Active NPI 1619920535 Individual Practitioner Male Practitioner

Dr. Jeffrey Thomas Zigulis , OD

Optometrist • Waterville, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Zigulis, OD is a certified Optometrist practicing in Waterville, OH. With approximately 33 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 1993, Dr. Zigulis delivers high-quality medical care to the local community at 1073 PRAY BLVD.

Dr. Zigulis accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of the retina, new patient complete exam of visual system, 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

1073 Pray Blvd

Waterville, OH 435668712

Telephone 5679522020

Fax 5679522142

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Waterville, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +8.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

4 Specialists

Practicing in Waterville, OH (2535 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

35.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Zigulis (33 Years) 33 Yrs

Waterville Specialty Average (24.5 Years) 24.5 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
92250 Photography of the retina	53	51	$87.70	$33.58
92004 New patient complete exam of visual system	30	30	$175.00	$138.86
92014 Established patient complete exam of visual system	26	26	$146.15	$117.05
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	17	16	$200.00	$115.09
92083 Exam of visual field with extended testing	16	14	$100.00	$53.29
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$130.00	$85.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	29	29	$75.00	$35.11
92014 Established patient complete exam of visual system	15	15	$145.00	$118.91
92004 New patient complete exam of visual system	15	15	$175.00	$140.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	65	64	$74.29	$34.94
92014 Established patient complete exam of visual system	62	61	$145.00	$120.78
92004 New patient complete exam of visual system	33	33	$175.00	$143.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$110.00	$54.33
92134 Imaging of retina	16	16	$100.00	$37.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	99	99	$75.00	$37.30
92014 Established patient complete exam of visual system	85	85	$145.00	$121.53
99213 Established patient office or other outpatient visit, typically 15 minutes	34	31	$130.00	$88.52
92004 New patient complete exam of visual system	30	30	$175.00	$144.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	21	$110.00	$54.13
92083 Exam of visual field with extended testing	23	21	$100.00	$58.64
92134 Imaging of retina	17	13	$100.00	$39.27
92133 Imaging of optic nerve	13	12	$100.00	$33.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	40	39	$75.00	$42.90
92014 Established patient complete exam of visual system	36	36	$145.00	$121.51
99213 Established patient office or other outpatient visit, typically 15 minutes	22	17	$129.09	$72.71
92004 New patient complete exam of visual system	12	12	$175.00	$145.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	65	65	$75.00	$47.66
92014 Established patient complete exam of visual system	54	54	$145.00	$121.12
92004 New patient complete exam of visual system	23	23	$175.00	$144.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	16	$106.50	$42.97
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$125.00	$71.29
92133 Imaging of optic nerve	16	15	$100.00	$33.76
92083 Exam of visual field with extended testing	15	15	$100.00	$60.58
92225 Examination of eye by ophthalmoscope with retinal drawing	13	11	$50.00	$35.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	39	37	$75.00	$54.10
92014 Established patient complete exam of visual system	36	35	$145.00	$120.93
99213 Established patient office or other outpatient visit, typically 15 minutes	28	25	$130.00	$70.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	14	$110.00	$42.07
92083 Exam of visual field with extended testing	14	14	$100.00	$60.41
92275 Recording of retinal electrical responses to external stimuli	13	11	$200.00	$141.82
92133 Imaging of optic nerve	12	11	$100.00	$33.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	104	97	$75.00	$59.36
92014 Established patient complete exam of visual system	87	85	$145.34	$113.96
92225 Examination of eye by ophthalmoscope with retinal drawing	43	33	$50.00	$34.35
99213 Established patient office or other outpatient visit, typically 15 minutes	41	35	$130.00	$67.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	34	$109.08	$40.00
92004 New patient complete exam of visual system	38	38	$175.00	$138.29
92083 Exam of visual field with extended testing	25	20	$100.00	$54.90
92285 Photography of content of eyes	17	13	$62.06	$17.93
92134 Imaging of retina	16	16	$100.00	$36.61
92226 Examination of eye by ophthalmoscope with retinal drawing	14	12	$50.00	$32.64
92275 Recording of retinal electrical responses to external stimuli	11	11	$200.00	$134.81

Medical Specialties & State Licenses

CMS Verified: 2022-12-27

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 4816/T1681

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License MI 4901003971

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Provider #

0P10040 (MI)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Madison Smith , OD

Optometrist

NPI 1801515366

Doctor of Optometry

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location December 27, 2022

Registered at 1073 PRAY BLVD, WATERVILLE, OH 435668712 (Tel: 5679522020)

📍

Updated Business Mailing Address December 27, 2022

Registered at 1073 PRAY BLVD, WATERVILLE, OH 435668712 (Tel: 5679522020)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2022

Optometrist (License #4901003971 in MI)

✅

NPI Profile Active May 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 19, 2016

Registered at 7470 SECOR RD, LAMBERTVILLE, MI 481449607 (Tel: 7348567070)

📍

Updated Business Mailing Address May 19, 2016

Registered at 7470 SECOR RD, LAMBERTVILLE, MI 481449607 (Tel: 7348567070)

👤

Provider Name / Credentials Updated May 19, 2016

Recorded as JEFFREY ZIGULIS, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2016

Optometrist (License #4901003971 in MI)

🟢

Initial NPI Registration & Enumeration May 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1619920535

Entity Type:

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

Enumeration Date: May 19, 2006

Last Update: December 27, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1073 Pray Blvd

Waterville, OH 435668712

Phone: 5679522020

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.