Active NPI 1124374426 Individual Practitioner Male Practitioner

Dr. Jordan Scott Ewert , OD

Optometrist • Shawnee, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jordan Ewert, OD is a certified Optometrist practicing in Shawnee, OK. With approximately 14 years of clinical experience since completing medical education in 2012, Dr. Ewert delivers high-quality medical care to the local community at 2109 N KICKAPOO AVE.

Dr. Ewert accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of the retina, established patient outpatient office visit, 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

2109 N Kickapoo Ave

Shawnee, OK 748042732

Telephone 4052752020

Fax 4052754129

Associated Practice Facility / Clinic

🏢 Family Eye Care Of Shawnee Pllc Facility NPI 1316335615

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Shawnee, OK

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -2.1 yrs vs City Avg

City Avg: 16.1 Yrs

State Avg: 22.4 Yrs

Regional Practice Density

11 Specialists

Practicing in Shawnee, OK (943 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

28.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ewert (14 Years) 14 Yrs

Shawnee Specialty Average (16.1 Years) 16.1 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	220	212	$79.90	$33.62
99213 Established patient office or other outpatient visit, typically 15 minutes	174	154	$99.59	$84.17
92014 Established patient complete exam of visual system	72	72	$129.72	$113.74
66984 Removal of cataract with insertion of lens	43	24	$214.53	$97.17
92004 New patient complete exam of visual system	20	20	$154.60	$136.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$119.00	$103.17
92134 Imaging of retina	15	14	$49.00	$36.60
92133 Imaging of optic nerve	12	12	$50.00	$31.45
92083 Exam of visual field with extended testing	12	12	$69.58	$57.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	233	225	$79.00	$34.30
99213 Established patient office or other outpatient visit, typically 15 minutes	192	153	$96.00	$83.49
92014 Established patient complete exam of visual system	68	68	$127.38	$116.21
66984 Removal of cataract with insertion of lens	39	22	$135.00	$98.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$112.00	$102.99
92004 New patient complete exam of visual system	23	23	$153.00	$138.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	195	190	$79.00	$34.45
99213 Established patient office or other outpatient visit, typically 15 minutes	119	101	$96.00	$84.36
92014 Established patient complete exam of visual system	53	53	$125.68	$116.46
92012 Established patient problem focused exam of visual system	45	45	$87.00	$83.09
66984 Removal of cataract with insertion of lens	30	17	$135.00	$94.75
92004 New patient complete exam of visual system	28	28	$153.00	$139.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$112.00	$105.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	225	218	$79.00	$36.64
92012 Established patient problem focused exam of visual system	103	103	$87.39	$83.92
99213 Established patient office or other outpatient visit, typically 15 minutes	72	57	$85.17	$80.11
92014 Established patient complete exam of visual system	60	60	$127.00	$118.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$112.80	$106.34
92004 New patient complete exam of visual system	27	27	$153.00	$141.72
66984 Removal of cataract with insertion of lens	19	11	$135.00	$101.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	211	208	$79.00	$41.94
92012 Established patient problem focused exam of visual system	86	86	$88.86	$83.31
92014 Established patient complete exam of visual system	62	62	$126.77	$118.58
99213 Established patient office or other outpatient visit, typically 15 minutes	55	49	$76.00	$69.48
92004 New patient complete exam of visual system	45	45	$152.42	$142.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$114.55	$102.34
66984 Removal of cataract with insertion of lens	20	12	$135.00	$103.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	223	219	$79.00	$46.35
92014 Established patient complete exam of visual system	91	91	$126.89	$117.20
92012 Established patient problem focused exam of visual system	77	77	$88.56	$82.61
92004 New patient complete exam of visual system	52	52	$153.96	$142.21
99213 Established patient office or other outpatient visit, typically 15 minutes	49	42	$76.73	$70.17
66984 Removal of cataract with insertion of lens	23	15	$135.00	$120.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$114.73	$102.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	163	157	$79.00	$49.52
92012 Established patient problem focused exam of visual system	75	75	$86.95	$77.56
99213 Established patient office or other outpatient visit, typically 15 minutes	64	48	$76.33	$64.62
92014 Established patient complete exam of visual system	50	50	$133.70	$110.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$110.22	$95.50
92004 New patient complete exam of visual system	23	23	$160.74	$134.18
66984 Removal of cataract with insertion of lens	22	14	$135.00	$113.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	114	111	$78.65	$56.68
92004 New patient complete exam of visual system	35	35	$156.20	$129.08
99213 Established patient office or other outpatient visit, typically 15 minutes	33	31	$76.06	$65.09
92014 Established patient complete exam of visual system	33	33	$134.15	$108.84
92012 Established patient problem focused exam of visual system	28	28	$86.79	$75.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$113.18	$96.79
92002 New patient problem focused exam of visual system	16	16	$83.75	$72.03

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OK 2728

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

200463520A (OK)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Kirk Hoster , OD

Optometrist

NPI 1649373689

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 October 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 19, 2016

Registered at 2109 N KICKAPOO AVE, SHAWNEE, OK 748042732 (Tel: 4052752020)

📍

Updated Business Mailing Address October 19, 2016

Registered at 2109 N KICKAPOO AVE, SHAWNEE, OK 748042732 (Tel: 4052752020)

👤

Provider Name / Credentials Updated October 19, 2016

Recorded as JORDAN EWERT, O.D.

🎓

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

Optometrist (License #2728 in OK)

🟢

Initial NPI Registration & Enumeration July 24, 2012

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: 1124374426

Entity Type:

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

Enumeration Date: July 24, 2012

Last Update: October 19, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2109 N Kickapoo Ave

Shawnee, OK 748042732

Phone: 4052752020

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.