Active NPI 1952363897 Individual Practitioner Female Practitioner

Dr. Denise L Welker , OD

Optometrist • Sidney, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Denise Welker, OD is a certified Optometrist practicing in Sidney, OH. With approximately 39 years of clinical experience since graduating from Ohio State University - College Of Optometry in 1987, Dr. Welker delivers high-quality medical care to the local community at 1086 FAIRINGTON DR.

Dr. Welker is affiliated with Primary Eyecare Associates Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1086 Fairington Dr

Sidney, OH 453658913

Telephone 9374929197

Fax 9374921901

Associated Practice Facility / Clinic

🏢 Primary Eyecare Associates Inc Facility NPI 1093927881

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Sidney, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +18.1 yrs vs City Avg

City Avg: 20.9 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

16 Specialists

Practicing in Sidney, OH (2535 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

19.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Welker (39 Years) 39 Yrs

Sidney Specialty Average (20.9 Years) 20.9 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
99213 Established patient office or other outpatient visit, typically 15 minutes	283	268	$93.90	$85.72
92014 Established patient complete exam of visual system	40	40	$124.75	$117.10
92250 Photography of the retina	38	38	$80.00	$34.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$114.96	$105.33
92134 Imaging of retina	26	26	$70.00	$36.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$58.00	$53.10
92083 Exam of visual field with extended testing	14	11	$82.00	$58.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$132.77	$121.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	291	275	$93.00	$84.18
92250 Photography of the retina	45	45	$80.00	$34.21
92014 Established patient complete exam of visual system	34	34	$120.00	$115.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	26	$59.26	$52.11
92134 Imaging of retina	25	23	$70.00	$36.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$114.00	$105.14
92083 Exam of visual field with extended testing	21	19	$82.00	$57.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$130.00	$118.41
92133 Imaging of optic nerve	12	11	$70.00	$31.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	248	237	$89.00	$86.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	39	$55.07	$53.74
92250 Photography of the retina	35	35	$80.00	$34.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$110.00	$107.26
92134 Imaging of retina	20	20	$70.00	$36.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$127.00	$121.95
92083 Exam of visual field with extended testing	17	17	$82.00	$58.01
92014 Established patient complete exam of visual system	16	16	$120.00	$116.84
92133 Imaging of optic nerve	11	11	$70.00	$31.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	213	202	$75.99	$75.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	53	$44.18	$44.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$110.00	$109.66
92014 Established patient complete exam of visual system	24	24	$120.00	$120.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$110.94	$110.92
92250 Photography of the retina	18	17	$80.00	$37.47
92083 Exam of visual field with extended testing	14	13	$82.00	$60.26
92134 Imaging of retina	13	13	$70.00	$37.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	98	96	$75.36	$72.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	78	$110.00	$105.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	37	$44.00	$43.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$110.43	$104.99
92014 Established patient complete exam of visual system	23	23	$120.00	$119.71
92250 Photography of the retina	20	20	$80.00	$43.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	203	202	$75.17	$71.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	49	$44.00	$42.99
92014 Established patient complete exam of visual system	37	37	$120.00	$118.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$110.00	$104.29
92250 Photography of the retina	25	24	$80.00	$47.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$110.00	$104.38
92083 Exam of visual field with extended testing	13	12	$82.00	$60.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	137	136	$75.00	$70.12
92014 Established patient complete exam of visual system	70	70	$120.00	$118.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	40	$110.00	$103.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	38	$44.00	$41.93
92004 New patient complete exam of visual system	24	24	$125.00	$123.70
92250 Photography of the retina	23	23	$80.00	$53.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$110.00	$104.35
92083 Exam of visual field with extended testing	15	15	$82.00	$60.95
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$75.00	$72.03
92012 Established patient problem focused exam of visual system	11	11	$85.00	$83.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	160	160	$119.81	$113.89
99213 Established patient office or other outpatient visit, typically 15 minutes	73	70	$74.73	$68.12
92004 New patient complete exam of visual system	38	38	$124.87	$121.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	36	$44.00	$40.11
92250 Photography of the retina	27	27	$80.00	$59.52
92012 Established patient problem focused exam of visual system	16	16	$85.00	$78.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$110.00	$100.27

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 3943

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

0669683 (OH)

Commercial Insurance / Payer ID Dmerc

0176440001 (OH)

Commercial Insurance / Payer ID Dmerc

0176440004 (OH)

Hospital & Practice Group Affiliations

Primary Eyecare Associates Inc

1086 Fairington Dr, Sidney, OH 453658913

Phone: 9374929197

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Eric Beigel , OD

Optometrist

NPI 1053042085

Doctor of Optometry

Dr. Allyson Schmidt , OD

Optometrist

NPI 1053240457

Doctor of Optometry

Dr. Andrew Roy , OD

Optometrist

NPI 1093979916

Doctor of Optometry

Dr. Karen Fortman , OD

Optometrist

NPI 1205898145

Doctor of Optometry

Dr. Carter Bensman , OD

Optometrist

NPI 1265163919

Doctor of Optometry

Dr. John Beigel , OD

Optometrist

NPI 1275595621

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 12, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 12, 2014

Registered at 1086 FAIRINGTON DR, SIDNEY, OH 453658913 (Tel: 9374929197)

📍

Updated Business Mailing Address August 12, 2014

Registered at 1086 FAIRINGTON DR, SIDNEY, OH 453658913 (Tel: 9374929197)

👤

Provider Name / Credentials Updated August 12, 2014

Recorded as DENISE WELKER, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2014

Optometrist (License #3943 in OH)

🟢

Initial NPI Registration & Enumeration April 05, 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: 1952363897

Entity Type:

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

Enumeration Date: April 05, 2006

Last Update: August 12, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1086 Fairington Dr

Sidney, OH 453658913

Phone: 9374929197

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.