	27	$55.00	$54.38
92004 New patient complete exam of visual system	29	29	$91.21	$90.23
92134 Imaging of retina	24	24	$40.00	$39.15
92012 Established patient problem focused exam of visual system	18	18	$65.00	$64.26
92133 Imaging of optic nerve	14	13	$36.00	$33.51
92250 Photography of the retina	11	11	$55.00	$47.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	260	257	$78.81	$77.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	52	$45.00	$40.36
92083 Exam of visual field with extended testing	40	38	$55.00	$53.83
92004 New patient complete exam of visual system	35	35	$91.43	$89.62
99213 Established patient office or other outpatient visit, typically 15 minutes	32	31	$75.50	$66.40
92134 Imaging of retina	27	26	$39.74	$38.15
92250 Photography of the retina	19	19	$55.53	$49.92
92012 Established patient problem focused exam of visual system	11	11	$66.82	$65.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,250	13	$1.51	$1.28
92014 Established patient complete exam of visual system	272	269	$79.14	$76.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	44	$45.00	$38.95
92083 Exam of visual field with extended testing	46	44	$55.00	$52.77
99213 Established patient office or other outpatient visit, typically 15 minutes	42	39	$77.00	$65.60
92250 Photography of the retina	37	37	$60.00	$56.45
92134 Imaging of retina	22	22	$39.00	$36.33
92004 New patient complete exam of visual system	21	21	$85.00	$83.21
92012 Established patient problem focused exam of visual system	15	15	$65.00	$63.08

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 4486

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

2241461 (OH)

Commercial Insurance / Payer ID Caresource

341214040027 (OH)

Hospital & Practice Group Affiliations

Kenton Family Eye Care, Inc.

315 N Detroit St, Kenton, OH 433261575

Phone: 4196735201

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Dana Oates , OD

Optometrist

NPI 1831281575

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 July 01, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location July 01, 2008

Registered at 315 N DETROIT ST, KENTON, OH 433261575 (Tel: 4196735201)

📍

Updated Business Mailing Address July 01, 2008

Registered at 315 N DETROIT ST, KENTON, OH 433261575 (Tel: 4196735201)

👤

Provider Name / Credentials Updated July 01, 2008

Recorded as TODD OATES, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2008

Optometrist (License #4486 in OH)

🟢

Initial NPI Registration & Enumeration February 22, 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: 1669447553

Entity Type:

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

Enumeration Date: February 22, 2006

Last Update: July 01, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

315 N Detroit St

Kenton, OH 433261575

Phone: 4196735201

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.