Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972564615 Individual Practitioner Female Practitioner

Dr. Loretta K Schmidgall , OD PC

Optometrist • Dover, PA

Professional Overview & Biography Verified Profile Summary

Dr. Loretta Schmidgall, OD PC is a registered healthcare professional specializing in Optometrist in Dover, PA. Practice services are available at 3211 CARLISLE RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient problem focused exam of visual system, photography of the retina, exam of visual field with extended testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3211 Carlisle Rd

Dover, PA 173154515

Telephone 7172923668
Fax 7172921034
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Dover, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Dover, PA (2764 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
28.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92012 Established patient problem focused exam of visual system
30 26 $90.00 $85.64
92250 Photography of the retina
18 18 $95.00 $48.66
92083 Exam of visual field with extended testing
16 16 $90.00 $61.64

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License PA OEG000268

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
01898579 (PA)
Commercial Insurance / Payer ID Ncas Pa
01528701 (PA)
Commercial Insurance / Payer ID Capital Blue Cross Group
02523900
Commercial Insurance / Payer ID Group Vision Assoc
30540
Commercial Insurance / Payer ID Amerihealth Administrator
A13345
Commercial Insurance / Payer ID Medicare Id
P00148941
Commercial Insurance / Payer ID Highmark Blue Shield
SC113345
Commercial Insurance / Payer ID Medicare Id Type Unspecified
00148941
Commercial Insurance / Payer ID Capital Blue Cross Prov
01528701
Commercial Insurance / Payer ID Health America Assurance
18107

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Gregory Swinson , DMD

Dentist - General Practice

NPI 1437834074

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 08, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 08, 2010

Registered at 3211 CARLISLE RD, DOVER, PA 173154515 (Tel: 7172923668)

📍
Updated Business Mailing Address March 08, 2010

Registered at 3211 CARLISLE RD, DOVER, PA 173154515 (Tel: 7172923668)

👤
Provider Name / Credentials Updated March 08, 2010

Recorded as LORETTA SCHMIDGALL, OD PC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2010

Optometrist (License #OEG000268 in PA)

🟢
Initial NPI Registration & Enumeration March 31, 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: 1972564615
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2006
Last Update: March 08, 2010
Sole Proprietor: No

Mailing Address

3211 Carlisle Rd

Dover, PA 173154515

Phone: 7172923668

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.