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Active NPI 1215135611 Individual Practitioner Female Practitioner

Dr. Tracy L Shoemaker , OD

Optometrist • Broken Arrow, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tracy Shoemaker, OD is a certified Optometrist practicing in Broken Arrow, OK. With approximately 19 years of clinical experience since graduating from Pacific University - College Of Optometry in 2007, Dr. Shoemaker delivers high-quality medical care to the local community at 4008 S ELM PL.

Dr. Shoemaker accepts Medicare assignment.

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

4008 S Elm Pl
Ste A

Broken Arrow, OK 74011

Telephone 9184552020
Fax 9184554030
Associated Practice Facility / Clinic
🏢 J D Hudkins O D Inc Facility NPI 1669509683

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Broken Arrow, OK

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs +0.6 yrs vs City Avg
City Avg: 18.4 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
23 Specialists

Practicing in Broken Arrow, OK (943 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
37.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shoemaker (19 Years) 19 Yrs
Broken Arrow Specialty Average (18.4 Years) 18.4 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
92250 Photography of the retina
611 533 $60.00 $31.37
92014 Established patient complete exam of visual system
440 439 $120.01 $108.39
99213 Established patient office or other outpatient visit, typically 15 minutes
332 204 $89.59 $78.72
92083 Exam of visual field with extended testing
223 139 $81.43 $53.80
92134 Imaging of retina
141 103 $50.00 $33.94
92133 Imaging of optic nerve
126 85 $50.00 $30.19
66984 Removal of cataract with insertion of lens
38 21 $300.00 $91.55
92004 New patient complete exam of visual system
34 34 $145.00 $129.62

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OK 2837

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 WA OD00004159

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
2034155 (WA)
Medicaid State Provider ID
200617840A (OK)

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1457447062

Doctor of Optometry

NPI 1609053115

Doctor of Optometry

NPI 1992330534

Doctor of Optometry

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location March 28, 2024

Registered at 4008 S ELM PL, STE A, BROKEN ARROW, OK 74011 (Tel: 9184552020)

📍
Updated Business Mailing Address March 28, 2024

Registered at 4008 S ELM PL, STE A, BROKEN ARROW, OK 74011 (Tel: 9184552020)

👤
Provider Name / Credentials Updated March 28, 2024

Recorded as TRACY SHOEMAKER, OD

👤
Provider Name / Credentials Updated August 07, 2018

Recorded as TRACY GARDEN, OD

NPI Profile Active November 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 20, 2015

Registered at 4008 S ELM PL, SUITE A, BROKEN ARROW, OK 740112021 (Tel: 9712412445)

📍
Updated Business Mailing Address November 20, 2015

Registered at 4008 S ELM PL, SUITE A, BROKEN ARROW, OK 740112021 (Tel: 9712412445)

👤
Provider Name / Credentials Updated November 20, 2015

Recorded as TRACY GARDEN, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2015

Optometrist (License #OD00004159 in WA)

🟢
Initial NPI Registration & Enumeration July 06, 2007

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: 1215135611
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2007
Last Update: March 28, 2024
Sole Proprietor: No

Mailing Address

4008 S Elm Pl, Ste A

Broken Arrow, OK 74011

Phone: 9184552020

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.