Active NPI 1598024093 Individual Practitioner Male Practitioner

Dr. Ethan Payne , MD

Ophthalmology • East Stroudsburg, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ethan Payne, MD is a certified Ophthalmology practicing in East Stroudsburg, PA. With approximately 14 years of clinical experience since completing medical education in 2012, Dr. Payne delivers high-quality medical care to the local community at 300 PLAZA CT.

Dr. Payne is affiliated with Pocono Eye Associates Inc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

300 Plaza Ct
Suite A

East Stroudsburg, PA 183018260

Telephone 5704218842

Fax 5704765842

Associated Practice Facility / Clinic

🏢 Pocono Eye Associates Inc Facility NPI 1285690628

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 Ophthalmology in East Stroudsburg, PA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -14.0 yrs vs City Avg

City Avg: 28.0 Yrs

State Avg: 30.9 Yrs

Regional Practice Density

7 Specialists

Practicing in East Stroudsburg, PA (1152 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Payne (14 Years) 14 Yrs

East Stroudsburg Specialty Average (28.0 Years) 28.0 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	1,006	816	$135.00	$120.94
92134 Imaging of retina	805	629	$120.00	$36.95
99213 Established patient office or other outpatient visit, typically 15 minutes	659	413	$100.00	$85.53
92136 Measurement of corneal curvature and depth of eye	294	174	$259.00	$37.05
66984 Removal of cataract with insertion of lens	240	141	$2875.00	$484.97
66821 Removal of recurring cataract in lens capsule using a laser	179	109	$1618.94	$308.10
92133 Imaging of optic nerve	169	166	$120.00	$32.48
92083 Exam of visual field with extended testing	168	166	$102.00	$58.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$170.00	$158.63
92020 Examination of cornea and iris using lens device and slit lamp	83	82	$58.00	$25.77
92250 Photography of the retina	56	56	$97.00	$34.47
66982 Complex removal of cataract with insertion of prosthetic lens	45	33	$2875.00	$635.75
76514 Ultrasound scan of cornea to determine thickness	27	27	$46.00	$10.10
68761 Closure of tear duct opening using plug	23	21	$357.17	$159.06
65820 Incision to improve eye fluid flow	22	13	$2250.00	$763.55
92012 Established patient problem focused exam of visual system	20	20	$90.00	$79.57
65855 Laser repair to improve eye fluid flow	17	11	$1610.00	$228.43
92014 Established patient complete exam of visual system	15	15	$130.00	$117.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	699	614	$130.00	$119.52
92134 Imaging of retina	691	541	$120.00	$37.53
92012 Established patient problem focused exam of visual system	543	350	$90.00	$84.81
92136 Measurement of corneal curvature and depth of eye	302	184	$259.00	$37.58
66984 Removal of cataract with insertion of lens	241	147	$2875.00	$496.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	230	222	$135.00	$121.96
99213 Established patient office or other outpatient visit, typically 15 minutes	158	143	$100.00	$86.51
92083 Exam of visual field with extended testing	158	150	$102.00	$59.08
92133 Imaging of optic nerve	152	151	$120.00	$33.42
66821 Removal of recurring cataract in lens capsule using a laser	130	88	$1610.00	$315.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$170.00	$158.50
92020 Examination of cornea and iris using lens device and slit lamp	79	79	$58.00	$26.40
92250 Photography of the retina	76	76	$97.00	$35.43
66982 Complex removal of cataract with insertion of prosthetic lens	60	43	$2875.00	$673.93
92004 New patient complete exam of visual system	32	32	$150.00	$142.36
76514 Ultrasound scan of cornea to determine thickness	30	30	$46.00	$10.30
68761 Closure of tear duct opening using plug	26	24	$417.88	$186.68
65855 Laser repair to improve eye fluid flow	17	12	$1610.00	$232.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$121.00	$107.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	584	467	$120.00	$38.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	539	474	$135.00	$125.52
92012 Established patient problem focused exam of visual system	496	316	$90.00	$86.70
92014 Established patient complete exam of visual system	347	329	$130.00	$122.59
92136 Measurement of corneal curvature and depth of eye	289	183	$259.00	$41.10
66984 Removal of cataract with insertion of lens	241	153	$2875.00	$494.58
92133 Imaging of optic nerve	127	121	$120.00	$34.54
99213 Established patient office or other outpatient visit, typically 15 minutes	123	114	$100.00	$89.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	122	122	$170.00	$164.17
92083 Exam of visual field with extended testing	120	120	$102.00	$60.27
66821 Removal of recurring cataract in lens capsule using a laser	116	79	$1610.00	$323.13
92250 Photography of the retina	86	85	$97.00	$36.01
92020 Examination of cornea and iris using lens device and slit lamp	67	67	$58.00	$27.38
66982 Complex removal of cataract with insertion of prosthetic lens	36	28	$2875.00	$692.40
65820 Incision to improve eye fluid flow	32	23	$2250.00	$806.56
76514 Ultrasound scan of cornea to determine thickness	31	31	$46.00	$10.77
68761 Closure of tear duct opening using plug	21	20	$441.67	$190.62
65855 Laser repair to improve eye fluid flow	20	12	$1690.50	$245.25
92004 New patient complete exam of visual system	14	14	$150.00	$145.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	516	332	$90.00	$88.27
92134 Imaging of retina	424	349	$120.00	$39.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	423	384	$135.00	$128.46
92136 Measurement of corneal curvature and depth of eye	299	188	$259.00	$44.96
66984 Removal of cataract with insertion of lens	238	147	$2875.00	$520.86
92014 Established patient complete exam of visual system	226	211	$130.00	$124.78
99213 Established patient office or other outpatient visit, typically 15 minutes	184	164	$100.00	$90.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	126	126	$170.00	$165.40
92133 Imaging of optic nerve	117	115	$120.00	$35.03
92083 Exam of visual field with extended testing	114	110	$102.00	$62.01
66821 Removal of recurring cataract in lens capsule using a laser	46	31	$1610.00	$329.97
66982 Complex removal of cataract with insertion of prosthetic lens	45	33	$2875.00	$686.49
92020 Examination of cornea and iris using lens device and slit lamp	39	38	$58.00	$27.59
92250 Photography of the retina	39	39	$97.00	$38.38
65820 Incision to improve eye fluid flow	20	13	$2250.00	$803.19
76514 Ultrasound scan of cornea to determine thickness	16	16	$46.00	$10.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	607	345	$90.00	$86.93
92014 Established patient complete exam of visual system	463	415	$130.00	$124.27
92134 Imaging of retina	256	223	$119.53	$39.36
92136 Measurement of corneal curvature and depth of eye	214	132	$259.00	$49.31
66984 Removal of cataract with insertion of lens	165	106	$2875.00	$521.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	112	112	$170.00	$163.44
92133 Imaging of optic nerve	106	105	$120.00	$35.15
92083 Exam of visual field with extended testing	103	101	$102.00	$61.99
92250 Photography of the retina	50	49	$97.00	$43.97
92020 Examination of cornea and iris using lens device and slit lamp	44	44	$58.00	$27.51
66982 Complex removal of cataract with insertion of prosthetic lens	41	30	$2875.00	$738.40
76514 Ultrasound scan of cornea to determine thickness	23	23	$46.00	$11.26
66821 Removal of recurring cataract in lens capsule using a laser	20	14	$1610.00	$330.05
65855 Laser repair to improve eye fluid flow	19	11	$1610.00	$246.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$121.00	$107.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	641	391	$90.00	$85.52
92014 Established patient complete exam of visual system	518	458	$130.00	$123.06
92134 Imaging of retina	204	166	$119.71	$39.90
92136 Measurement of corneal curvature and depth of eye	187	116	$259.00	$52.65
66984 Removal of cataract with insertion of lens	136	87	$2875.00	$630.51
92083 Exam of visual field with extended testing	134	129	$102.00	$61.50
92133 Imaging of optic nerve	125	125	$120.00	$34.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	109	109	$170.00	$162.32
92004 New patient complete exam of visual system	74	74	$150.00	$145.03
92020 Examination of cornea and iris using lens device and slit lamp	63	63	$58.00	$26.41
92250 Photography of the retina	56	54	$97.00	$48.34
66982 Complex removal of cataract with insertion of prosthetic lens	47	33	$2875.00	$788.33
76514 Ultrasound scan of cornea to determine thickness	40	40	$46.00	$11.47
66821 Removal of recurring cataract in lens capsule using a laser	32	23	$1610.00	$306.91
65855 Laser repair to improve eye fluid flow	19	11	$1610.00	$206.78
67820 Removal of eyelashes using forceps	15	11	$121.00	$32.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	536	340	$90.00	$84.43
92014 Established patient complete exam of visual system	365	320	$130.00	$121.27
92004 New patient complete exam of visual system	181	181	$150.00	$146.38
92134 Imaging of retina	165	138	$133.33	$39.85
92136 Measurement of corneal curvature and depth of eye	156	96	$259.00	$56.43
66984 Removal of cataract with insertion of lens	108	68	$2875.00	$625.84
92083 Exam of visual field with extended testing	107	103	$102.00	$61.34
92133 Imaging of optic nerve	102	98	$137.73	$34.48
92250 Photography of the retina	56	56	$97.00	$54.74
92020 Examination of cornea and iris using lens device and slit lamp	45	45	$58.00	$26.11
66982 Complex removal of cataract with insertion of prosthetic lens	37	27	$2875.00	$778.83
76514 Ultrasound scan of cornea to determine thickness	33	33	$46.00	$14.12
92002 New patient problem focused exam of visual system	16	16	$100.00	$80.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	564	332	$90.00	$81.46
92014 Established patient complete exam of visual system	268	230	$141.71	$117.59
92004 New patient complete exam of visual system	179	179	$150.00	$142.53
92136 Measurement of corneal curvature and depth of eye	104	68	$259.00	$63.61
92083 Exam of visual field with extended testing	100	90	$102.00	$61.13
92133 Imaging of optic nerve	97	88	$346.00	$34.13
92134 Imaging of retina	88	78	$344.02	$38.79
66984 Removal of cataract with insertion of lens	75	49	$2875.00	$619.51
92250 Photography of the retina	73	73	$97.00	$61.77
92020 Examination of cornea and iris using lens device and slit lamp	50	50	$58.00	$25.70
76514 Ultrasound scan of cornea to determine thickness	46	46	$46.00	$13.84
66982 Complex removal of cataract with insertion of prosthetic lens	30	25	$2875.00	$771.02
66821 Removal of recurring cataract in lens capsule using a laser	20	18	$1610.00	$299.10
92225 Examination of eye by ophthalmoscope with retinal drawing	14	13	$43.71	$26.06

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License PA MD457973

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.

Hospital & Practice Group Affiliations

Pocono Eye Associates Inc

300 Plaza Ct, E Stroudsburg, PA 183018260

Phone: 57042188421007

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Gerald Negvesky , MD

Ophthalmology

NPI 1003872284

Doctor of Medicine (M.D.)

Dr. Harold Wagner , OD

Optometrist

NPI 1013974302

Doctor of Optometry

Dr. Mark Gotchel , MD

Ophthalmology

NPI 1114984481

Doctor of Medicine (M.D.)

Dr. Donald Rush , OD

Optometrist

NPI 1164468898

Doctor of Optometry

Dr. Garth Willis , MD

Ophthalmology

NPI 1164639175

Doctor of Medicine (M.D.)

Dr. Robert Fleming , OD

Optometrist

NPI 1205893625

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 August 12, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 12, 2016

Registered at 300 PLAZA CT, SUITE A, EAST STROUDSBURG, PA 183018260 (Tel: 5704218842)

📍

Updated Business Mailing Address August 12, 2016

Registered at 300 PLAZA CT, SUITE A, EAST STROUDSBURG, PA 183018260 (Tel: 5704218842)

👤

Provider Name / Credentials Updated August 12, 2016

Recorded as ETHAN PAYNE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2016

Ophthalmology (License #MD457973 in PA)

🟢

Initial NPI Registration & Enumeration May 04, 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: 1598024093

Entity Type:

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

Enumeration Date: May 04, 2012

Last Update: August 12, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

300 Plaza Ct, Suite A

East Stroudsburg, PA 183018260

Phone: 5704218842

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.