Active NPI 1669477998 Individual Practitioner Male Practitioner

Dr. Karl J Luketic , MD

Ophthalmology • Toledo, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Karl Luketic, MD is a certified Ophthalmology practicing in Toledo, OH. With approximately 35 years of clinical experience since graduating from Northeastern Ohio University College Of Medicine in 1991, Dr. Luketic delivers high-quality medical care to the local community at 3915 SUNFOREST CT.

Dr. Luketic accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

3915 Sunforest Ct

Toledo, OH 436234453

Telephone 4194503337

Associated Practice Facility / Clinic

🏢 Sunforest Vision Center Inc Facility NPI 1184925596

Medicare Profile & Education

Medical School

Northeastern Ohio University College Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Toledo, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +6.6 yrs vs City Avg

City Avg: 28.4 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

35 Specialists

Practicing in Toledo, OH (803 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Luketic (35 Years) 35 Yrs

Toledo Specialty Average (28.4 Years) 28.4 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	185	185	$192.60	$116.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	157	$195.00	$120.99
99213 Established patient office or other outpatient visit, typically 15 minutes	124	99	$135.00	$85.67
92083 Exam of visual field with extended testing	88	86	$139.00	$58.15
92020 Examination of cornea and iris using lens device and slit lamp	62	57	$43.00	$25.56
92012 Established patient problem focused exam of visual system	55	49	$133.08	$81.61
92136 Measurement of corneal curvature and depth of eye	33	23	$160.00	$38.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	29	$85.03	$53.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$255.00	$158.38
92004 New patient complete exam of visual system	19	19	$232.39	$138.74
66821 Removal of recurring cataract in lens capsule using a laser	18	17	$644.00	$307.41
66984 Removal of cataract with insertion of lens	18	13	$1500.00	$502.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$335.00	$209.05

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	163	162	$195.00	$121.95
92014 Established patient complete exam of visual system	149	148	$192.61	$118.83
99213 Established patient office or other outpatient visit, typically 15 minutes	104	83	$135.00	$85.63
92083 Exam of visual field with extended testing	78	75	$139.00	$58.22
92012 Established patient problem focused exam of visual system	59	58	$133.08	$84.30
92020 Examination of cornea and iris using lens device and slit lamp	52	52	$43.00	$26.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$254.96	$159.47
92136 Measurement of corneal curvature and depth of eye	48	32	$160.00	$37.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	36	$85.00	$53.56
66984 Removal of cataract with insertion of lens	36	26	$1500.00	$476.54
92004 New patient complete exam of visual system	25	25	$232.33	$141.08
66821 Removal of recurring cataract in lens capsule using a laser	22	18	$644.00	$312.14
76514 Ultrasound scan of cornea to determine thickness	13	13	$45.00	$10.63

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	179	177	$195.00	$123.95
92014 Established patient complete exam of visual system	121	120	$192.60	$119.95
99213 Established patient office or other outpatient visit, typically 15 minutes	98	85	$135.00	$87.87
92083 Exam of visual field with extended testing	82	79	$139.00	$58.57
92012 Established patient problem focused exam of visual system	68	64	$133.08	$84.96
92020 Examination of cornea and iris using lens device and slit lamp	42	41	$43.00	$26.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	26	$85.00	$54.45
92136 Measurement of corneal curvature and depth of eye	31	24	$160.00	$42.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$254.22	$162.67
66984 Removal of cataract with insertion of lens	27	18	$1500.00	$517.84
66821 Removal of recurring cataract in lens capsule using a laser	17	15	$644.00	$316.80

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	279	278	$192.74	$127.52
92012 Established patient problem focused exam of visual system	114	99	$133.08	$86.82
92083 Exam of visual field with extended testing	92	87	$139.00	$60.77
99213 Established patient office or other outpatient visit, typically 15 minutes	82	72	$135.00	$89.76
92020 Examination of cornea and iris using lens device and slit lamp	68	63	$43.00	$27.18
92014 Established patient complete exam of visual system	38	38	$192.60	$122.83
92136 Measurement of corneal curvature and depth of eye	34	24	$160.00	$46.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	24	$84.52	$54.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$254.17	$165.76
66984 Removal of cataract with insertion of lens	24	16	$1500.00	$492.45
66821 Removal of recurring cataract in lens capsule using a laser	14	13	$644.00	$325.04
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$331.67	$219.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	298	295	$192.60	$122.48
92012 Established patient problem focused exam of visual system	182	140	$133.08	$85.54
92083 Exam of visual field with extended testing	77	76	$139.00	$60.68
92004 New patient complete exam of visual system	33	33	$232.39	$142.15
92136 Measurement of corneal curvature and depth of eye	25	17	$160.00	$50.81
66984 Removal of cataract with insertion of lens	21	13	$1500.00	$537.78
92020 Examination of cornea and iris using lens device and slit lamp	19	19	$43.00	$26.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$67.19	$44.01
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$295.00	$192.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$137.47	$106.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	337	334	$192.84	$122.08
92012 Established patient problem focused exam of visual system	241	179	$133.08	$85.05
92083 Exam of visual field with extended testing	104	101	$139.00	$61.29
92020 Examination of cornea and iris using lens device and slit lamp	70	70	$43.00	$26.52
92136 Measurement of corneal curvature and depth of eye	41	29	$160.00	$55.61
66984 Removal of cataract with insertion of lens	37	21	$1500.00	$626.55
92004 New patient complete exam of visual system	35	35	$232.39	$146.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	18	$65.00	$43.47
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$290.00	$202.41
66821 Removal of recurring cataract in lens capsule using a laser	14	11	$644.00	$321.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$317.00	$200.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$205.00	$142.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$110.39	$105.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	308	308	$192.60	$120.35
92012 Established patient problem focused exam of visual system	294	204	$133.08	$83.46
92083 Exam of visual field with extended testing	111	108	$139.00	$60.67
92020 Examination of cornea and iris using lens device and slit lamp	62	62	$43.00	$25.89
92136 Measurement of corneal curvature and depth of eye	45	32	$159.33	$61.59
92004 New patient complete exam of visual system	37	37	$232.39	$144.58
66984 Removal of cataract with insertion of lens	33	23	$1500.00	$619.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	27	$65.00	$41.86
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$290.00	$200.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$155.00	$103.58
66821 Removal of recurring cataract in lens capsule using a laser	14	13	$644.00	$307.59
92225 Examination of eye by ophthalmoscope with retinal drawing	13	12	$42.00	$26.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$205.00	$139.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	321	213	$133.08	$77.99
92014 Established patient complete exam of visual system	320	313	$192.60	$113.91
92083 Exam of visual field with extended testing	114	112	$139.00	$57.39
92004 New patient complete exam of visual system	57	57	$232.39	$137.96
92020 Examination of cornea and iris using lens device and slit lamp	57	56	$43.00	$24.70
66984 Removal of cataract with insertion of lens	35	24	$1500.00	$570.74
76519 Ultrasound of eye for determination of lens power	35	25	$150.00	$60.73
66821 Removal of recurring cataract in lens capsule using a laser	23	21	$644.00	$303.75
76514 Ultrasound scan of cornea to determine thickness	20	20	$75.00	$13.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$65.00	$40.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$290.00	$194.21
92225 Examination of eye by ophthalmoscope with retinal drawing	14	14	$42.00	$25.05

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OH 35064065

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0161435 (OH)

Commercial Insurance / Payer ID Paramount

03297

Commercial Insurance / Payer ID Anthem

000000127263

Commercial Insurance / Payer ID United Healthcare

1451754

Commercial Insurance / Payer ID Railroad Medicare

180035529 (OH)

Commercial Insurance / Payer ID Aetna

0005908039

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Abraham Sim , MD

Ophthalmology

NPI 1053316240

Doctor of Medicine (M.D.)

Dr. Carl Wheeler , DDS, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1750715082

Doctor of Dental Surgery, Master of Science

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 14, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 14, 2015

Registered at 3915 SUNFOREST CT, TOLEDO, OH 436234453 (Tel: 4194503337)

📍

Updated Business Mailing Address April 14, 2015

Registered at 3118 STONEGATE DR, MAUMEE, OH 435379423 (Tel: 4194503337)

👤

Provider Name / Credentials Updated April 14, 2015

Recorded as KARL LUKETIC, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2015

Ophthalmology (License #35064065 in OH)

🟢

Initial NPI Registration & Enumeration June 14, 2005

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: 1669477998

Entity Type:

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

Enumeration Date: June 14, 2005

Last Update: April 14, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3118 Stonegate Dr

Maumee, OH 435379423

Phone: 4194503337

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.