Active NPI 1366518045 Individual Practitioner Female Practitioner

Dr. Sue Ellen Van Dootingh , OD

Optometrist • Port Clinton, OH

Professional Overview & Biography Verified Profile Summary

Dr. Sue Van Dootingh, OD is a registered healthcare professional specializing in Optometrist in Port Clinton, OH. Practice services are available at 820 JEFFERSON ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, photography of the retina, 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

820 Jefferson St

Port Clinton, OH 434522416

Telephone 4197322828

Associated Practice Facility / Clinic

🏢 Sue E. Van Dootingh Od Facility NPI 1780853317

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Port Clinton, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.5 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

4 Specialists

Practicing in Port Clinton, OH (2535 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

22.1% 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 (2023)

Reporting Year:

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	63	63	$155.00	$122.23
92250 Photography of the retina	32	32	$79.00	$34.93
92014 Established patient complete exam of visual system	16	16	$145.00	$118.64
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$104.00	$85.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$72.00	$53.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$183.33	$159.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,584	11	$2.64	$1.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	120	$155.00	$123.88
92250 Photography of the retina	53	53	$78.25	$35.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	25	$70.00	$54.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$175.00	$162.26
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$102.00	$87.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,391	16	$2.67	$1.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	117	$155.17	$126.50
92250 Photography of the retina	58	58	$79.00	$37.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	22	$70.00	$54.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$175.00	$164.49
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$102.00	$89.00
92014 Established patient complete exam of visual system	13	13	$145.00	$121.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,661	12	$2.65	$1.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	64	$155.00	$106.12
92250 Photography of the retina	46	46	$79.00	$43.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	29	$70.00	$43.90
92014 Established patient complete exam of visual system	26	26	$145.00	$121.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$175.00	$161.41
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$102.00	$73.04
92004 New patient complete exam of visual system	16	16	$157.63	$143.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,147	16	$2.56	$1.33
92014 Established patient complete exam of visual system	122	122	$140.94	$117.57
92250 Photography of the retina	56	56	$79.00	$46.56
92004 New patient complete exam of visual system	42	42	$156.43	$138.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	34	$69.78	$41.99
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$91.11	$70.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$153.73	$102.97
92133 Imaging of optic nerve	19	19	$76.79	$34.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,802	11	$2.56	$1.33
92014 Established patient complete exam of visual system	121	121	$135.51	$115.15
92250 Photography of the retina	75	75	$79.00	$52.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	51	$68.43	$40.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	57	$155.00	$100.50
99213 Established patient office or other outpatient visit, typically 15 minutes	38	34	$88.18	$66.86
92004 New patient complete exam of visual system	34	34	$155.82	$136.83
92133 Imaging of optic nerve	29	29	$76.00	$33.77
92083 Exam of visual field with extended testing	24	20	$95.00	$58.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,088	15	$2.84	$1.38
92014 Established patient complete exam of visual system	194	194	$137.28	$109.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	97	67	$66.75	$38.77
92250 Photography of the retina	70	70	$79.00	$57.75
92004 New patient complete exam of visual system	45	45	$161.29	$132.91
92083 Exam of visual field with extended testing	29	27	$99.10	$56.51
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$96.56	$65.48
92133 Imaging of optic nerve	23	22	$73.87	$32.71
92134 Imaging of retina	17	15	$70.24	$35.87

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 3643

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

0629387 (OH)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 30, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location July 30, 2009

Registered at 820 JEFFERSON ST, PORT CLINTON, OH 434522416 (Tel: 4197322828)

📍

Updated Business Mailing Address July 30, 2009

Registered at 820 JEFFERSON ST, PORT CLINTON, OH 434522416 (Tel: 4197322828)

👤

Provider Name / Credentials Updated July 30, 2009

Recorded as SUE VAN DOOTINGH, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2009

Optometrist (License #3643 in OH)

🟢

Initial NPI Registration & Enumeration November 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1366518045

Entity Type:

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

Enumeration Date: November 27, 2006

Last Update: July 30, 2009

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

820 Jefferson St

Port Clinton, OH 434522416

Phone: 4197322828

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.