Active NPI 1609807890 Individual Practitioner Female Practitioner

Dr. Allison Marie Benacci , OD

Optometrist • Erie, PA

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Allison Benacci, OD is a registered Optometrist practitioner in Erie, PA. With approximately 24 years of clinical practice since graduating from Illinois College Of Optometry At Chicago in 2002, Dr. Benacci provides healthcare services at the registered practice location at 2640 W 38TH ST.

Dr. Benacci accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, 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

2640 W 38th St

Erie, PA 165064524

Telephone 8148358258

Fax 8148380104

Associated Practice Facility / Clinic

🏢 Griffith Eye Center Pc Facility NPI 1407070238

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Erie, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +1.5 yrs vs City Avg

City Avg: 22.5 Yrs

State Avg: 24.8 Yrs

Regional Practice Density

45 Specialists

Practicing in Erie, PA (2764 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

32.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Benacci (24 Years) 24 Yrs

Erie Specialty Average (22.5 Years) 22.5 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
92014 Established patient complete exam of visual system	184	179	$138.88	$121.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	59	$134.88	$123.38
92083 Exam of visual field with extended testing	53	47	$106.89	$60.84
92133 Imaging of optic nerve	43	42	$124.47	$34.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	39	$63.90	$55.08
92250 Photography of the retina	40	40	$97.95	$35.29
99213 Established patient office or other outpatient visit, typically 15 minutes	40	36	$97.30	$88.34
92134 Imaging of retina	36	34	$128.00	$38.88
92004 New patient complete exam of visual system	19	19	$150.11	$143.82

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	247	241	$135.00	$122.37
99213 Established patient office or other outpatient visit, typically 15 minutes	90	69	$95.00	$86.46
92014 Established patient complete exam of visual system	73	72	$135.00	$120.45
92083 Exam of visual field with extended testing	42	42	$100.00	$59.11
92133 Imaging of optic nerve	36	36	$90.00	$32.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$175.00	$160.04
92250 Photography of the retina	21	21	$100.00	$35.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	16	$60.00	$53.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	357	349	$135.00	$122.32
99213 Established patient office or other outpatient visit, typically 15 minutes	74	59	$94.93	$87.45
92250 Photography of the retina	50	50	$100.00	$35.58
92004 New patient complete exam of visual system	38	38	$170.00	$144.88
92083 Exam of visual field with extended testing	38	38	$100.00	$60.25
92133 Imaging of optic nerve	33	33	$90.00	$32.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	26	$60.00	$54.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$135.00	$124.08
92012 Established patient problem focused exam of visual system	17	17	$90.29	$86.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	331	323	$135.00	$123.51
99213 Established patient office or other outpatient visit, typically 15 minutes	76	63	$94.93	$89.42
92004 New patient complete exam of visual system	37	37	$170.00	$145.32
92083 Exam of visual field with extended testing	33	33	$100.00	$61.32
92133 Imaging of optic nerve	31	31	$90.00	$33.64
92250 Photography of the retina	24	24	$100.00	$38.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$60.00	$54.81
92012 Established patient problem focused exam of visual system	16	16	$90.00	$87.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	281	277	$134.91	$123.01
99213 Established patient office or other outpatient visit, typically 15 minutes	82	67	$90.00	$73.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	25	$60.00	$44.26
92004 New patient complete exam of visual system	27	27	$170.00	$146.97
92133 Imaging of optic nerve	22	21	$90.00	$33.87
92083 Exam of visual field with extended testing	22	21	$100.00	$61.23
92012 Established patient problem focused exam of visual system	18	17	$90.28	$86.18
92250 Photography of the retina	15	15	$100.00	$43.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	292	288	$135.12	$122.39
99213 Established patient office or other outpatient visit, typically 15 minutes	55	46	$90.00	$72.14
92004 New patient complete exam of visual system	52	52	$170.00	$146.52
92250 Photography of the retina	27	27	$100.00	$48.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	21	$60.00	$43.47
92012 Established patient problem focused exam of visual system	21	20	$90.24	$85.12
92133 Imaging of optic nerve	18	18	$90.00	$33.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$115.00	$105.87
92083 Exam of visual field with extended testing	16	16	$100.00	$57.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	284	276	$135.00	$122.08
99213 Established patient office or other outpatient visit, typically 15 minutes	67	52	$90.00	$70.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	30	$60.00	$42.40
92004 New patient complete exam of visual system	31	31	$170.00	$146.56
92250 Photography of the retina	22	22	$100.00	$54.69
92083 Exam of visual field with extended testing	18	17	$100.00	$61.69
92133 Imaging of optic nerve	16	16	$90.00	$33.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$115.00	$105.05
92012 Established patient problem focused exam of visual system	12	12	$90.42	$84.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	229	226	$135.31	$114.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	61	$115.00	$100.74
99213 Established patient office or other outpatient visit, typically 15 minutes	60	45	$90.00	$68.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	20	$60.00	$40.44
92004 New patient complete exam of visual system	19	19	$170.00	$138.37
92250 Photography of the retina	18	18	$100.00	$60.22
92133 Imaging of optic nerve	16	16	$90.00	$32.39
92083 Exam of visual field with extended testing	15	15	$100.00	$59.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$175.00	$154.75

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License PA OEG000560

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

1013650360001 (PA)

Medicaid State Provider ID

1013650360002 (PA)

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Scott Griffith , MD

Ophthalmology

NPI 1063411122

Doctor of Medicine (M.D.)

Dr. Alan Sutter , OD

Optometrist

NPI 1295584548

Doctor of Optometry

Dr. David Cage , OD

Optometrist

NPI 1376542449

Doctor of Optometry

Dr. Rebecca Campbell , OD

Optometrist

NPI 1891544144

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 May 20, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location May 20, 2009

Registered at 2640 W 38TH ST, ERIE, PA 165064524 (Tel: 8148358258)

📍

Updated Business Mailing Address May 20, 2009

Registered at 2640 W 38TH ST, ERIE, PA 165064524 (Tel: 8148358258)

👤

Provider Name / Credentials Updated May 20, 2009

Recorded as ALLISON BENACCI, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2009

Optometrist (License #OEG000560 in PA)

🟢

Initial NPI Registration & Enumeration July 05, 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: 1609807890

Entity Type:

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

Enumeration Date: July 05, 2006

Last Update: May 20, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2640 W 38th St

Erie, PA 165064524

Phone: 8148358258

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.