Active NPI 1740591973 Individual Practitioner Male Practitioner

Dr. Jacoby John Dewald , OD

Optometrist • Woodward, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jacoby Dewald, OD is a certified Optometrist practicing in Woodward, OK. With approximately 16 years of clinical experience since completing medical education in 2010, Dr. Dewald delivers high-quality medical care to the local community at 1418 MAIN ST.

Dr. Dewald accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1418 Main St

Woodward, OK 738013004

Telephone 5802566699

Fax 5802566706

Associated Practice Facility / Clinic

🏢 Great Plains Vision Center Facility NPI 1194017020

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Woodward, OK

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -8.4 yrs vs City Avg

City Avg: 24.4 Yrs

State Avg: 22.4 Yrs

Regional Practice Density

8 Specialists

Practicing in Woodward, OK (943 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dewald (16 Years) 16 Yrs

Woodward Specialty Average (24.4 Years) 24.4 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
99213 Established patient office or other outpatient visit, typically 15 minutes	591	373	$125.00	$86.58
92250 Photography of the retina	387	371	$100.00	$33.55
92134 Imaging of retina	349	297	$125.00	$36.95
92014 Established patient complete exam of visual system	253	248	$150.00	$118.42
92082 Exam of visual field with intermediate testing	227	220	$90.00	$43.85
83861 Microfluid analysis of tears	150	66	$25.00	$22.03
92083 Exam of visual field with extended testing	129	128	$125.00	$58.64
92133 Imaging of optic nerve	99	89	$125.00	$32.67
66984 Removal of cataract with insertion of lens	61	38	$300.00	$102.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	44	$150.00	$122.20
92020 Examination of cornea and iris using lens device and slit lamp	46	46	$50.00	$25.98
92004 New patient complete exam of visual system	37	37	$150.00	$140.21
66821 Removal of recurring cataract in lens capsule using a laser	27	19	$225.00	$62.67
76514 Ultrasound scan of cornea to determine thickness	27	27	$50.00	$10.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	555	325	$101.53	$84.94
92250 Photography of the retina	384	349	$100.00	$33.92
92134 Imaging of retina	325	263	$125.00	$36.84
83861 Microfluid analysis of tears	282	120	$25.00	$22.03
92014 Established patient complete exam of visual system	252	251	$126.98	$117.61
92082 Exam of visual field with intermediate testing	143	141	$90.00	$43.10
92083 Exam of visual field with extended testing	102	92	$125.00	$57.56
92133 Imaging of optic nerve	73	60	$125.00	$32.87
66984 Removal of cataract with insertion of lens	64	38	$300.00	$101.00
92004 New patient complete exam of visual system	50	50	$150.00	$139.82
92020 Examination of cornea and iris using lens device and slit lamp	38	35	$50.00	$25.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	31	$128.03	$120.39
66821 Removal of recurring cataract in lens capsule using a laser	27	20	$225.00	$61.65
76514 Ultrasound scan of cornea to determine thickness	12	12	$50.00	$10.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	534	301	$100.00	$85.83
92134 Imaging of retina	298	226	$125.00	$37.46
92250 Photography of the retina	276	256	$100.00	$34.12
92014 Established patient complete exam of visual system	245	245	$125.00	$118.50
83861 Microfluid analysis of tears	155	74	$25.00	$22.21
92082 Exam of visual field with intermediate testing	79	75	$90.00	$42.97
92133 Imaging of optic nerve	68	56	$125.00	$33.69
92083 Exam of visual field with extended testing	64	57	$125.00	$57.90
66984 Removal of cataract with insertion of lens	55	37	$300.00	$101.26
92004 New patient complete exam of visual system	32	32	$150.00	$140.86
66821 Removal of recurring cataract in lens capsule using a laser	29	24	$225.00	$61.98
66982 Complex removal of cataract with insertion of prosthetic lens	17	12	$400.00	$138.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	547	301	$100.00	$87.25
92250 Photography of the retina	239	229	$100.00	$36.26
92134 Imaging of retina	223	182	$125.00	$37.93
92014 Established patient complete exam of visual system	205	204	$125.00	$119.86
83861 Microfluid analysis of tears	172	75	$25.00	$22.48
92082 Exam of visual field with intermediate testing	107	100	$90.00	$44.34
92083 Exam of visual field with extended testing	64	55	$125.00	$59.00
66984 Removal of cataract with insertion of lens	36	24	$300.00	$103.33
92004 New patient complete exam of visual system	34	34	$150.00	$142.78
92133 Imaging of optic nerve	25	25	$125.00	$33.50
66982 Complex removal of cataract with insertion of prosthetic lens	22	13	$400.00	$141.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$125.00	$107.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	580	301	$100.00	$71.18
92134 Imaging of retina	197	154	$125.00	$38.21
92250 Photography of the retina	147	143	$100.00	$41.73
92014 Established patient complete exam of visual system	99	99	$117.93	$113.79
83861 Microfluid analysis of tears	74	36	$25.00	$22.36
92004 New patient complete exam of visual system	43	43	$143.02	$137.63
92082 Exam of visual field with intermediate testing	39	38	$90.00	$44.32
66984 Removal of cataract with insertion of lens	38	23	$300.00	$104.29
92083 Exam of visual field with extended testing	34	34	$125.00	$58.80
66821 Removal of recurring cataract in lens capsule using a laser	23	16	$225.00	$62.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$125.00	$102.17
92133 Imaging of optic nerve	17	16	$125.00	$34.20
67820 Removal of eyelashes using forceps	15	11	$65.00	$25.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	541	287	$100.00	$71.00
92134 Imaging of retina	174	136	$125.00	$38.35
92250 Photography of the retina	162	152	$100.00	$47.23
92014 Established patient complete exam of visual system	97	96	$100.00	$99.38
83861 Microfluid analysis of tears	91	41	$25.00	$22.03
66984 Removal of cataract with insertion of lens	68	40	$300.00	$122.90
92082 Exam of visual field with intermediate testing	55	54	$90.00	$44.23
92004 New patient complete exam of visual system	51	51	$125.00	$124.86
92083 Exam of visual field with extended testing	32	32	$125.00	$60.07
92133 Imaging of optic nerve	23	22	$125.00	$33.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$125.00	$103.74
66821 Removal of recurring cataract in lens capsule using a laser	17	14	$225.00	$63.22
67820 Removal of eyelashes using forceps	14	11	$65.00	$31.13
66982 Complex removal of cataract with insertion of prosthetic lens	14	12	$400.00	$153.76
92285 Photography of content of eyes	13	13	$100.00	$19.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$125.00	$104.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	450	267	$100.00	$67.01
92250 Photography of the retina	167	158	$100.00	$51.04
92134 Imaging of retina	133	111	$125.00	$37.07
83861 Microfluid analysis of tears	126	62	$25.00	$22.03
92014 Established patient complete exam of visual system	117	115	$100.00	$98.71
92082 Exam of visual field with intermediate testing	58	57	$90.00	$42.97
92004 New patient complete exam of visual system	51	51	$125.00	$123.30
66984 Removal of cataract with insertion of lens	35	25	$289.29	$118.27
92083 Exam of visual field with extended testing	29	28	$125.00	$57.91
92133 Imaging of optic nerve	23	21	$125.00	$32.91
92285 Photography of content of eyes	21	20	$100.00	$17.62
66982 Complex removal of cataract with insertion of prosthetic lens	17	12	$391.18	$147.33
67820 Removal of eyelashes using forceps	15	11	$65.00	$36.49
66821 Removal of recurring cataract in lens capsule using a laser	13	13	$225.00	$60.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	406	235	$100.00	$64.13
92250 Photography of the retina	144	132	$100.00	$55.87
92014 Established patient complete exam of visual system	119	119	$100.00	$97.34
83861 Microfluid analysis of tears	99	44	$25.00	$22.21
92134 Imaging of retina	88	77	$125.00	$34.65
92082 Exam of visual field with intermediate testing	58	53	$90.00	$40.49
92004 New patient complete exam of visual system	52	52	$125.00	$121.61
66984 Removal of cataract with insertion of lens	43	26	$225.00	$112.42
92083 Exam of visual field with extended testing	35	35	$125.00	$52.96
66982 Complex removal of cataract with insertion of prosthetic lens	20	15	$325.00	$140.08
92133 Imaging of optic nerve	20	20	$125.00	$30.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$125.00	$94.79

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OK 2647

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

200298970A (OK)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Ofelia Marin , APRN, FNP-BC

Nurse Practitioner

NPI 1750163572

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 21, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 21, 2012

Registered at 1418 MAIN ST, WOODWARD, OK 738013004 (Tel: 5802566699)

📍

Updated Business Mailing Address September 21, 2012

Registered at PO BOX 2484, WOODWARD, OK 738022484 (Tel: 5802566699)

👤

Provider Name / Credentials Updated September 21, 2012

Recorded as JACOBY DEWALD, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2012

Optometrist (License #2647 in OK)

🟢

Initial NPI Registration & Enumeration June 22, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1740591973

Entity Type:

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

Enumeration Date: June 22, 2010

Last Update: September 21, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2484

Woodward, OK 738022484

Phone: 5802566699

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.