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Deactivated NPI 1558467878 Deactivated / Inactive NPI Male Practitioner

Dr. Gerald John Killian , OD

Optometrist • Mount Pucono, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gerald Killian has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 15, 2006
NPI Deactivation Date October 25, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Gerald Killian, OD was a registered Optometrist practicing in Mount Pucono, PA. Throughout an active medical career spanning 12 years, Dr. Killian provided care at the practice location at 500 ROUTE 940 until profile deactivation on 2018-10-25.

Historical Medicare Part B clinical services included new patient outpatient office visit, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

500 Route 940

Mount Pucono, PA 18344

Telephone 5708954791
Fax 5708954793
Associated Practice Facility / Clinic
🏢 Cpmoptometry Llc Facility NPI 1578039574

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Mount Pucono, PA

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

Practicing in Mount Pucono, PA (2764 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
7.2% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
58 58 $78.00 $77.18
99213 Established patient office or other outpatient visit, typically 15 minutes
12 12 $78.00 $67.63

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License PA OEG000717

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Brian Lee , ABO CEC ID

Technician/Technologist - Optician

NPI 1962192906

ABOCECID

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 25, 2018

Record deactivated on October 25, 2018

NPI Profile Active May 24, 2010

NPI status registered as active in NPPES database

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Updated Practice Location May 24, 2010

Registered at 500 ROUTE 940, MOUNT PUCONO, PA 18344 (Tel: 5708954791)

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Updated Business Mailing Address May 24, 2010

Registered at 116 SOUTH MOUNTAIN BVD, MOUNTAIN TOP, PA 18707 (Tel: 5704745752)

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Provider Name / Credentials Updated May 24, 2010

Recorded as GERALD KILLIAN, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2010

Optometrist (License #OEG000717 in PA)

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Initial NPI Registration & Enumeration September 15, 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: 1558467878
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2006
Last Update: May 24, 2010
Deactivation Date: October 25, 2018

Mailing Address

116 South Mountain Bvd

Mountain Top, PA 18707

Phone: 5704745752

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.