Active NPI 1801903968 Individual Practitioner Male Practitioner

Dr. Philip Ronald Zitko , OD

Optometrist • Shelby, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Philip Zitko, OD is a certified Optometrist practicing in Shelby, OH. With approximately 35 years of clinical experience since graduating from Ohio State University - College Of Optometry in 1991, Dr. Zitko delivers high-quality medical care to the local community at 76 W MAIN ST.

Dr. Zitko is affiliated with Ohio Eye Optometric Llc and 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

76 W Main St

Shelby, OH 448751206

Telephone 4193471445

Fax 4193478403

Associated Practice Facility / Clinic

🏢 Winbigler & Zitko Optometrists, Ltd. Facility NPI 1659469880

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Shelby, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +16.0 yrs vs City Avg

City Avg: 19.0 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

4 Specialists

Practicing in Shelby, OH (2535 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

18.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Zitko (35 Years) 35 Yrs

Shelby Specialty Average (19.0 Years) 19.0 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	323	322	$130.00	$120.12
92134 Imaging of retina	66	65	$60.00	$38.57
99213 Established patient office or other outpatient visit, typically 15 minutes	64	59	$95.47	$87.86
92004 New patient complete exam of visual system	55	55	$156.18	$142.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	34	$136.05	$122.48
92250 Photography of the retina	30	29	$85.00	$35.33
92133 Imaging of optic nerve	18	17	$60.00	$34.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$120.00	$108.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	336	336	$130.15	$120.55
99213 Established patient office or other outpatient visit, typically 15 minutes	104	86	$94.62	$87.36
92134 Imaging of retina	76	74	$60.00	$38.61
92004 New patient complete exam of visual system	51	51	$155.00	$143.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	48	$134.80	$123.78
92250 Photography of the retina	34	32	$85.00	$35.67
92133 Imaging of optic nerve	21	21	$60.00	$35.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	287	287	$130.26	$120.86
99213 Established patient office or other outpatient visit, typically 15 minutes	93	77	$91.13	$87.44
92004 New patient complete exam of visual system	48	48	$155.00	$144.02
92134 Imaging of retina	40	40	$60.25	$38.89
92250 Photography of the retina	35	34	$85.57	$35.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	28	$131.50	$124.55
92133 Imaging of optic nerve	11	11	$60.00	$35.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	267	266	$130.19	$122.28
99213 Established patient office or other outpatient visit, typically 15 minutes	98	76	$90.00	$89.31
92004 New patient complete exam of visual system	52	52	$155.00	$145.56
92134 Imaging of retina	45	45	$60.22	$39.53
92250 Photography of the retina	38	36	$85.00	$37.80
92133 Imaging of optic nerve	24	24	$60.00	$35.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$130.00	$127.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	241	241	$130.31	$122.23
99213 Established patient office or other outpatient visit, typically 15 minutes	91	75	$80.00	$73.26
92134 Imaging of retina	44	43	$60.23	$39.62
92004 New patient complete exam of visual system	43	43	$155.00	$145.84
92250 Photography of the retina	27	27	$85.74	$43.46
92133 Imaging of optic nerve	15	15	$60.00	$36.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$60.00	$44.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	269	267	$130.00	$121.34
99213 Established patient office or other outpatient visit, typically 15 minutes	116	92	$80.00	$71.51
92004 New patient complete exam of visual system	61	61	$155.00	$145.11
92250 Photography of the retina	35	35	$85.00	$48.07
92134 Imaging of retina	33	33	$60.00	$39.33
92133 Imaging of optic nerve	19	18	$60.00	$35.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	258	256	$130.10	$120.75
99213 Established patient office or other outpatient visit, typically 15 minutes	152	111	$80.16	$70.19
92250 Photography of the retina	45	44	$85.00	$52.85
92004 New patient complete exam of visual system	36	36	$156.81	$144.78
92134 Imaging of retina	31	31	$60.00	$39.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	13	$60.00	$41.93
92133 Imaging of optic nerve	19	19	$60.53	$34.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	259	255	$130.29	$117.31
99213 Established patient office or other outpatient visit, typically 15 minutes	157	122	$80.38	$70.00
92250 Photography of the retina	44	44	$85.45	$61.67
92004 New patient complete exam of visual system	35	35	$155.00	$142.18
92134 Imaging of retina	25	25	$60.00	$39.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	17	$60.00	$41.48
92133 Imaging of optic nerve	13	13	$60.77	$35.42

Medical Specialties & State Licenses

CMS Verified: 2022-08-17

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 4329

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

0844626 (OH)

Hospital & Practice Group Affiliations

Ohio Eye Optometric Llc

466 S Trimble Rd, Mansfield, OH 449063416

Phone: 4197568000

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Edwin Winbigler , OD

Optometrist

NPI 1124135256

Doctor of Optometry

Dr. Patricia Zitko , OD

Optometrist

NPI 1184733016

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address July 01, 2021

Registered at 466 S TRIMBLE RD, MANSFIELD, OH 449063416 (Tel: 4197568000)

✅

NPI Profile Active January 05, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 05, 2011

Registered at 76 W MAIN ST, SHELBY, OH 448751206 (Tel: 4193471445)

📍

Updated Business Mailing Address January 05, 2011

Registered at PO BOX 648, SHELBY, OH 448750648 (Tel: 4193471445)

👤

Provider Name / Credentials Updated January 05, 2011

Recorded as PHILIP ZITKO, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2011

Optometrist (License #4329 in OH)

🟢

Initial NPI Registration & Enumeration August 24, 2006

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: 1801903968

Entity Type:

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

Enumeration Date: August 24, 2006

Last Update: August 17, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

466 S Trimble Rd

Mansfield, OH 449063416

Phone: 4197568000

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.