Active NPI 1790797579 Individual Practitioner Female Practitioner

Dr. Roxanna Thelma Potter , OD

Optometrist • Sylvania, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Roxanna Potter, OD is a certified Optometrist practicing in Sylvania, OH. With approximately 20 years of clinical experience since graduating from Ferris State College - College Of Optometry in 2006, Dr. Potter delivers high-quality medical care to the local community at 8254 MAYBERRY SQ N.

Dr. Potter is affiliated with Myeyedr Optometry Of Ohio, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, exam of visual field with extended testing, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8254 Mayberry Sq N

Sylvania, OH 435609457

Telephone 4198855300

Fax 4198855308

Associated Practice Facility / Clinic

🏢 Carol L. Brown O.d., Inc. Facility NPI 1013920107

Medicare Profile & Education

Medical School

Ferris State College - College Of Optometry

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Sylvania, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -0.5 yrs vs City Avg

City Avg: 20.5 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

7 Specialists

Practicing in Sylvania, OH (2535 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

36.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Potter (20 Years) 20 Yrs

Sylvania Specialty Average (20.5 Years) 20.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	142	133	$175.00	$121.06
99213 Established patient office or other outpatient visit, typically 15 minutes	80	48	$125.00	$85.67
92083 Exam of visual field with extended testing	30	27	$98.00	$58.32
92133 Imaging of optic nerve	29	26	$62.59	$32.00
92134 Imaging of retina	21	17	$65.95	$37.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$160.00	$105.34

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	135	120	$171.00	$121.94
99213 Established patient office or other outpatient visit, typically 15 minutes	76	47	$122.89	$86.03
92083 Exam of visual field with extended testing	28	24	$120.71	$58.32
92134 Imaging of retina	26	21	$75.00	$37.63
92133 Imaging of optic nerve	23	21	$75.00	$32.09

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	159	145	$145.00	$123.83
99213 Established patient office or other outpatient visit, typically 15 minutes	85	53	$105.00	$87.68
92134 Imaging of retina	30	23	$75.00	$38.48
92083 Exam of visual field with extended testing	28	26	$120.36	$59.08
92133 Imaging of optic nerve	24	23	$75.00	$33.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$125.00	$109.04

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	156	132	$145.00	$126.50
99213 Established patient office or other outpatient visit, typically 15 minutes	63	41	$105.00	$89.00
92083 Exam of visual field with extended testing	26	22	$120.38	$60.26
92134 Imaging of retina	23	19	$75.00	$39.02
92133 Imaging of optic nerve	23	20	$75.00	$33.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$125.00	$109.66
92250 Photography of the retina	21	17	$95.00	$37.66
92014 Established patient complete exam of visual system	14	14	$130.00	$121.86

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	102	98	$145.00	$105.74
99213 Established patient office or other outpatient visit, typically 15 minutes	50	39	$105.00	$72.81
92083 Exam of visual field with extended testing	23	21	$120.00	$60.22
92133 Imaging of optic nerve	21	21	$75.00	$33.91
92014 Established patient complete exam of visual system	19	19	$145.00	$121.52

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	133	125	$135.62	$104.63
99213 Established patient office or other outpatient visit, typically 15 minutes	72	47	$100.42	$71.21
92133 Imaging of optic nerve	22	22	$110.45	$33.54
92083 Exam of visual field with extended testing	22	22	$115.00	$60.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$126.74	$104.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,140	13	$2.85	$1.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	145	$129.00	$103.76
99213 Established patient office or other outpatient visit, typically 15 minutes	80	51	$95.00	$70.17
92083 Exam of visual field with extended testing	33	28	$110.00	$59.84
92133 Imaging of optic nerve	27	25	$150.00	$34.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$128.00	$104.09
92134 Imaging of retina	19	18	$150.00	$39.70
92250 Photography of the retina	16	14	$95.00	$53.15

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	142	133	$129.00	$101.22
99213 Established patient office or other outpatient visit, typically 15 minutes	72	44	$95.00	$68.73
92133 Imaging of optic nerve	26	25	$150.00	$33.95
92083 Exam of visual field with extended testing	22	21	$110.00	$59.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$128.00	$101.79
92250 Photography of the retina	17	17	$95.00	$60.54
92134 Imaging of retina	15	14	$150.00	$38.09

Medical Specialties & State Licenses

CMS Verified: 2022-03-09

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH OPT.005738

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

2831467 (OH)

Hospital & Practice Group Affiliations

Myeyedr Optometry Of Ohio, Llc

8254 Mayberry Sq N, Sylvania, OH 435609457

Phone: 4198855300

Practice Associates & Co-Workers

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

2 Associated Practitioners

Yasmeen Kazkaz

Optometrist

NPI 1609560291

Dr. Carol Brown , OD

Optometrist

NPI 1750330635

Doctor of Optometry

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Business Mailing Address March 09, 2022

Registered at 1950 OLD GALLOWS RD STE 520, VIENNA, VA 221823970

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2022

Optometrist (License #OPT.005738 in OH)

📍

Updated Business Mailing Address December 27, 2019

Registered at 8006 N BRIDGE WAY, MAUMEE, OH 435379495 (Tel: 4197055143)

✅

NPI Profile Active November 12, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 12, 2015

Registered at 8254 MAYBERRY SQ N, SYLVANIA, OH 435609457 (Tel: 4198855300)

📍

Updated Business Mailing Address November 12, 2015

Registered at 8254 MAYBERRY SQ N, SYLVANIA, OH 435609457 (Tel: 4198855300)

👤

Provider Name / Credentials Updated November 12, 2015

Recorded as ROXANNA POTTER, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2015

Optometrist (License #5738 / T2652 in OH)

🟢

Initial NPI Registration & Enumeration August 12, 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: 1790797579

Entity Type:

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

Enumeration Date: August 12, 2006

Last Update: March 09, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1950 Old Gallows Rd Ste 520

Vienna, VA 221823970

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.