Active NPI 1073525911 Individual Practitioner Male Practitioner

Dr. Ralph E. Gilmore , OD

Optometrist • Bethlehem, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ralph Gilmore, OD is a certified Optometrist practicing in Bethlehem, PA. With approximately 38 years of clinical experience since completing medical education in 1988, Dr. Gilmore delivers high-quality medical care to the local community at 547 MAIN ST.

Dr. Gilmore is affiliated with Bethlehem Eye Care Associates, P. C. and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

547 Main St

Bethlehem, PA 180185810

Telephone 6108665815

Fax 8618662450

Associated Practice Facility / Clinic

🏢 Bethlehem Eye Care Associates, P. C. Facility NPI 1417973959

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Bethlehem, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +13.9 yrs vs City Avg

City Avg: 24.1 Yrs

State Avg: 24.8 Yrs

Regional Practice Density

19 Specialists

Practicing in Bethlehem, PA (2764 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

39.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gilmore (38 Years) 38 Yrs

Bethlehem Specialty Average (24.1 Years) 24.1 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	320	318	$135.00	$121.43
99213 Established patient office or other outpatient visit, typically 15 minutes	200	177	$90.00	$86.02
92134 Imaging of retina	185	167	$140.00	$37.80
92133 Imaging of optic nerve	184	140	$140.00	$33.45
92012 Established patient problem focused exam of visual system	84	81	$95.00	$83.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	69	$70.00	$53.20
92083 Exam of visual field with extended testing	64	61	$90.00	$58.86
66984 Removal of cataract with insertion of lens	42	25	$180.00	$83.66
92250 Photography of the retina	41	37	$85.00	$33.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$120.00	$105.67

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	296	294	$135.00	$122.43
99213 Established patient office or other outpatient visit, typically 15 minutes	198	174	$90.00	$86.45
92133 Imaging of optic nerve	171	129	$140.00	$34.25
92134 Imaging of retina	160	149	$140.00	$38.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	102	86	$70.00	$53.92
92083 Exam of visual field with extended testing	76	68	$90.00	$59.11
66984 Removal of cataract with insertion of lens	74	41	$180.00	$90.52
92012 Established patient problem focused exam of visual system	48	48	$95.00	$85.29
92250 Photography of the retina	32	30	$85.00	$35.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$120.00	$107.60

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	341	339	$135.00	$124.46
99213 Established patient office or other outpatient visit, typically 15 minutes	171	156	$90.00	$88.17
92134 Imaging of retina	167	155	$140.00	$39.20
92133 Imaging of optic nerve	164	129	$140.00	$34.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	62	$70.00	$54.77
66984 Removal of cataract with insertion of lens	50	28	$180.00	$95.06
92083 Exam of visual field with extended testing	47	45	$90.00	$60.19
92250 Photography of the retina	23	23	$85.00	$35.80
92012 Established patient problem focused exam of visual system	22	21	$95.00	$86.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$120.00	$109.11
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$85.00	$70.77

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	336	$133.51	$126.15
99213 Established patient office or other outpatient visit, typically 15 minutes	165	152	$88.48	$88.02
92134 Imaging of retina	163	153	$140.00	$39.87
92133 Imaging of optic nerve	150	119	$140.00	$35.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	59	$66.27	$54.45
92083 Exam of visual field with extended testing	39	37	$90.00	$61.32
66984 Removal of cataract with insertion of lens	38	20	$180.00	$98.43
92012 Established patient problem focused exam of visual system	32	32	$95.00	$87.40
92250 Photography of the retina	20	19	$85.00	$38.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$120.00	$109.95
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$85.00	$71.28

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	316	307	$118.20	$107.61
99213 Established patient office or other outpatient visit, typically 15 minutes	170	150	$79.47	$74.26
92133 Imaging of optic nerve	147	117	$140.00	$34.91
92134 Imaging of retina	129	117	$140.00	$40.23
92083 Exam of visual field with extended testing	49	47	$90.00	$61.79
92012 Established patient problem focused exam of visual system	47	46	$94.15	$86.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	26	$49.53	$44.20
66984 Removal of cataract with insertion of lens	30	18	$180.00	$97.81
92250 Photography of the retina	27	27	$85.00	$43.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$119.41	$106.69

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	445	428	$105.00	$104.89
99213 Established patient office or other outpatient visit, typically 15 minutes	201	169	$75.00	$72.38
92134 Imaging of retina	170	159	$140.00	$40.15
92133 Imaging of optic nerve	156	127	$140.00	$35.15
92250 Photography of the retina	74	69	$85.00	$48.22
92083 Exam of visual field with extended testing	68	64	$90.00	$62.22
66984 Removal of cataract with insertion of lens	42	23	$180.00	$117.45
92012 Established patient problem focused exam of visual system	41	41	$85.00	$84.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	33	$45.00	$44.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$110.00	$106.53

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	371	361	$105.00	$103.63
92134 Imaging of retina	148	139	$140.00	$40.28
99213 Established patient office or other outpatient visit, typically 15 minutes	125	114	$75.00	$70.60
92133 Imaging of optic nerve	110	82	$140.00	$35.37
92012 Established patient problem focused exam of visual system	61	61	$85.00	$83.93
92250 Photography of the retina	57	53	$85.00	$54.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	40	$45.00	$42.43
66984 Removal of cataract with insertion of lens	48	28	$180.00	$106.96
92083 Exam of visual field with extended testing	46	42	$90.00	$61.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$110.00	$105.36

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	305	299	$105.00	$103.66
92134 Imaging of retina	131	116	$140.00	$39.46
99213 Established patient office or other outpatient visit, typically 15 minutes	122	97	$75.00	$70.60
92133 Imaging of optic nerve	119	81	$140.00	$35.11
92012 Established patient problem focused exam of visual system	82	80	$85.00	$81.97
92250 Photography of the retina	51	44	$85.00	$62.51
92083 Exam of visual field with extended testing	51	45	$89.41	$59.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	33	$45.00	$41.87
66984 Removal of cataract with insertion of lens	36	23	$180.00	$97.33
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$75.00	$68.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$110.00	$104.49

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License PA OEG000053

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

Commercial Insurance / Payer ID Aetna

5843508 (PA)

Commercial Insurance / Payer ID Highmark Blue Shield

GI641469 (PA)

Commercial Insurance / Payer ID Independence Blue Cross

0471935000 (PA)

Commercial Insurance / Payer ID Capital Blue Cross/ Caic

01994101 (PA)

Commercial Insurance / Payer ID Private Healthcare System

9423059 (PA)

Hospital & Practice Group Affiliations

Bethlehem Eye Care Associates, P. C.

547 Main St, Bethlehem, PA 180185810

Phone: 6108665815

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Anthony Krasnicke , OD

Optometrist

NPI 1770503088

Doctor of Optometry

Dr. Neil Clark , OD

Optometrist

NPI 1790342103

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 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 547 MAIN ST, BETHLEHEM, PA 180185810 (Tel: 6108665815)

📍

Updated Business Mailing Address July 08, 2007

Registered at 547 MAIN ST., BETHLEHEM, PA 180185810 (Tel: 6108665815)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as RALPH GILMORE, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #OEG000053 in PA)

🟢

Initial NPI Registration & Enumeration August 12, 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: 1073525911

Entity Type:

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

Enumeration Date: August 12, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

547 Main St.

Bethlehem, PA 180185810

Phone: 6108665815

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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