Active NPI 1164424743 Individual Practitioner Male Practitioner

Dr. Keith A Wilson , MD

Ophthalmology • Poland, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Keith Wilson, MD is a certified Ophthalmology practicing in Poland, OH. With approximately 44 years of clinical experience since graduating from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1982, Dr. Wilson delivers high-quality medical care to the local community at 1075 W WESTERN RESERVE RD.

Dr. Wilson is affiliated with Eye Care Associates, Inc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1075 W Western Reserve Rd

Poland, OH 445143541

Telephone 3308846584

Associated Practice Facility / Clinic

🏢 Eye Care Associates, Inc Facility NPI 1336192038

Medicare Profile & Education

Medical School

Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Poland, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +5.2 yrs vs City Avg

City Avg: 38.8 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

4 Specialists

Practicing in Poland, OH (803 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (44 Years) 44 Yrs

Poland Specialty Average (38.8 Years) 38.8 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	1,253	208	$604.40	$147.59
92136 Measurement of corneal curvature and depth of eye	569	275	$104.67	$24.92
92014 Established patient complete exam of visual system	405	402	$240.00	$121.84
99213 Established patient office or other outpatient visit, typically 15 minutes	363	313	$170.08	$89.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	232	230	$239.73	$127.25
92134 Imaging of retina	188	181	$90.00	$38.52
92133 Imaging of optic nerve	185	179	$87.00	$34.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	112	112	$337.00	$165.52
92083 Exam of visual field with extended testing	105	102	$125.00	$61.14
66821 Removal of recurring cataract in lens capsule using a laser	51	42	$789.22	$306.96
92004 New patient complete exam of visual system	15	15	$285.00	$143.02
76514 Ultrasound scan of cornea to determine thickness	14	14	$31.00	$10.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,106	217	$689.23	$166.14
92136 Measurement of corneal curvature and depth of eye	614	279	$105.96	$24.26
92014 Established patient complete exam of visual system	597	597	$240.00	$120.26
99213 Established patient office or other outpatient visit, typically 15 minutes	346	309	$143.00	$87.30
92133 Imaging of optic nerve	222	212	$87.00	$34.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	203	198	$211.00	$123.71
92134 Imaging of retina	188	182	$90.00	$37.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$337.00	$161.76
92083 Exam of visual field with extended testing	101	99	$125.00	$58.63
66821 Removal of recurring cataract in lens capsule using a laser	54	44	$775.00	$291.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$90.00	$54.39
92004 New patient complete exam of visual system	17	17	$285.00	$142.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,234	206	$568.39	$135.46
92014 Established patient complete exam of visual system	642	640	$240.00	$121.69
92136 Measurement of corneal curvature and depth of eye	565	258	$105.99	$25.39
99213 Established patient office or other outpatient visit, typically 15 minutes	309	283	$143.00	$87.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	274	270	$211.00	$124.22
92133 Imaging of optic nerve	222	217	$87.00	$34.76
92134 Imaging of retina	195	191	$90.00	$38.01
92083 Exam of visual field with extended testing	147	146	$124.66	$59.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	119	119	$337.00	$164.33
66821 Removal of recurring cataract in lens capsule using a laser	76	59	$775.00	$298.01
66982 Complex removal of cataract with insertion of prosthetic lens	49	12	$682.41	$191.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	37	$90.00	$55.03
92004 New patient complete exam of visual system	15	15	$285.00	$144.38
76514 Ultrasound scan of cornea to determine thickness	14	14	$31.00	$10.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,678	224	$445.00	$105.47
92014 Established patient complete exam of visual system	665	665	$240.00	$121.57
92136 Measurement of corneal curvature and depth of eye	561	248	$105.72	$27.13
99213 Established patient office or other outpatient visit, typically 15 minutes	379	331	$143.00	$88.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	301	291	$211.00	$125.29
92133 Imaging of optic nerve	233	226	$87.00	$35.00
92134 Imaging of retina	219	209	$90.00	$38.69
92083 Exam of visual field with extended testing	155	152	$124.68	$60.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$337.00	$163.30
66821 Removal of recurring cataract in lens capsule using a laser	72	61	$785.76	$301.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	51	$90.00	$54.37
66982 Complex removal of cataract with insertion of prosthetic lens	46	13	$726.91	$195.57
92004 New patient complete exam of visual system	31	31	$285.00	$145.06
76514 Ultrasound scan of cornea to determine thickness	23	23	$31.00	$10.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$226.00	$109.66
92081 Exam of visual field with limited testing	14	14	$70.00	$16.63
92020 Examination of cornea and iris using lens device and slit lamp	12	12	$65.00	$26.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,025	176	$536.69	$134.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	841	829	$211.00	$106.47
92136 Measurement of corneal curvature and depth of eye	488	215	$107.09	$30.32
99213 Established patient office or other outpatient visit, typically 15 minutes	356	306	$143.00	$73.01
92133 Imaging of optic nerve	223	216	$87.00	$35.41
92134 Imaging of retina	197	182	$90.00	$38.74
92083 Exam of visual field with extended testing	166	158	$125.00	$60.34
92014 Established patient complete exam of visual system	144	144	$240.00	$122.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	98	$337.00	$162.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	63	$90.00	$44.38
66821 Removal of recurring cataract in lens capsule using a laser	72	51	$775.00	$305.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$226.00	$106.22
76514 Ultrasound scan of cornea to determine thickness	22	22	$31.00	$11.16
92081 Exam of visual field with limited testing	11	11	$70.00	$15.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,115	201	$529.76	$165.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	982	965	$210.70	$104.97
92136 Measurement of corneal curvature and depth of eye	490	216	$100.54	$32.58
99213 Established patient office or other outpatient visit, typically 15 minutes	382	329	$141.90	$71.63
92133 Imaging of optic nerve	211	204	$86.32	$35.25
92083 Exam of visual field with extended testing	182	176	$125.00	$60.90
92134 Imaging of retina	170	161	$90.00	$38.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	130	130	$330.85	$158.49
92014 Established patient complete exam of visual system	114	114	$240.00	$122.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	103	79	$88.64	$42.97
66821 Removal of recurring cataract in lens capsule using a laser	64	48	$775.00	$303.11
83861 Microfluid analysis of tears	30	15	$45.00	$22.03
76514 Ultrasound scan of cornea to determine thickness	25	25	$30.48	$11.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$216.67	$105.39
92081 Exam of visual field with limited testing	21	21	$70.00	$16.54
65855 Laser repair to improve eye fluid flow	19	12	$881.16	$204.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,554	214	$352.32	$126.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,009	995	$210.00	$103.17
92136 Measurement of corneal curvature and depth of eye	519	228	$90.01	$34.74
99213 Established patient office or other outpatient visit, typically 15 minutes	397	335	$140.00	$69.56
92133 Imaging of optic nerve	212	204	$85.00	$35.08
92134 Imaging of retina	183	175	$90.00	$38.82
92083 Exam of visual field with extended testing	181	173	$124.72	$60.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	104	83	$85.00	$41.94
83861 Microfluid analysis of tears	101	50	$45.00	$22.03
92014 Established patient complete exam of visual system	99	99	$240.00	$120.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$320.00	$157.57
66821 Removal of recurring cataract in lens capsule using a laser	70	60	$775.00	$293.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$210.00	$104.11
92081 Exam of visual field with limited testing	34	34	$72.65	$17.59
76514 Ultrasound scan of cornea to determine thickness	29	29	$30.00	$14.00
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$145.00	$68.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,636	236	$374.14	$135.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,009	996	$210.00	$102.44
92136 Measurement of corneal curvature and depth of eye	575	258	$91.31	$38.72
66984 Removal of cataract with insertion of lens	435	20	$7.59	$1.47
99213 Established patient office or other outpatient visit, typically 15 minutes	418	351	$140.00	$69.60
92133 Imaging of optic nerve	212	204	$85.00	$35.17
92134 Imaging of retina	189	179	$90.00	$38.41
92083 Exam of visual field with extended testing	169	166	$124.70	$59.95
92014 Established patient complete exam of visual system	145	145	$240.00	$118.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	119	91	$85.00	$40.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$210.00	$103.69
66821 Removal of recurring cataract in lens capsule using a laser	91	74	$782.97	$297.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$320.00	$158.39
83861 Microfluid analysis of tears	80	41	$45.00	$22.21
92081 Exam of visual field with limited testing	31	31	$71.94	$17.29
76514 Ultrasound scan of cornea to determine thickness	31	31	$30.00	$13.60
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$145.00	$71.57

Medical Specialties & State Licenses

CMS Verified: 2025-01-14

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OH 35-052784

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

0624695 (OH)

Commercial Insurance / Payer ID Railroad Medicare

180011155 (OH)

Commercial Insurance / Payer ID Aetna

4096251 (OH)

Commercial Insurance / Payer ID United Healthcare

0800328 (OH)

Commercial Insurance / Payer ID Medicaid

0095849000 (WV)

Commercial Insurance / Payer ID Summacare

Z52784 (OH)

Commercial Insurance / Payer ID Keystone

438220 (OH)

Commercial Insurance / Payer ID Anthem

000000126322 (OH)

Commercial Insurance / Payer ID Qualchoice

82799 (OH)

Hospital & Practice Group Affiliations

Eye Care Associates, Inc

10 Dutton Dr, Youngstown, OH 445021818

Phone: 3308846584

Secondary Practice Locations

15655 State Route 170 Ste O

East Liverpool, OH 439209672

Phone: 3307467691

1031 W Western Reserve Rd

Poland, OH 445143541

Phone: 3307467691

10 Dutton Dr

Youngstown, OH 445021818

Phone: 3307467691

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Chad Shultz , OD

Optometrist

NPI 1003909094

Doctor of Optometry

Dr. Lyn Yakubov , MD

Ophthalmology

NPI 1144222746

Doctor of Medicine (M.D.)

Dr. Sergul Erzurum , MD

Ophthalmology

NPI 1235131913

Doctor of Medicine (M.D.)

Dr. John Aey , MD

Ophthalmology

NPI 1316949803

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 January 14, 2025

Registered at 1075 W WESTERN RESERVE RD, POLAND, OH 445143541 (Tel: 3308846584)

✅

NPI Profile Active February 09, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 09, 2016

Registered at 10 DUTTON DR, YOUNGSTOWN, OH 445021818 (Tel: 3307467691)

📍

Updated Business Mailing Address February 09, 2016

Registered at 10 DUTTON DR, YOUNGSTOWN, OH 445021818 (Tel: 3307467691)

👤

Provider Name / Credentials Updated February 09, 2016

Recorded as KEITH WILSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2016

Ophthalmology (License #35-052784 in OH)

🟢

Initial NPI Registration & Enumeration August 12, 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: 1164424743

Entity Type:

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

Enumeration Date: August 12, 2005

Last Update: January 14, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10 Dutton Dr

Youngstown, OH 445021818

Phone: 3307467691

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.