Active NPI 1578708897 Individual Practitioner Male Practitioner

Dr. Jay Michael Fiore , MD

Ophthalmology • State College, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jay Fiore, MD is a certified Ophthalmology practicing in State College, PA. With approximately 21 years of clinical experience since graduating from Temple University School Of Medicine in 2005, Dr. Fiore delivers high-quality medical care to the local community at 1700 OLD GATESBURG RD.

Dr. Fiore is affiliated with Heimer Eye Care Assoc. P.C. 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

1700 Old Gatesburg Rd
Suite 300

State College, PA 168032276

Telephone 8142341002

Fax 8142346251

Associated Practice Facility / Clinic

🏢 Heimer Eye Care Assoc. P.c. Facility NPI 1063468395

Medicare Profile & Education

Medical School

Temple University School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in State College, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -0.5 yrs vs City Avg

City Avg: 21.5 Yrs

State Avg: 30.9 Yrs

Regional Practice Density

9 Specialists

Practicing in State College, PA (1152 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fiore (21 Years) 21 Yrs

State College Specialty Average (21.5 Years) 21.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes	548	318	$131.00	$85.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	476	440	$210.00	$120.63
92134 Imaging of retina	181	135	$85.00	$37.32
92136 Measurement of corneal curvature and depth of eye	120	73	$230.00	$36.65
66984 Removal of cataract with insertion of lens	119	70	$2500.00	$453.97
92133 Imaging of optic nerve	107	104	$85.00	$33.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$306.00	$157.23
66821 Removal of recurring cataract in lens capsule using a laser	83	61	$1300.00	$308.15
92083 Exam of visual field with extended testing	66	65	$105.00	$58.34
68761 Closure of tear duct opening using plug	56	34	$200.00	$138.88
76514 Ultrasound scan of cornea to determine thickness	33	29	$85.00	$10.40
67820 Removal of eyelashes using forceps	30	18	$133.33	$17.58
65756 Transplantation of outer layer of corneal tissue	15	13	$2300.00	$1092.88
65757 Preparation of corneal tissue for transplant	14	12	$1300.00	$125.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	584	328	$131.00	$86.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	463	424	$210.00	$122.59
92134 Imaging of retina	176	132	$85.00	$38.18
66984 Removal of cataract with insertion of lens	161	92	$2500.00	$486.97
92136 Measurement of corneal curvature and depth of eye	146	87	$230.00	$37.00
66821 Removal of recurring cataract in lens capsule using a laser	97	68	$1300.00	$316.46
92133 Imaging of optic nerve	93	92	$85.00	$34.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$306.00	$160.40
68761 Closure of tear duct opening using plug	60	35	$200.00	$145.58
92083 Exam of visual field with extended testing	56	56	$105.00	$59.28
76514 Ultrasound scan of cornea to determine thickness	33	26	$85.00	$10.77
67820 Removal of eyelashes using forceps	30	16	$129.17	$17.91
76519 Ultrasound of eye for determination of lens power	23	15	$230.00	$60.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$201.00	$107.58
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$25.00	$21.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	547	322	$131.00	$87.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	434	394	$210.00	$124.08
92134 Imaging of retina	149	109	$85.00	$38.95
92136 Measurement of corneal curvature and depth of eye	136	87	$230.00	$40.48
66984 Removal of cataract with insertion of lens	127	78	$2500.00	$493.14
92133 Imaging of optic nerve	93	90	$85.00	$35.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$306.00	$161.08
66821 Removal of recurring cataract in lens capsule using a laser	71	52	$1300.00	$316.92
92083 Exam of visual field with extended testing	70	66	$105.00	$59.28
68761 Closure of tear duct opening using plug	46	27	$204.35	$146.30
76514 Ultrasound scan of cornea to determine thickness	33	30	$85.00	$10.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$201.00	$105.36
67820 Removal of eyelashes using forceps	24	13	$130.21	$19.02
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	16	$25.00	$22.25
76519 Ultrasound of eye for determination of lens power	16	11	$230.00	$53.58
65757 Preparation of corneal tissue for transplant	12	11	$1300.00	$279.51
65756 Transplantation of outer layer of corneal tissue	12	11	$2300.00	$1066.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	636	344	$131.00	$89.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	399	365	$210.00	$127.37
92134 Imaging of retina	174	120	$85.00	$39.83
66984 Removal of cataract with insertion of lens	132	82	$2500.00	$488.53
92136 Measurement of corneal curvature and depth of eye	123	75	$230.00	$43.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$306.00	$165.54
92133 Imaging of optic nerve	82	81	$85.00	$36.31
92083 Exam of visual field with extended testing	71	70	$105.00	$60.77
68761 Closure of tear duct opening using plug	68	30	$202.94	$150.89
66821 Removal of recurring cataract in lens capsule using a laser	60	52	$1300.00	$327.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$201.00	$110.55
76514 Ultrasound scan of cornea to determine thickness	32	25	$85.00	$11.22
76519 Ultrasound of eye for determination of lens power	16	13	$230.00	$56.80
92020 Examination of cornea and iris using lens device and slit lamp	15	14	$60.00	$27.46
92014 Established patient complete exam of visual system	12	12	$236.00	$123.84
92012 Established patient problem focused exam of visual system	11	11	$157.00	$87.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	540	297	$157.00	$86.70
92014 Established patient complete exam of visual system	354	329	$236.00	$124.46
66984 Removal of cataract with insertion of lens	132	82	$2500.00	$501.44
92134 Imaging of retina	129	91	$85.00	$39.97
92136 Measurement of corneal curvature and depth of eye	128	83	$230.00	$48.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$306.00	$162.11
92133 Imaging of optic nerve	70	69	$85.00	$36.74
92083 Exam of visual field with extended testing	55	54	$105.00	$60.79
68761 Closure of tear duct opening using plug	50	22	$208.00	$150.92
66821 Removal of recurring cataract in lens capsule using a laser	48	40	$1300.00	$328.28
92004 New patient complete exam of visual system	23	23	$280.00	$148.55
76519 Ultrasound of eye for determination of lens power	19	16	$230.00	$54.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	594	307	$157.00	$84.41
92014 Established patient complete exam of visual system	359	332	$236.00	$122.72
66984 Removal of cataract with insertion of lens	164	102	$2500.00	$576.02
92136 Measurement of corneal curvature and depth of eye	145	87	$230.00	$51.86
92134 Imaging of retina	137	88	$79.34	$39.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$306.00	$161.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	70	$87.00	$43.22
92133 Imaging of optic nerve	73	71	$91.78	$36.07
66821 Removal of recurring cataract in lens capsule using a laser	68	51	$1300.00	$324.45
92083 Exam of visual field with extended testing	56	55	$105.00	$60.81
68761 Closure of tear duct opening using plug	46	24	$260.87	$155.55
92004 New patient complete exam of visual system	33	33	$280.00	$143.97
76519 Ultrasound of eye for determination of lens power	26	19	$230.00	$57.67
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$131.00	$72.53
67820 Removal of eyelashes using forceps	21	11	$130.95	$31.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	372	232	$157.00	$83.84
92014 Established patient complete exam of visual system	246	233	$236.00	$120.97
66984 Removal of cataract with insertion of lens	154	99	$2500.00	$564.13
92136 Measurement of corneal curvature and depth of eye	125	89	$230.00	$59.67
99213 Established patient office or other outpatient visit, typically 15 minutes	102	86	$131.00	$70.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$306.00	$160.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	97	$210.00	$105.24
92134 Imaging of retina	87	72	$60.00	$39.89
66821 Removal of recurring cataract in lens capsule using a laser	83	60	$1300.00	$316.49
92133 Imaging of optic nerve	70	64	$137.43	$35.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	66	$87.00	$42.38
68761 Closure of tear duct opening using plug	56	34	$260.71	$162.91
92083 Exam of visual field with extended testing	52	51	$105.00	$61.58
76519 Ultrasound of eye for determination of lens power	35	26	$230.00	$69.10
92004 New patient complete exam of visual system	24	24	$280.00	$146.16
67820 Removal of eyelashes using forceps	22	13	$125.00	$38.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	467	257	$131.00	$70.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	336	311	$210.00	$103.35
66984 Removal of cataract with insertion of lens	153	99	$2500.00	$557.16
92136 Measurement of corneal curvature and depth of eye	144	98	$230.00	$66.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$306.00	$159.26
92134 Imaging of retina	77	57	$60.00	$38.66
66821 Removal of recurring cataract in lens capsule using a laser	76	61	$1300.00	$316.28
92133 Imaging of optic nerve	56	53	$136.96	$35.09
92083 Exam of visual field with extended testing	51	50	$105.00	$60.07
68761 Closure of tear duct opening using plug	40	26	$260.00	$154.02
76519 Ultrasound of eye for determination of lens power	25	17	$230.00	$76.12
92012 Established patient problem focused exam of visual system	25	25	$157.00	$81.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$201.00	$104.48
67820 Removal of eyelashes using forceps	17	13	$139.71	$45.14

Medical Specialties & State Licenses

CMS Verified: 2023-12-01

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License PA MD439512

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Ptan

A400021121 (NY)

Hospital & Practice Group Affiliations

Heimer Eye Care Assoc. P.c.

1700 Old Gatesburg Rd, State College, PA 168032276

Phone: 8142341002

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Domenic Turco , DO

Ophthalmology

NPI 1053635714

Doctor of Osteopathic Medicine (D.O.)

Dr. Matthew Eernisse , OD

Optometrist

NPI 1477172138

Doctor of Optometry

Dr. Marla Moon , OD

Optometrist

NPI 1497743785

Doctor of Optometry

Dr. Jill Finke , OD

Optometrist

NPI 1659577906

Doctor of Optometry

Dr. Jeffrey Heimer , MD

Specialist

NPI 1972553873

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 02, 2016

Registered at 1700 OLD GATESBURG RD, SUITE 300, STATE COLLEGE, PA 168032276 (Tel: 8142341002)

📍

Updated Business Mailing Address November 02, 2016

Registered at 1700 OLD GATESBURG RD, SUITE 300, STATE COLLEGE, PA 168032276 (Tel: 8142341002)

👤

Provider Name / Credentials Updated November 02, 2016

Recorded as JAY FIORE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2016

Ophthalmology (License #MD439512 in PA)

🟢

Initial NPI Registration & Enumeration December 16, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Jay Fiore. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1578708897

Entity Type:

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

Enumeration Date: December 16, 2008

Last Update: December 01, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1700 Old Gatesburg Rd, Suite 300

State College, PA 168032276

Phone: 8142341002

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.