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Active NPI 1235274176 Individual Practitioner Male Practitioner

Dr. Marvin L Pflaumer , OD

Optometrist • New Carlisle, OH

Professional Overview & Biography Verified Profile Summary

Dr. Marvin Pflaumer, OD is a registered healthcare professional specializing in Optometrist in New Carlisle, OH. Practice services are available at 201 N CHURCH ST under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

201 N Church St

New Carlisle, OH 453441848

Telephone 9378459444
Fax 9378451151
Associated Practice Facility / Clinic
🏢 Visionary Optometry Inc Facility NPI 1386646701

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in New Carlisle, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.7 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
5 Specialists

Practicing in New Carlisle, OH (2535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
25.2% 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 (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
85 84 $125.00 $113.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
75 51 $110.00 $99.68
92083 Exam of visual field with extended testing
72 50 $90.00 $55.04
92020 Examination of cornea and iris using lens device and slit lamp
71 50 $40.00 $24.84
99213 Established patient office or other outpatient visit, typically 15 minutes
53 44 $75.00 $67.48
92225 Examination of eye by ophthalmoscope with retinal drawing
44 42 $54.00 $50.34
92250 Photography of the retina
39 39 $95.00 $59.19
92275 Recording of retinal electrical responses to external stimuli
32 32 $180.00 $134.39
92226 Examination of eye by ophthalmoscope with retinal drawing
28 27 $54.00 $44.85
92004 New patient complete exam of visual system
16 16 $150.00 $137.36
92134 Imaging of retina
13 13 $130.00 $37.96

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 2835T598

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
0092411 (OH)
Commercial Insurance / Payer ID United Healthcare
2220143 (OH)
Commercial Insurance / Payer ID Caresource
311584763028 (OH)
Commercial Insurance / Payer ID Molina
74386 (OH)
Commercial Insurance / Payer ID Anthem
000000022407 (OH)
Commercial Insurance / Payer ID Aetna
4638481 (OH)

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1346802105

Doctor of Optometry

NPI 1861527939

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 June 16, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 16, 2008

Registered at 201 N CHURCH ST, NEW CARLISLE, OH 453441848 (Tel: 9378459444)

📍
Updated Business Mailing Address June 16, 2008

Registered at 201 N CHURCH ST, P O BOX 417, NEW CARLISLE, OH 453441848 (Tel: 9378459444)

👤
Provider Name / Credentials Updated June 16, 2008

Recorded as MARVIN PFLAUMER, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2008

Optometrist (License #2835T598 in OH)

🟢
Initial NPI Registration & Enumeration February 20, 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: 1235274176
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2007
Last Update: June 16, 2008
Sole Proprietor: No

Mailing Address

201 N Church St, P O Box 417

New Carlisle, OH 453441848

Phone: 9378459444

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.