Active NPI 1528063229 Individual Practitioner Male Practitioner

Dr. Todd A Hershner , OD

Optometrist • Lorain, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Todd Hershner, OD is a certified Optometrist practicing in Lorain, OH. With approximately 38 years of clinical experience since graduating from Ohio State University - College Of Optometry in 1988, Dr. Hershner delivers high-quality medical care to the local community at 5700 COOPER FOSTER PARK.

Dr. Hershner is affiliated with Cleveland Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, 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

5700 Cooper Foster Park

Lorain, OH 440532544

Telephone 4409884040

Fax 4409884041

Associated Practice Facility / Clinic

🏢 Cleveland Clinic Optometry Avon Facility NPI 1558466433

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Lorain, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +3.6 yrs vs City Avg

City Avg: 34.4 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

15 Specialists

Practicing in Lorain, OH (2535 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hershner (38 Years) 38 Yrs

Lorain Specialty Average (34.4 Years) 34.4 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	479	367	$423.00	$62.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	276	263	$624.00	$91.72
92014 Established patient complete exam of visual system	276	275	$462.47	$70.55
92133 Imaging of optic nerve	222	215	$170.00	$19.87
92083 Exam of visual field with extended testing	184	180	$213.00	$24.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	94	70	$228.00	$33.60
92134 Imaging of retina	75	70	$191.00	$23.10
92004 New patient complete exam of visual system	35	35	$592.00	$88.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$520.00	$78.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$845.00	$127.16
92012 Established patient problem focused exam of visual system	12	12	$299.00	$46.97
76514 Ultrasound scan of cornea to determine thickness	11	11	$60.00	$7.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	480	350	$272.00	$63.49
92014 Established patient complete exam of visual system	305	305	$397.00	$72.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	286	275	$419.00	$93.78
92133 Imaging of optic nerve	221	218	$156.00	$20.40
92083 Exam of visual field with extended testing	208	200	$182.00	$25.61
92134 Imaging of retina	94	89	$171.00	$23.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	65	$117.00	$34.35
92004 New patient complete exam of visual system	64	64	$548.00	$90.20
92012 Established patient problem focused exam of visual system	14	14	$279.00	$48.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$603.00	$128.80
76514 Ultrasound scan of cornea to determine thickness	11	11	$57.00	$7.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	527	401	$247.00	$65.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	372	349	$381.00	$95.65
92014 Established patient complete exam of visual system	288	287	$397.00	$74.31
92133 Imaging of optic nerve	260	256	$142.00	$20.91
92083 Exam of visual field with extended testing	255	249	$165.00	$25.82
92134 Imaging of retina	76	74	$155.00	$23.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	58	$106.00	$35.64
92004 New patient complete exam of visual system	62	62	$548.00	$92.49
92012 Established patient problem focused exam of visual system	20	20	$279.00	$49.34
76514 Ultrasound scan of cornea to determine thickness	18	18	$52.00	$7.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$548.00	$133.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$319.00	$82.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	646	442	$240.00	$66.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	477	466	$370.00	$98.30
92133 Imaging of optic nerve	364	362	$146.00	$21.35
92083 Exam of visual field with extended testing	349	339	$165.00	$26.43
92014 Established patient complete exam of visual system	188	188	$397.00	$75.40
92134 Imaging of retina	82	77	$160.00	$24.69
92004 New patient complete exam of visual system	47	47	$548.00	$94.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	35	$103.00	$35.57
76514 Ultrasound scan of cornea to determine thickness	31	31	$54.00	$7.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$548.00	$134.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$319.00	$82.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	493	363	$232.97	$51.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	413	400	$359.00	$78.42
92133 Imaging of optic nerve	331	328	$150.00	$22.03
92083 Exam of visual field with extended testing	291	286	$165.00	$27.21
92014 Established patient complete exam of visual system	237	237	$397.00	$77.63
92134 Imaging of retina	80	74	$165.00	$24.80
92004 New patient complete exam of visual system	45	45	$548.00	$97.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	36	$99.92	$25.77
92012 Established patient problem focused exam of visual system	33	29	$279.00	$51.31
76514 Ultrasound scan of cornea to determine thickness	17	17	$56.00	$8.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$548.00	$129.10
92002 New patient problem focused exam of visual system	13	13	$319.00	$46.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	640	448	$226.00	$50.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	558	525	$349.00	$77.86
92133 Imaging of optic nerve	443	437	$155.00	$21.98
92083 Exam of visual field with extended testing	407	389	$165.00	$27.47
92014 Established patient complete exam of visual system	276	275	$339.35	$78.69
92134 Imaging of retina	82	76	$165.00	$25.14
92012 Established patient problem focused exam of visual system	39	37	$253.77	$52.04
92004 New patient complete exam of visual system	36	36	$492.78	$98.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	18	$97.00	$25.32
76514 Ultrasound scan of cornea to determine thickness	23	23	$58.00	$7.76
92020 Examination of cornea and iris using lens device and slit lamp	12	11	$122.00	$20.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	796	742	$339.00	$76.88
99213 Established patient office or other outpatient visit, typically 15 minutes	595	445	$219.00	$50.13
92133 Imaging of optic nerve	426	425	$160.00	$21.99
92083 Exam of visual field with extended testing	408	399	$165.65	$27.26
92134 Imaging of retina	87	82	$165.00	$25.14
92014 Established patient complete exam of visual system	69	69	$176.00	$76.49
92012 Established patient problem focused exam of visual system	45	44	$156.00	$51.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$548.00	$127.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$94.00	$24.95
76514 Ultrasound scan of cornea to determine thickness	15	15	$56.00	$9.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	904	872	$338.85	$74.42
99213 Established patient office or other outpatient visit, typically 15 minutes	756	578	$218.96	$48.23
92083 Exam of visual field with extended testing	474	453	$165.00	$26.26
92133 Imaging of optic nerve	452	447	$165.00	$21.31
92134 Imaging of retina	102	99	$165.00	$24.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$547.84	$122.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	96	85	$93.94	$24.16
76514 Ultrasound scan of cornea to determine thickness	19	19	$56.00	$9.33
92020 Examination of cornea and iris using lens device and slit lamp	14	13	$122.00	$20.03

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 4020/T60

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

0826931 (OH)

Commercial Insurance / Payer ID Railroad Medicare

410022646 (OH)

Commercial Insurance / Payer ID Apex

F00273 (OH)

Commercial Insurance / Payer ID Anthem

000000027221 (OH)

Commercial Insurance / Payer ID Aetna

0004381143 (OH)

Commercial Insurance / Payer ID United Healthcare

22-01355 (OH)

Hospital & Practice Group Affiliations

Cleveland Clinic

303 Chestnut Commons Dr, Elyria, OH 440359607

Phone: 4403669444

Cleveland Clinic

8950 Euclid Ave, Cleveland, OH 441950001

Phone: 2164448950

Cleveland Clinic

9500 Euclid Ave, Cleveland, OH 441950001

Cleveland Clinic

5700 Cooper Foster Park Rd W, Lorain, OH 440534152

Phone: 4402047400

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Randall Loudenslager , OD

Optometrist

NPI 1104853522

Doctor of Optometry

Dr. Charles Roseman , OD

Optometrist

NPI 1659668937

Doctor of Optometry

Dr. Barbara Bingham , OD

Optometrist

NPI 1750642815

Doctor of Optometry

Wes Immler , O, D

Optometrist

NPI 1841555000

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 27, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 27, 2016

Registered at 5700 COOPER FOSTER PARK, LORAIN, OH 440532544 (Tel: 4409884040)

📍

Updated Business Mailing Address December 27, 2016

Registered at 9500 EUCLID AVE, CLEVELAND CLINIC, CLEVELAND, OH 44195 (Tel: 4409884040)

👤

Provider Name / Credentials Updated December 27, 2016

Recorded as TODD HERSHNER, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2016

Optometrist (License #4020/T60 in OH)

🟢

Initial NPI Registration & Enumeration June 17, 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: 1528063229

Entity Type:

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

Enumeration Date: June 17, 2005

Last Update: December 27, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9500 Euclid Ave, Cleveland Clinic

Cleveland, OH 44195

Phone: 4409884040

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.