Active NPI 1487657342 Individual Practitioner Male Practitioner

Dr. James Edward Silone , DO

Ophthalmology • Newark, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Silone, DO is a certified Ophthalmology practicing in Newark, OH. With approximately 34 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 1992, Dr. Silone delivers high-quality medical care to the local community at 1717 W MAIN ST STE 100.

Dr. Silone is affiliated with Center For Sight Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, measurement of corneal curvature and depth of eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1717 W Main St Ste 100

Newark, OH 430551385

Telephone 7405228555

Fax 7405223620

Associated Practice Facility / Clinic

🏢 Center For Sight, Inc Facility NPI 1891834297

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Newark, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs -0.4 yrs vs City Avg

City Avg: 34.4 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Newark, OH (803 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Silone (34 Years) 34 Yrs

Newark 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
92014 Established patient complete exam of visual system	594	563	$135.00	$116.33
92012 Established patient problem focused exam of visual system	324	206	$100.00	$80.32
92136 Measurement of corneal curvature and depth of eye	253	126	$100.00	$26.00
92250 Photography of the retina	211	209	$140.00	$34.06
66984 Removal of cataract with insertion of lens	173	105	$2000.00	$483.18
92134 Imaging of retina	165	124	$125.00	$37.00
99213 Established patient office or other outpatient visit, typically 15 minutes	113	113	$100.00	$84.57
67028 Injection of drug into eye	104	30	$331.73	$110.43
J3590 Unclassified biologics	71	20	$70.00	$59.10
92133 Imaging of optic nerve	69	67	$125.00	$32.53
92004 New patient complete exam of visual system	67	67	$175.00	$138.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$230.00	$157.71
92083 Exam of visual field with extended testing	55	54	$100.00	$57.08
66821 Removal of recurring cataract in lens capsule using a laser	45	42	$1020.00	$321.72
92002 New patient problem focused exam of visual system	15	15	$120.00	$75.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	594	562	$135.00	$119.40
92012 Established patient problem focused exam of visual system	277	182	$100.00	$84.86
92136 Measurement of corneal curvature and depth of eye	221	122	$100.00	$25.98
92250 Photography of the retina	211	208	$140.00	$35.33
92134 Imaging of retina	162	119	$125.00	$38.30
66984 Removal of cataract with insertion of lens	152	99	$2000.00	$499.42
67028 Injection of drug into eye	114	32	$323.68	$112.89
99213 Established patient office or other outpatient visit, typically 15 minutes	114	108	$100.00	$85.37
J3590 Unclassified biologics	92	23	$70.00	$59.05
92004 New patient complete exam of visual system	74	74	$175.00	$143.08
92133 Imaging of optic nerve	62	59	$125.00	$33.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$230.00	$159.46
92083 Exam of visual field with extended testing	48	48	$100.00	$59.19
66821 Removal of recurring cataract in lens capsule using a laser	31	28	$1045.16	$319.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$180.00	$108.73
92002 New patient problem focused exam of visual system	17	17	$120.00	$81.34
66821 Removal of recurring cataract in lens capsule using a laser	16	14	$1012.50	$337.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	597	565	$135.31	$121.55
92012 Established patient problem focused exam of visual system	306	191	$100.00	$86.01
92136 Measurement of corneal curvature and depth of eye	253	133	$100.00	$26.10
66984 Removal of cataract with insertion of lens	159	107	$2000.00	$507.77
92134 Imaging of retina	149	107	$125.00	$38.45
99213 Established patient office or other outpatient visit, typically 15 minutes	127	125	$100.00	$86.98
67028 Injection of drug into eye	105	32	$328.57	$110.64
92004 New patient complete exam of visual system	83	83	$175.00	$138.10
J0178 Injection, aflibercept, 1 mg	76	11	$1000.00	$903.99
J3590 Unclassified biologics	70	22	$70.00	$59.40
92133 Imaging of optic nerve	62	62	$125.00	$34.99
92250 Photography of the retina	62	62	$140.00	$34.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$230.00	$162.46
92083 Exam of visual field with extended testing	44	44	$100.00	$59.90
66821 Removal of recurring cataract in lens capsule using a laser	33	30	$927.27	$295.73
92002 New patient problem focused exam of visual system	18	18	$120.00	$82.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$180.00	$110.14
92082 Exam of visual field with intermediate testing	12	11	$95.00	$44.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	650	596	$135.57	$122.71
92012 Established patient problem focused exam of visual system	304	189	$101.50	$86.77
92136 Measurement of corneal curvature and depth of eye	249	127	$100.00	$30.25
92134 Imaging of retina	178	131	$123.96	$39.30
66984 Removal of cataract with insertion of lens	169	106	$2000.00	$527.03
67028 Injection of drug into eye	135	36	$321.54	$117.13
99213 Established patient office or other outpatient visit, typically 15 minutes	124	122	$100.00	$88.91
J3590 Unclassified biologics	110	28	$70.00	$60.00
92004 New patient complete exam of visual system	90	90	$175.00	$145.79
92133 Imaging of optic nerve	62	61	$123.81	$36.00
92083 Exam of visual field with extended testing	47	45	$101.36	$60.94
66821 Removal of recurring cataract in lens capsule using a laser	47	44	$1014.89	$322.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$232.77	$162.30
92250 Photography of the retina	19	19	$140.00	$38.00
92002 New patient problem focused exam of visual system	13	13	$120.00	$83.63
92082 Exam of visual field with intermediate testing	12	11	$95.00	$45.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$180.00	$110.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	620	579	$135.30	$122.58
92012 Established patient problem focused exam of visual system	279	176	$102.04	$85.65
92136 Measurement of corneal curvature and depth of eye	175	96	$100.00	$33.74
92134 Imaging of retina	162	124	$124.77	$39.42
66984 Removal of cataract with insertion of lens	118	80	$2000.00	$528.95
67028 Injection of drug into eye	113	35	$326.55	$103.23
99213 Established patient office or other outpatient visit, typically 15 minutes	103	96	$100.76	$72.97
J3590 Unclassified biologics	96	27	$70.00	$58.50
92004 New patient complete exam of visual system	57	57	$175.00	$146.73
92133 Imaging of optic nerve	49	47	$125.00	$36.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$231.52	$155.70
92083 Exam of visual field with extended testing	40	39	$100.00	$59.82
66821 Removal of recurring cataract in lens capsule using a laser	34	34	$1032.35	$328.53
92250 Photography of the retina	23	23	$140.00	$41.88
92002 New patient problem focused exam of visual system	15	15	$120.00	$81.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	740	703	$135.50	$121.78
92012 Established patient problem focused exam of visual system	379	216	$100.90	$83.84
92136 Measurement of corneal curvature and depth of eye	254	135	$100.00	$36.26
92134 Imaging of retina	183	131	$124.39	$39.45
66984 Removal of cataract with insertion of lens	164	104	$2000.00	$619.78
67028 Injection of drug into eye	125	37	$321.60	$104.40
99213 Established patient office or other outpatient visit, typically 15 minutes	120	118	$101.52	$72.06
J3590 Unclassified biologics	101	28	$70.00	$59.05
92004 New patient complete exam of visual system	75	75	$175.00	$143.96
92133 Imaging of optic nerve	70	69	$124.47	$35.79
92083 Exam of visual field with extended testing	56	54	$101.14	$60.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$237.47	$157.40
66821 Removal of recurring cataract in lens capsule using a laser	41	40	$1141.46	$343.63
92250 Photography of the retina	24	24	$140.25	$48.45
92002 New patient problem focused exam of visual system	15	15	$120.00	$76.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	749	688	$135.62	$119.48
92012 Established patient problem focused exam of visual system	331	205	$100.52	$83.30
92136 Measurement of corneal curvature and depth of eye	266	138	$100.36	$38.02
92134 Imaging of retina	232	140	$124.68	$38.77
66984 Removal of cataract with insertion of lens	178	122	$2000.00	$601.62
99213 Established patient office or other outpatient visit, typically 15 minutes	175	154	$102.38	$68.20
67028 Injection of drug into eye	132	36	$331.82	$102.57
J3590 Unclassified biologics	108	28	$70.00	$57.95
92004 New patient complete exam of visual system	72	72	$175.00	$143.11
92133 Imaging of optic nerve	61	61	$123.18	$36.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$236.20	$157.82
92083 Exam of visual field with extended testing	53	53	$102.42	$60.83
92250 Photography of the retina	37	37	$140.00	$53.95
66821 Removal of recurring cataract in lens capsule using a laser	36	33	$975.00	$305.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$139.73	$103.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	804	751	$135.00	$117.21
92012 Established patient problem focused exam of visual system	413	255	$100.00	$79.96
92136 Measurement of corneal curvature and depth of eye	309	150	$100.00	$39.53
92134 Imaging of retina	284	156	$124.87	$38.35
99213 Established patient office or other outpatient visit, typically 15 minutes	236	176	$100.88	$69.60
66984 Removal of cataract with insertion of lens	223	147	$2000.00	$608.36
67028 Injection of drug into eye	141	44	$323.08	$101.38
92004 New patient complete exam of visual system	121	121	$175.00	$141.14
J3590 Unclassified biologics	117	38	$70.00	$59.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$230.00	$156.97
92133 Imaging of optic nerve	86	85	$124.57	$35.01
92083 Exam of visual field with extended testing	57	56	$100.00	$60.63
92250 Photography of the retina	42	42	$140.07	$59.97
66821 Removal of recurring cataract in lens capsule using a laser	41	41	$1185.37	$343.51
92002 New patient problem focused exam of visual system	22	22	$120.00	$71.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$180.53	$103.71
92020 Examination of cornea and iris using lens device and slit lamp	14	13	$65.00	$25.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$163.00	$103.04

Medical Specialties & State Licenses

CMS Verified: 2020-11-24

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OH 34006821S

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2060997 (OH)

Commercial Insurance / Payer ID Cigna Healthcare

6185091002 (OH)

Commercial Insurance / Payer ID Anthem Healthcare

000000201507 (OH)

Commercial Insurance / Payer ID Aetna Healthcare

2057405 (OH)

Commercial Insurance / Payer ID Rr Medicare

180034804 (OH)

Commercial Insurance / Payer ID United Healthcare

0801078 (OH)

Hospital & Practice Group Affiliations

Center For Sight Inc

1717 W Main St, Newark, OH 430551347

Phone: 7405228555

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Mark Law , MD

Ophthalmology

NPI 1275536237

Doctor of Medicine (M.D.)

Dr. Elliot Davidoff , MD

Ophthalmology

NPI 1760485734

Doctor of Medicine (M.D.)

Dr. Melissa Tripoli , MD

Ophthalmology

NPI 1972940195

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location November 24, 2020

Registered at 1717 W MAIN ST STE 100, NEWARK, OH 430551385 (Tel: 7405228555)

✅

NPI Profile Active August 03, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 03, 2016

Registered at 1371 W MAIN ST, NEWARK, OH 430553681 (Tel: 7405228555)

📍

Updated Business Mailing Address August 03, 2016

Registered at 1717 WEST MAIN ST., SUITE 100, NEWARK, OH 430553681 (Tel: 7405228555)

👤

Provider Name / Credentials Updated August 03, 2016

Recorded as JAMES SILONE, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2016

Ophthalmology (License #34006821S in OH)

🟢

Initial NPI Registration & Enumeration May 24, 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: 1487657342

Entity Type:

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

Enumeration Date: May 24, 2005

Last Update: November 24, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1717 West Main St., Suite 100

Newark, OH 430553681

Phone: 7405228555

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.