Active NPI 1316906027 Individual Practitioner Male Practitioner

Dr. W. Reynolds Sisson , OD

Optometrist • Newport, PA

Professional Overview & Biography Verified Profile Summary

Dr. W. Sisson, OD is a registered healthcare professional specializing in Optometrist in Newport, PA. Practice services are available at 7 CRAMER DR under active NPI credentials.

Frequently performed procedures and clinical services include photography of the retina, established patient outpatient office visit, examination of cornea and iris using lens device and slit lamp. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7 Cramer Dr

Newport, PA 170748720

Telephone 7175673103

Fax 7175677784

Associated Practice Facility / Clinic

🏢 William Reynolds Sisson Facility NPI 1598865396

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Newport, PA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 16.5 Yrs

State Avg: 24.8 Yrs

Regional Practice Density

3 Specialists

Practicing in Newport, PA (2764 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

30.7% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	34	34	$98.00	$35.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$150.00	$122.46
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$105.00	$86.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	49	49	$98.00	$35.98
99213 Established patient office or other outpatient visit, typically 15 minutes	34	34	$92.00	$86.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$130.00	$124.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	33	33	$98.00	$38.17
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$92.00	$89.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$130.00	$127.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	64	64	$98.00	$44.10
99213 Established patient office or other outpatient visit, typically 15 minutes	42	40	$92.00	$74.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$130.00	$107.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	94	94	$98.00	$48.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	74	$130.00	$105.62
99213 Established patient office or other outpatient visit, typically 15 minutes	46	43	$92.00	$72.01
92020 Examination of cornea and iris using lens device and slit lamp	24	24	$54.00	$26.91
92134 Imaging of retina	16	16	$76.00	$39.45
92133 Imaging of optic nerve	16	15	$76.00	$33.73
92083 Exam of visual field with extended testing	16	15	$98.00	$61.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	114	112	$91.61	$53.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	79	$122.00	$101.66
99213 Established patient office or other outpatient visit, typically 15 minutes	43	38	$86.95	$68.85
92020 Examination of cornea and iris using lens device and slit lamp	20	20	$51.80	$25.39
92134 Imaging of retina	12	12	$71.50	$38.77
92083 Exam of visual field with extended testing	12	11	$93.33	$59.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	84	83	$90.00	$58.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	63	$120.00	$97.29
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$85.00	$66.30
92020 Examination of cornea and iris using lens device and slit lamp	18	18	$50.00	$24.48

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License PA OEG000258

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

2 Associated Practitioners

Dr. Lauren Kibe , OD

Optometrist

NPI 1376102509

Doctor of Optometry

Dr. Kimberly Boyer , OD

Optometrist

NPI 1497715411

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 November 12, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location November 12, 2007

Registered at 7 CRAMER DR, NEWPORT, PA 170748720 (Tel: 7175673103)

📍

Updated Business Mailing Address November 12, 2007

Registered at 7 CRAMER DR, PO BOX 70, NEWPORT, PA 170748720 (Tel: 7175673103)

👤

Provider Name / Credentials Updated November 12, 2007

Recorded as W. SISSON, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2007

Optometrist (License #OEG000258 in PA)

🟢

Initial NPI Registration & Enumeration March 21, 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: 1316906027

Entity Type:

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

Enumeration Date: March 21, 2006

Last Update: November 12, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

7 Cramer Dr, Po Box 70

Newport, PA 170748720

Phone: 7175673103

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.