Active NPI 1992767842 Individual Practitioner Male Practitioner

Dr. Scott M Schwartz , OD

Optometrist • Sidney, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Scott Schwartz, OD is a certified Optometrist practicing in Sidney, OH. With approximately 26 years of clinical experience since graduating from Ohio State University - College Of Optometry in 2000, Dr. Schwartz delivers high-quality medical care to the local community at 1086 FAIRINGTON DR.

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

Frequently performed procedures and clinical services include established patient outpatient office visit, exam of visual field with extended testing, 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

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

2000

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

26 Yrs +5.1 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

18.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Schwartz (26 Years) 26 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	183	172	$93.87	$85.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	56	$58.00	$53.04
92083 Exam of visual field with extended testing	48	47	$82.00	$58.17
92014 Established patient complete exam of visual system	47	47	$124.36	$117.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	42	$132.79	$121.12
92134 Imaging of retina	33	31	$70.00	$36.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$114.86	$105.60
92133 Imaging of optic nerve	26	26	$70.00	$31.05
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$25.00	$21.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	169	160	$93.00	$84.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	57	$58.00	$52.18
92014 Established patient complete exam of visual system	73	73	$120.00	$115.43
92083 Exam of visual field with extended testing	57	51	$82.00	$56.91
92133 Imaging of optic nerve	45	42	$70.00	$30.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	43	$130.00	$119.42
92134 Imaging of retina	25	24	$70.00	$35.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$114.00	$103.94
92250 Photography of the retina	11	11	$80.00	$33.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	141	134	$89.00	$86.41
92083 Exam of visual field with extended testing	46	42	$82.00	$58.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	32	$55.00	$53.64
92014 Established patient complete exam of visual system	41	41	$120.00	$117.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	39	$127.00	$122.20
92133 Imaging of optic nerve	36	34	$70.00	$31.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$110.00	$107.09
92134 Imaging of retina	26	22	$70.00	$37.24
92004 New patient complete exam of visual system	12	12	$125.00	$122.19
92250 Photography of the retina	11	11	$80.00	$34.56
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$75.00	$68.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	127	120	$75.77	$75.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	64	$44.41	$44.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	58	$110.00	$110.00
92083 Exam of visual field with extended testing	41	40	$82.00	$60.26
92014 Established patient complete exam of visual system	39	38	$120.00	$120.00
92133 Imaging of optic nerve	35	34	$70.00	$32.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$110.00	$109.66
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	13	$25.00	$21.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	84	82	$75.00	$72.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	84	$110.00	$106.11
92014 Established patient complete exam of visual system	50	50	$120.00	$119.76
92083 Exam of visual field with extended testing	31	30	$82.00	$60.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	19	$44.00	$43.95
92133 Imaging of optic nerve	26	26	$70.00	$33.22
92134 Imaging of retina	18	18	$70.00	$38.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$110.00	$105.04
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$75.00	$73.96
92250 Photography of the retina	11	11	$80.00	$43.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	106	105	$75.00	$71.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	92	$110.00	$104.71
92014 Established patient complete exam of visual system	72	72	$120.00	$118.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	31	$44.00	$43.04
92083 Exam of visual field with extended testing	33	33	$82.00	$60.69
92133 Imaging of optic nerve	29	29	$70.00	$33.06
92134 Imaging of retina	28	26	$70.00	$38.75
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$75.00	$73.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$110.00	$104.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	138	135	$75.00	$70.20
92014 Established patient complete exam of visual system	54	54	$120.00	$118.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	41	$110.00	$103.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	37	$44.76	$41.84
92083 Exam of visual field with extended testing	31	30	$82.00	$60.86
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$75.00	$72.20
92134 Imaging of retina	26	22	$70.00	$39.34
92133 Imaging of optic nerve	24	23	$70.00	$33.70
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	13	$25.00	$20.40
92004 New patient complete exam of visual system	12	12	$125.00	$123.66
92250 Photography of the retina	11	11	$80.00	$53.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	134	133	$74.89	$67.69
92014 Established patient complete exam of visual system	58	58	$119.48	$113.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	47	$43.96	$40.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	41	$109.76	$99.51
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$74.93	$69.63
92083 Exam of visual field with extended testing	26	26	$82.00	$58.57
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	25	20	$25.00	$18.49
92133 Imaging of optic nerve	24	24	$70.00	$32.01
92250 Photography of the retina	23	23	$79.74	$59.65
92134 Imaging of retina	21	20	$70.00	$37.61
92004 New patient complete exam of visual system	11	11	$124.55	$121.72

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 5155

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

2454017 (OH)

Commercial Insurance / Payer ID Dmerc

0176440001 (OH)

Commercial Insurance / Payer ID Dmerc

0176440005 (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 November 13, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location November 13, 2007

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

📍

Updated Business Mailing Address November 13, 2007

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

👤

Provider Name / Credentials Updated November 13, 2007

Recorded as SCOTT SCHWARTZ, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2007

Optometrist (License #5155 in OH)

🟢

Initial NPI Registration & Enumeration April 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1992767842

Entity Type:

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

Enumeration Date: April 05, 2006

Last Update: November 13, 2007

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.