Active NPI 1528068145 Individual Practitioner Male Practitioner

Dr. Jay B Tanner , OD

Optometrist • Kingston, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jay Tanner, OD is a certified Optometrist practicing in Kingston, PA. With approximately 42 years of clinical experience since graduating from Pennsylvania College Of Optometry in 1984, Dr. Tanner delivers high-quality medical care to the local community at 423 3RD AVE.

Dr. Tanner is affiliated with Northeast Eye Specialists Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of retina, 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

423 3rd Ave
Suite E

Kingston, PA 187045809

Telephone 5702881974

Fax 5702880288

Associated Practice Facility / Clinic

🏢 Riverview Ambulatory Surgical Center Llc Facility NPI 1811981145

Medicare Profile & Education

Medical School

Pennsylvania College Of Optometry

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Kingston, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +14.2 yrs vs City Avg

City Avg: 27.8 Yrs

State Avg: 24.8 Yrs

Regional Practice Density

25 Specialists

Practicing in Kingston, PA (2764 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tanner (42 Years) 42 Yrs

Kingston Specialty Average (27.8 Years) 27.8 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
99213 Established patient office or other outpatient visit, typically 15 minutes	446	349	$135.00	$85.89
92134 Imaging of retina	94	92	$135.00	$38.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$165.00	$106.31
92133 Imaging of optic nerve	18	18	$135.00	$34.27
92014 Established patient complete exam of visual system	18	18	$185.00	$118.90
67820 Removal of eyelashes using forceps	16	11	$159.75	$18.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	424	350	$135.00	$86.09
92134 Imaging of retina	89	87	$135.00	$39.02
92133 Imaging of optic nerve	17	17	$135.00	$35.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$165.00	$108.97
92014 Established patient complete exam of visual system	15	15	$185.00	$121.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	327	297	$135.00	$88.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	107	80	$85.00	$53.76
92134 Imaging of retina	86	85	$135.00	$39.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$165.00	$110.22
67820 Removal of eyelashes using forceps	22	11	$213.00	$17.65
92133 Imaging of optic nerve	21	21	$135.00	$35.99
92014 Established patient complete exam of visual system	17	17	$185.00	$123.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	389	335	$124.72	$89.39
92134 Imaging of retina	67	67	$135.00	$40.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	41	$85.00	$55.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$153.00	$110.84
67820 Removal of eyelashes using forceps	25	11	$210.16	$25.45
92133 Imaging of optic nerve	24	24	$135.00	$35.66
92014 Established patient complete exam of visual system	24	24	$171.25	$124.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	375	317	$85.00	$73.12
92134 Imaging of retina	80	78	$135.00	$39.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$120.00	$105.47
92014 Established patient complete exam of visual system	28	28	$130.00	$123.25
92133 Imaging of optic nerve	28	27	$135.00	$36.39
67820 Removal of eyelashes using forceps	11	11	$167.82	$26.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	351	298	$85.00	$72.78
92134 Imaging of retina	113	108	$135.00	$40.20
92014 Established patient complete exam of visual system	107	107	$129.58	$123.80
92012 Established patient problem focused exam of visual system	64	61	$89.22	$85.98
92133 Imaging of optic nerve	40	40	$135.00	$35.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$120.00	$106.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	16	$60.00	$44.05
92004 New patient complete exam of visual system	19	19	$150.00	$148.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$125.00	$106.93
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	$162.32
67820 Removal of eyelashes using forceps	13	11	$196.62	$38.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	341	294	$85.00	$68.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	127	$125.00	$101.70
92134 Imaging of retina	105	100	$135.00	$39.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$175.00	$156.32
92133 Imaging of optic nerve	37	36	$135.00	$35.41
92014 Established patient complete exam of visual system	34	34	$125.00	$115.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	18	$60.00	$41.16
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	$101.99
92012 Established patient problem focused exam of visual system	11	11	$85.00	$75.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	315	241	$85.00	$70.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	275	271	$125.00	$103.98
92134 Imaging of retina	133	120	$135.00	$39.22
92133 Imaging of optic nerve	53	50	$135.00	$36.01
92014 Established patient complete exam of visual system	45	45	$125.00	$116.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$175.00	$159.55
67820 Removal of eyelashes using forceps	30	18	$194.07	$58.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	11	$60.00	$41.81

Medical Specialties & State Licenses

CMS Verified: 2020-04-29

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License PA OEG 000400

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

0011040000005 (PA)

Medicaid State Provider ID

0011040000003 (PA)

Commercial Insurance / Payer ID Palmetto Gba-Rrmc

410043623 (PA)

Hospital & Practice Group Affiliations

Northeast Eye Specialists Pc

1060 N Church St, Hazle Township, PA 182021444

Phone: 5704599927

Practice Associates & Co-Workers

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

9 Associated Practitioners

Michelle Davenport , CRNA

Nurse Anesthetist, Certified Registered

NPI 1407887334

Certified Registered Nurse Anesthetist

Dr. Louis Mariotti , DO

Otolaryngology - Otolaryngic Allergy

NPI 1437139300

Doctor of Osteopathic Medicine (D.O.)

Leonard Romanowski , CRNA

Nurse Anesthetist, Certified Registered

NPI 1497774996

Certified Registered Nurse Anesthetist

Dr. Crescenzo Calise , MD

Specialist

NPI 1629038401

Doctor of Medicine (M.D.)

Janet Morgan , CRNA

Nurse Anesthetist, Certified Registered

NPI 1821023102

Certified Registered Nurse Anesthetist

Denise Hoffman , PA-C

Physician Assistant

NPI 1821458217

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 10, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 10, 2008

Registered at 423 3RD AVE, SUITE E, KINGSTON, PA 187045809 (Tel: 5702881974)

📍

Updated Business Mailing Address January 10, 2008

Registered at 423 3RD AVE, SUITE E, KINGSTON, PA 187045809 (Tel: 5702881974)

👤

Provider Name / Credentials Updated January 10, 2008

Recorded as JAY TANNER, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2008

Optometrist (License #OEG 000400 in PA)

🟢

Initial NPI Registration & Enumeration July 26, 2005

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: 1528068145

Entity Type:

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

Enumeration Date: July 26, 2005

Last Update: April 29, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

423 3rd Ave, Suite E

Kingston, PA 187045809

Phone: 5702881974

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.