Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427101757 Individual Practitioner Male Practitioner

Dr. Brian John Vanderploeg , OD

Optometrist • Newtown, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Vanderploeg, OD is a certified Optometrist practicing in Newtown, OH. With approximately 20 years of clinical experience since graduating from Indiana University - School Of Optometry in 2006, Dr. Vanderploeg delivers high-quality medical care to the local community at 7397 MAIN ST STE I.

Dr. Vanderploeg accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, imaging of retina, 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

7397 Main St Ste I

Newtown, OH 452443034

Telephone 5139917090
Fax 5139917091
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Indiana University - School Of Optometry

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Newtown, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs Matches City Avg
City Avg: 20.0 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Newtown, OH (2535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
30.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vanderploeg (20 Years) 20 Yrs
Newtown Specialty Average (20.0 Years) 20.0 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
113 112 $135.00 $116.89
92134 Imaging of retina
47 37 $84.00 $37.41
99213 Established patient office or other outpatient visit, typically 15 minutes
35 30 $125.00 $85.71
92004 New patient complete exam of visual system
23 23 $165.00 $139.26
92250 Photography of the retina
23 21 $84.00 $34.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
15 14 $175.00 $121.14

Medical Specialties & State Licenses

CMS Verified: 2021-03-31
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 5983

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License KY 1672DT

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.

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location March 31, 2021

Registered at 7397 MAIN ST STE I, NEWTOWN, OH 452443034 (Tel: 5139917090)

📍
Updated Business Mailing Address March 31, 2021

Registered at 7397 MAIN ST STE I, NEWTOWN, OH 452443034 (Tel: 5139917090)

NPI Profile Active September 19, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 19, 2010

Registered at 4601 EASTGATE BLVD, STE C-578, CINCINNATI, OH 452451218 (Tel: 5137534981)

📍
Updated Business Mailing Address September 19, 2010

Registered at 4601 EASTGATE BLVD, SUITE C-578, CINCINNATI, OH 452451218 (Tel: 5137534981)

👤
Provider Name / Credentials Updated September 19, 2010

Recorded as BRIAN VANDERPLOEG, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2010

Optometrist (License #5983 in OH)

🟢
Initial NPI Registration & Enumeration January 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Brian Vanderploeg. Be the first to share your experience!

Sign in to leave a review for Dr. Brian Vanderploeg

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1427101757
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2007
Last Update: March 31, 2021
Sole Proprietor: No

Mailing Address

7397 Main St Ste I

Newtown, OH 452443034

Phone: 5139917090

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.