Active NPI 1073921524 Individual Practitioner Male Practitioner

Dr. Blake Carlisle , OD

Optometrist • Fairview, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Blake Carlisle, OD is a certified Optometrist practicing in Fairview, OK. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Carlisle delivers high-quality medical care to the local community at 111 E BROADWAY.

Dr. Carlisle is affiliated with Be Thou My Vision Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of retina, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

111 E Broadway

Fairview, OK 737372124

Telephone 5802274878

Fax 5802274666

Associated Practice Facility / Clinic

🏢 Be Thou My Vision, Pc Facility NPI 1225183957

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Fairview, OK

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -17.0 yrs vs City Avg

City Avg: 29.0 Yrs

State Avg: 22.4 Yrs

Regional Practice Density

3 Specialists

Practicing in Fairview, OK (943 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carlisle (12 Years) 12 Yrs

Fairview Specialty Average (29.0 Years) 29.0 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	338	277	$145.00	$118.55
92134 Imaging of retina	99	89	$130.00	$36.58
99213 Established patient office or other outpatient visit, typically 15 minutes	68	55	$95.00	$84.07
92250 Photography of the retina	37	37	$150.00	$33.74
92083 Exam of visual field with extended testing	32	31	$130.00	$57.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$205.00	$155.13
66821 Removal of recurring cataract in lens capsule using a laser	23	17	$500.00	$302.30
92133 Imaging of optic nerve	21	21	$130.00	$32.32

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	324	269	$145.00	$114.61
92134 Imaging of retina	99	95	$130.00	$35.44
99213 Established patient office or other outpatient visit, typically 15 minutes	91	68	$95.00	$79.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$205.00	$148.71
66821 Removal of recurring cataract in lens capsule using a laser	35	26	$500.00	$291.45
92250 Photography of the retina	32	30	$150.00	$33.19
92083 Exam of visual field with extended testing	21	20	$130.00	$54.70
92133 Imaging of optic nerve	14	14	$130.00	$32.05

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	257	221	$145.00	$120.41
99213 Established patient office or other outpatient visit, typically 15 minutes	84	59	$95.00	$85.46
92134 Imaging of retina	83	80	$130.00	$37.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$205.00	$157.61
92250 Photography of the retina	39	37	$150.00	$34.42
66821 Removal of recurring cataract in lens capsule using a laser	30	20	$497.17	$306.63
92133 Imaging of optic nerve	18	17	$130.00	$34.02
92082 Exam of visual field with intermediate testing	15	15	$130.00	$42.79

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	207	186	$145.07	$122.72
92134 Imaging of retina	73	67	$130.00	$38.26
99213 Established patient office or other outpatient visit, typically 15 minutes	70	54	$95.00	$86.52
92250 Photography of the retina	33	31	$150.00	$36.64
66821 Removal of recurring cataract in lens capsule using a laser	25	20	$495.00	$318.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$205.00	$159.71
92133 Imaging of optic nerve	13	12	$130.00	$34.58

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	222	200	$139.28	$103.26
92134 Imaging of retina	67	65	$130.00	$38.47
92250 Photography of the retina	55	54	$150.00	$41.96
99213 Established patient office or other outpatient visit, typically 15 minutes	48	36	$93.33	$71.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$200.15	$157.82
66821 Removal of recurring cataract in lens capsule using a laser	30	23	$495.00	$312.45
92014 Established patient complete exam of visual system	16	16	$154.38	$116.01

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	84	83	$130.00	$102.86
92250 Photography of the retina	23	23	$150.00	$46.78

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	91	91	$128.46	$102.12
92134 Imaging of retina	32	32	$125.94	$38.92
99213 Established patient office or other outpatient visit, typically 15 minutes	31	25	$89.71	$69.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$190.00	$157.69

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	119	110	$126.81	$96.69
99213 Established patient office or other outpatient visit, typically 15 minutes	54	44	$88.06	$65.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$188.91	$150.12
92134 Imaging of retina	25	23	$117.00	$36.86
92250 Photography of the retina	21	21	$131.43	$57.76

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OK 2804

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.

Hospital & Practice Group Affiliations

Be Thou My Vision Pc

111 E Broadway, Fairview, OK 737372124

Phone: 5802274878

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Max Carlisle , OD

Optometrist

NPI 1205839685

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 29, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 29, 2014

Registered at 111 E BROADWAY, FAIRVIEW, OK 737372124 (Tel: 5802274878)

📍

Updated Business Mailing Address July 29, 2014

Registered at 111 E BROADWAY, FAIRVIEW, OK 737372124 (Tel: 5802274878)

👤

Provider Name / Credentials Updated July 29, 2014

Recorded as BLAKE CARLISLE, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2014

Optometrist (License #2804 in OK)

🟢

Initial NPI Registration & Enumeration July 29, 2014

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: 1073921524

Entity Type:

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

Enumeration Date: July 29, 2014

Last Update: July 29, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

111 E Broadway

Fairview, OK 737372124

Phone: 5802274878

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.