Active NPI 1083722755 Individual Practitioner Male Practitioner

Dr. Anthony J. Arnold , OD

Optometrist • Upper Sandusky, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Arnold, OD is a certified Optometrist practicing in Upper Sandusky, OH. With approximately 35 years of clinical experience since graduating from Ohio State University - College Of Optometry in 1991, Dr. Arnold delivers high-quality medical care to the local community at 97 HOUPT DR.

Dr. Arnold is affiliated with Anthony J Arnold O D Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, new 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

97 Houpt Dr
Suite C

Upper Sandusky, OH 433518904

Telephone 4192943243

Fax 4192941372

Associated Practice Facility / Clinic

🏢 Anthony J Arnold O D Llc Facility NPI 1659717460

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 Upper Sandusky, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs Matches City Avg

City Avg: 35.0 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

4 Specialists

Practicing in Upper Sandusky, OH (2535 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

9.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Arnold (35 Years) 35 Yrs

Upper Sandusky Specialty Average (35.0 Years) 35.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	92	$135.38	$121.13
99213 Established patient office or other outpatient visit, typically 15 minutes	32	29	$91.72	$85.50
92014 Established patient complete exam of visual system	25	25	$128.60	$116.97

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	110	107	$130.00	$121.13
99213 Established patient office or other outpatient visit, typically 15 minutes	49	43	$90.00	$86.10
92014 Established patient complete exam of visual system	42	42	$125.00	$119.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$110.00	$107.09

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	110	108	$121.00	$117.90
99213 Established patient office or other outpatient visit, typically 15 minutes	78	72	$86.92	$85.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$103.87	$102.96
92014 Established patient complete exam of visual system	24	24	$123.75	$118.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$52.75	$52.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$148.29	$147.04
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	12	12	$85.00	$85.00

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	173	167	$92.00	$92.00
99213 Established patient office or other outpatient visit, typically 15 minutes	54	49	$70.00	$70.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$90.00	$90.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$35.56	$35.56
92134 Imaging of retina	18	16	$50.00	$39.24
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	14	14	$90.00	$88.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$109.00	$109.00

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	128	124	$92.00	$91.62
99213 Established patient office or other outpatient visit, typically 15 minutes	99	89	$70.00	$69.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$90.00	$88.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	26	$35.00	$34.96
92014 Established patient complete exam of visual system	26	26	$85.00	$85.00
92250 Photography of the retina	16	16	$50.00	$43.26
92134 Imaging of retina	16	16	$50.00	$39.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$109.00	$108.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,970	18	$1.59	$1.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	235	230	$92.00	$91.51
99213 Established patient office or other outpatient visit, typically 15 minutes	71	65	$70.00	$69.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	35	$35.00	$34.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$90.00	$89.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$109.00	$105.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,056	14	$1.60	$1.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	194	189	$92.00	$90.88
99213 Established patient office or other outpatient visit, typically 15 minutes	63	58	$70.00	$69.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	35	$35.00	$34.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$90.00	$89.02
92014 Established patient complete exam of visual system	29	27	$85.00	$82.47
92250 Photography of the retina	20	20	$50.00	$49.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$109.00	$107.56
92083 Exam of visual field with extended testing	12	12	$70.00	$56.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,568	18	$1.61	$1.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	164	160	$92.00	$89.92
99213 Established patient office or other outpatient visit, typically 15 minutes	121	115	$70.00	$67.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	49	$35.00	$34.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$90.00	$88.99
92014 Established patient complete exam of visual system	22	21	$85.00	$84.13
92250 Photography of the retina	18	18	$50.00	$49.40

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 4263 T22

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

0828484 (OH)

Hospital & Practice Group Affiliations

Anthony J Arnold O D Llc

97 Houpt Dr, Upper Sandusky, OH 433518904

Phone: 4192943243

Practice Associates & Co-Workers

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

4 Associated Practitioners

Morgan Gault

Case Manager/Care Coordinator

NPI 1104678176

Tabitha Adkins

Counselor - Addiction (Substance Use Disorder)

NPI 1134887342

Tina Soice

Case Manager/Care Coordinator

NPI 1255032959

Liberty Mahaffey

Case Manager/Care Coordinator

NPI 1427890672

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 08, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 08, 2013

Registered at 97 HOUPT DR, SUITE C, UPPER SANDUSKY, OH 433518904 (Tel: 4192943243)

📍

Updated Business Mailing Address October 08, 2013

Registered at 97 HOUPT DR, SUITE C, UPPER SANDUSKY, OH 433518904 (Tel: 4192943243)

👤

Provider Name / Credentials Updated October 08, 2013

Recorded as ANTHONY ARNOLD, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2013

Optometrist (License #4263 T22 in OH)

🟢

Initial NPI Registration & Enumeration August 25, 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: 1083722755

Entity Type:

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

Enumeration Date: August 25, 2006

Last Update: October 08, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

97 Houpt Dr, Suite C

Upper Sandusky, OH 433518904

Phone: 4192943243

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.