Active NPI 1275581365 Individual Practitioner Male Practitioner

Dr. Thomas D Fitzsimmons , MD

Ophthalmology • Bend, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Fitzsimmons, MD is a certified Ophthalmology practicing in Bend, OR. With approximately 40 years of clinical experience since graduating from University Of Michigan Medical School in 1986, Dr. Fitzsimmons delivers high-quality medical care to the local community at 1501 NE MEDICAL CENTER DR.

Dr. Fitzsimmons is affiliated with Bend Memorial Clinic Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of content of eyes, established patient outpatient office visit, new 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

1501 Ne Medical Center Dr

Bend, OR 977016051

Telephone 5413822811

Associated Practice Facility / Clinic

🏢 Bend Memorial Clinic Llp Facility NPI 1174581060

Medicare Profile & Education

Medical School

University Of Michigan Medical School

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Bend, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +15.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 22.4 Yrs

Regional Practice Density

17 Specialists

Practicing in Bend, OR (341 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fitzsimmons (40 Years) 40 Yrs

Bend Specialty Average (24.3 Years) 24.3 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
92285 Photography of content of eyes	438	389	$69.00	$22.84
99213 Established patient office or other outpatient visit, typically 15 minutes	214	179	$259.02	$89.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	187	187	$375.49	$108.40
92081 Exam of visual field with limited testing	151	149	$110.00	$29.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	119	$377.87	$126.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	115	115	$568.96	$163.22
68840 Probing of nasal-tear duct	61	61	$587.78	$171.46
67840 Removal of eyelid growth	50	45	$989.40	$267.91
68440 Snip incision of tear-drainage opening at inner corner of the eye	28	27	$480.80	$134.14
15823 Removal of excessive skin and fat of upper eyelid	27	27	$3162.96	$794.55
67820 Removal of eyelashes using forceps	21	16	$128.69	$20.67
67904 Repair of tendon of upper eyelid	20	20	$3537.88	$778.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92285 Photography of content of eyes	375	319	$69.00	$22.34
99213 Established patient office or other outpatient visit, typically 15 minutes	209	162	$239.00	$87.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	127	$351.00	$124.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	138	138	$348.00	$107.75
92081 Exam of visual field with limited testing	130	125	$110.00	$29.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	125	125	$530.00	$161.09
67840 Removal of eyelid growth	37	37	$996.22	$283.16
68840 Probing of nasal-tear duct	34	33	$596.91	$172.23
67820 Removal of eyelashes using forceps	21	13	$139.64	$22.17
67810 Biopsy of eyelid	20	19	$626.27	$177.49
15823 Removal of excessive skin and fat of upper eyelid	18	18	$3143.19	$790.94
67961 Removal of up to 1/4 of eyelid margin and repair of eyelid	16	16	$2023.00	$574.34
68815 Probing of nasal-tear duct with insertion of tube or stent	15	14	$1557.20	$168.31
67917 Extensive repair of turning-outward eyelid defect	15	15	$2487.33	$484.97
92083 Exam of visual field with extended testing	14	13	$207.00	$61.35
68440 Snip incision of tear-drainage opening at inner corner of the eye	13	12	$469.46	$129.23
67904 Repair of tendon of upper eyelid	13	13	$3265.73	$729.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92285 Photography of content of eyes	390	346	$69.00	$22.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	196	196	$348.00	$107.57
99213 Established patient office or other outpatient visit, typically 15 minutes	175	154	$239.00	$87.96
92081 Exam of visual field with limited testing	142	142	$110.00	$28.87
92012 Established patient problem focused exam of visual system	133	117	$125.00	$87.33
92002 New patient problem focused exam of visual system	73	73	$237.77	$84.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	65	$351.00	$124.77
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	59	54	$116.00	$51.14
67840 Removal of eyelid growth	47	47	$990.64	$279.58
68840 Probing of nasal-tear duct	43	43	$545.40	$154.46
15823 Removal of excessive skin and fat of upper eyelid	37	37	$3202.50	$800.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$530.00	$161.70
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	29	28	$50.00	$24.53
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	29	28	$200.00	$73.58
67904 Repair of tendon of upper eyelid	21	21	$3124.36	$681.55
67917 Extensive repair of turning-outward eyelid defect	16	15	$2398.50	$424.96
92083 Exam of visual field with extended testing	14	12	$207.00	$61.33
68815 Probing of nasal-tear duct with insertion of tube or stent	14	14	$1521.21	$161.63
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	12	11	$479.00	$117.65
68440 Snip incision of tear-drainage opening at inner corner of the eye	12	11	$463.71	$129.81
67961 Removal of up to 1/4 of eyelid margin and repair of eyelid	12	11	$2023.00	$547.12
67820 Removal of eyelashes using forceps	12	11	$124.58	$20.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92285 Photography of content of eyes	327	311	$69.00	$22.04
92012 Established patient problem focused exam of visual system	305	248	$125.00	$87.62
92002 New patient problem focused exam of visual system	218	218	$125.00	$84.57
92014 Established patient complete exam of visual system	86	84	$409.00	$124.57
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	83	75	$163.06	$51.31
92081 Exam of visual field with limited testing	76	76	$110.00	$29.58
67840 Removal of eyelid growth	63	59	$970.00	$275.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$348.00	$109.59
68840 Probing of nasal-tear duct	35	34	$573.41	$163.45
92083 Exam of visual field with extended testing	34	32	$207.00	$62.00
92133 Imaging of optic nerve	28	28	$121.00	$33.51
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$239.00	$89.45
68440 Snip incision of tear-drainage opening at inner corner of the eye	25	19	$394.90	$97.54
15823 Removal of excessive skin and fat of upper eyelid	24	24	$3158.02	$775.09
67820 Removal of eyelashes using forceps	23	16	$127.50	$22.87
92004 New patient complete exam of visual system	22	22	$489.00	$148.51
67917 Extensive repair of turning-outward eyelid defect	20	20	$2611.70	$493.71
67810 Biopsy of eyelid	17	14	$611.00	$163.45
67904 Repair of tendon of upper eyelid	13	13	$3166.77	$712.85
68815 Probing of nasal-tear duct with insertion of tube or stent	12	11	$1660.25	$180.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$530.00	$164.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	273	215	$125.00	$87.87
92285 Photography of content of eyes	248	238	$69.00	$21.36
92002 New patient problem focused exam of visual system	120	120	$125.00	$83.40
92014 Established patient complete exam of visual system	96	95	$409.00	$125.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$348.00	$105.67
92081 Exam of visual field with limited testing	59	59	$110.00	$29.61
68840 Probing of nasal-tear duct	37	36	$518.04	$147.78
67840 Removal of eyelid growth	36	33	$970.00	$269.55
15823 Removal of excessive skin and fat of upper eyelid	27	27	$3162.96	$785.98
36415 Insertion of needle into vein for collection of blood sample	19	19	$7.00	$2.99
68440 Snip incision of tear-drainage opening at inner corner of the eye	19	13	$377.89	$94.38
67820 Removal of eyelashes using forceps	17	12	$128.53	$29.55
67917 Extensive repair of turning-outward eyelid defect	16	16	$2731.63	$539.58
67810 Biopsy of eyelid	14	14	$611.00	$179.88
67904 Repair of tendon of upper eyelid	13	13	$3562.62	$789.46
92004 New patient complete exam of visual system	13	13	$489.00	$149.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92285 Photography of content of eyes	372	360	$69.00	$21.05
92012 Established patient problem focused exam of visual system	304	232	$172.89	$86.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	150	150	$348.00	$106.20
92002 New patient problem focused exam of visual system	146	146	$199.29	$82.60
92081 Exam of visual field with limited testing	123	123	$109.89	$29.93
92014 Established patient complete exam of visual system	76	76	$409.00	$125.39
99213 Established patient office or other outpatient visit, typically 15 minutes	74	72	$239.00	$72.94
68840 Probing of nasal-tear duct	67	65	$572.16	$159.92
67840 Removal of eyelid growth	65	58	$970.00	$261.91
15823 Removal of excessive skin and fat of upper eyelid	52	52	$3140.86	$783.09
67820 Removal of eyelashes using forceps	42	25	$124.46	$33.40
67904 Repair of tendon of upper eyelid	34	34	$3329.76	$772.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$351.00	$107.63
68815 Probing of nasal-tear duct with insertion of tube or stent	22	21	$1592.59	$202.37
68440 Snip incision of tear-drainage opening at inner corner of the eye	21	14	$367.55	$85.29
67917 Extensive repair of turning-outward eyelid defect	19	19	$2580.76	$497.70
92083 Exam of visual field with extended testing	13	11	$207.00	$63.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$145.00	$44.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$530.00	$162.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	432	316	$267.30	$85.60
92285 Photography of content of eyes	362	343	$63.80	$18.75
92002 New patient problem focused exam of visual system	279	279	$255.20	$81.56
92081 Exam of visual field with limited testing	148	146	$106.70	$33.55
92014 Established patient complete exam of visual system	135	128	$387.20	$123.91
68840 Probing of nasal-tear duct	61	59	$1900.96	$154.48
15823 Removal of excessive skin and fat of upper eyelid	50	50	$2720.61	$778.05
67840 Removal of eyelid growth	47	44	$866.80	$262.42
67820 Removal of eyelashes using forceps	36	23	$329.30	$42.19
67904 Repair of tendon of upper eyelid	33	33	$3004.45	$783.41
68440 Snip incision of tear-drainage opening at inner corner of the eye	25	16	$318.84	$81.71
67917 Extensive repair of turning-outward eyelid defect	25	24	$2319.24	$502.26
92004 New patient complete exam of visual system	24	24	$464.20	$148.14
67810 Biopsy of eyelid	21	20	$556.83	$156.08
92083 Exam of visual field with extended testing	21	19	$200.20	$62.89
68815 Probing of nasal-tear duct with insertion of tube or stent	18	18	$1576.67	$170.04
36415 Insertion of needle into vein for collection of blood sample	12	11	$9.00	$2.94
67924 Extensive repair of turning-inward eyelid defect	12	12	$2189.09	$489.89
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	11	11	$2488.20	$613.88
92133 Imaging of optic nerve	11	11	$138.60	$34.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	380	279	$267.30	$83.21
92285 Photography of content of eyes	338	320	$63.80	$18.69
92002 New patient problem focused exam of visual system	249	249	$255.20	$79.06
92014 Established patient complete exam of visual system	140	131	$387.20	$120.65
92081 Exam of visual field with limited testing	138	137	$106.70	$33.02
15823 Removal of excessive skin and fat of upper eyelid	58	58	$2760.18	$783.30
67840 Removal of eyelid growth	45	44	$866.80	$263.61
68801 Dilation of tear drainage opening	42	38	$468.81	$98.42
67820 Removal of eyelashes using forceps	35	20	$306.99	$52.57
67904 Repair of tendon of upper eyelid	23	23	$3051.42	$799.21
92004 New patient complete exam of visual system	21	21	$464.20	$145.33
67917 Extensive repair of turning-outward eyelid defect	21	21	$2392.87	$511.29
67810 Biopsy of eyelid	19	18	$556.83	$162.41
92083 Exam of visual field with extended testing	16	16	$200.20	$62.58
68440 Snip incision of tear-drainage opening at inner corner of the eye	15	11	$337.15	$87.35
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	13	12	$415.80	$120.61
68815 Probing of nasal-tear duct with insertion of tube or stent	12	12	$1537.25	$144.20
67900 Repair of brow paralysis	12	12	$2817.79	$507.84
36415 Insertion of needle into vein for collection of blood sample	12	12	$9.00	$2.94

Medical Specialties & State Licenses

CMS Verified: 2021-03-29

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OR MD23998

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

028117 (OR)

Commercial Insurance / Payer ID Medicare Railroad

00479098 (OR)

Hospital & Practice Group Affiliations

Bend Memorial Clinic Pc

1501 Ne Medical Ctr Dr, Bend, OR 977016051

Phone: 5413822811

Practice Associates & Co-Workers

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

40 Associated Practitioners

Jonathan Mcfadyen , NP

Nurse Practitioner

NPI 1003136334

Nurse Practitioner

Dr. Edward Tarbet , MD

Family Medicine

NPI 1003845330

Doctor of Medicine (M.D.)

Tonya Koopman , NP

Nurse Practitioner - Family

NPI 1013006931

Nurse Practitioner

Dr. Scott O'connor , MD

Ophthalmology

NPI 1013924513

Doctor of Medicine (M.D.)

Dr. Michael Harris , MD

Internal Medicine

NPI 1023047503

Doctor of Medicine (M.D.)

Dr. Rick Goldstein , MD

Specialist

NPI 1023129913

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 15, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 15, 2013

Registered at 1501 NE MEDICAL CENTER DR, BEND, OR 977016051 (Tel: 5413822811)

📍

Updated Business Mailing Address April 15, 2013

Registered at 1501 NE MEDICAL CENTER DR, BEND, OR 977016051 (Tel: 5413822811)

👤

Provider Name / Credentials Updated April 15, 2013

Recorded as THOMAS FITZSIMMONS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2013

Ophthalmology (License #MD23998 in OR)

🟢

Initial NPI Registration & Enumeration May 04, 2006

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: 1275581365

Entity Type:

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

Enumeration Date: May 04, 2006

Last Update: March 29, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1501 Ne Medical Center Dr

Bend, OR 977016051

Phone: 5413822811

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.