Active NPI 1548374572 Individual Practitioner Male Practitioner

Dr. Don G Koepsell , MD PHD

Ophthalmology • Valley Forge, PA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Don Koepsell, MD PHD is a certified Ophthalmology practicing in Valley Forge, PA. With approximately 48 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 1978, Dr. Koepsell delivers high-quality medical care to the local community at 1220 VALLEY FORGE RD.

Dr. Koepsell accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include photography of the retina, established patient outpatient office visit, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1220 Valley Forge Rd
Suite 39

Valley Forge, PA 194820608

Telephone 6109351211

Fax 6109352355

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Valley Forge, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs Matches City Avg

City Avg: 48.0 Yrs

State Avg: 30.9 Yrs

Regional Practice Density

1 Specialists

Practicing in Valley Forge, PA (1152 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

37.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Koepsell (48 Years) 48 Yrs

Valley Forge Specialty Average (48.0 Years) 48.0 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
92250 Photography of the retina	711	464	$105.00	$35.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	369	289	$145.00	$131.08
92014 Established patient complete exam of visual system	339	256	$140.00	$128.85
92081 Exam of visual field with limited testing	335	275	$50.00	$34.02
92020 Examination of cornea and iris using lens device and slit lamp	173	131	$55.00	$27.98
92083 Exam of visual field with extended testing	130	119	$110.00	$65.06
99213 Established patient office or other outpatient visit, typically 15 minutes	121	93	$105.00	$93.26
92012 Established patient problem focused exam of visual system	91	80	$105.00	$91.32
92060 Exam to measure eye deviation and range of motion	81	54	$100.00	$64.41
92201 Extended exam of the back part of the eye with retinal drawing	31	20	$35.00	$25.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$185.00	$171.82
66984 Removal of cataract with insertion of lens	21	16	$250.00	$109.79
92285 Photography of content of eyes	16	16	$105.00	$23.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$220.00	$184.72
67820 Removal of eyelashes using forceps	16	12	$191.25	$20.89
92202 Extended exam of the back part of the eye with optic nerve drawing	13	12	$35.00	$15.62
76514 Ultrasound scan of cornea to determine thickness	13	13	$50.00	$11.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	696	470	$105.00	$36.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	370	291	$145.00	$132.63
92081 Exam of visual field with limited testing	367	301	$50.00	$34.75
92014 Established patient complete exam of visual system	328	253	$140.00	$132.06
92020 Examination of cornea and iris using lens device and slit lamp	212	153	$55.00	$28.73
92012 Established patient problem focused exam of visual system	134	100	$105.00	$93.99
99213 Established patient office or other outpatient visit, typically 15 minutes	107	86	$105.00	$94.01
92083 Exam of visual field with extended testing	94	84	$110.00	$65.63
92060 Exam to measure eye deviation and range of motion	74	51	$100.00	$65.87
92201 Extended exam of the back part of the eye with retinal drawing	32	23	$35.00	$25.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$185.00	$173.38
92285 Photography of content of eyes	26	24	$105.00	$23.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	16	$220.00	$185.75
99443 Telephone medical discussion with physician, 21-30 minutes	12	11	$150.00	$102.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	624	433	$105.00	$37.72
92014 Established patient complete exam of visual system	376	294	$140.00	$134.99
92081 Exam of visual field with limited testing	293	254	$50.00	$35.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	284	241	$145.00	$135.79
92020 Examination of cornea and iris using lens device and slit lamp	199	152	$55.00	$29.71
92012 Established patient problem focused exam of visual system	154	111	$105.00	$95.40
92083 Exam of visual field with extended testing	103	97	$110.00	$67.34
99213 Established patient office or other outpatient visit, typically 15 minutes	90	78	$105.00	$96.34
92060 Exam to measure eye deviation and range of motion	76	53	$100.00	$66.64
92201 Extended exam of the back part of the eye with retinal drawing	45	27	$35.00	$25.96
92285 Photography of content of eyes	43	37	$105.00	$24.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$185.00	$177.62
92202 Extended exam of the back part of the eye with optic nerve drawing	19	18	$35.00	$16.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$220.00	$191.68
66984 Removal of cataract with insertion of lens	18	13	$313.89	$113.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	642	446	$105.00	$41.49
92014 Established patient complete exam of visual system	438	337	$140.68	$136.24
92081 Exam of visual field with limited testing	367	312	$50.00	$33.05
92012 Established patient problem focused exam of visual system	192	132	$105.00	$96.83
92020 Examination of cornea and iris using lens device and slit lamp	174	129	$55.00	$29.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	168	149	$144.64	$138.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	110	105	$215.64	$191.83
92083 Exam of visual field with extended testing	100	95	$110.00	$68.55
92060 Exam to measure eye deviation and range of motion	71	53	$100.00	$67.73
92285 Photography of content of eyes	70	59	$105.00	$24.79
99213 Established patient office or other outpatient visit, typically 15 minutes	63	50	$104.92	$97.78
92201 Extended exam of the back part of the eye with retinal drawing	53	30	$35.00	$26.44
92202 Extended exam of the back part of the eye with optic nerve drawing	25	22	$44.80	$16.87
66984 Removal of cataract with insertion of lens	15	11	$1246.67	$106.06
67820 Removal of eyelashes using forceps	14	11	$206.43	$24.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$185.00	$179.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	474	351	$105.00	$47.74
92014 Established patient complete exam of visual system	358	274	$150.00	$134.93
92081 Exam of visual field with limited testing	284	236	$50.00	$33.07
99354 Prolonged office or other outpatient service first hour	226	184	$150.00	$138.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	150	$125.00	$116.56
92012 Established patient problem focused exam of visual system	126	95	$105.00	$95.01
92020 Examination of cornea and iris using lens device and slit lamp	120	98	$55.00	$29.59
92083 Exam of visual field with extended testing	78	74	$110.00	$68.13
99213 Established patient office or other outpatient visit, typically 15 minutes	57	48	$100.00	$80.58
92060 Exam to measure eye deviation and range of motion	51	37	$100.00	$68.18
92285 Photography of content of eyes	33	31	$105.00	$20.40
92201 Extended exam of the back part of the eye with retinal drawing	33	27	$35.00	$26.84
92202 Extended exam of the back part of the eye with optic nerve drawing	13	13	$35.00	$16.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	614	433	$147.57	$130.27
92250 Photography of the retina	560	409	$100.69	$51.93
92081 Exam of visual field with limited testing	460	357	$50.00	$32.34
92226 Examination of eye by ophthalmoscope with retinal drawing	254	149	$35.14	$26.06
92012 Established patient problem focused exam of visual system	253	160	$103.87	$90.92
99354 Prolonged office or other outpatient service first hour	201	170	$144.83	$130.80
92020 Examination of cornea and iris using lens device and slit lamp	134	111	$54.22	$28.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	116	$122.60	$111.01
92083 Exam of visual field with extended testing	116	101	$105.69	$66.20
99213 Established patient office or other outpatient visit, typically 15 minutes	67	58	$100.00	$76.17
92060 Exam to measure eye deviation and range of motion	66	45	$97.58	$62.84
92225 Examination of eye by ophthalmoscope with retinal drawing	36	30	$35.00	$28.19
67820 Removal of eyelashes using forceps	20	18	$178.25	$39.04
92004 New patient complete exam of visual system	17	17	$165.00	$155.02
92285 Photography of content of eyes	14	11	$77.50	$21.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$183.33	$170.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	620	436	$140.08	$126.34
92250 Photography of the retina	610	420	$90.15	$57.11
92081 Exam of visual field with limited testing	476	376	$50.00	$32.00
92012 Established patient problem focused exam of visual system	188	127	$100.00	$88.03
99354 Prolonged office or other outpatient service first hour	164	139	$130.49	$127.10
92020 Examination of cornea and iris using lens device and slit lamp	109	90	$50.14	$26.78
92226 Examination of eye by ophthalmoscope with retinal drawing	98	62	$35.00	$25.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	84	$115.11	$107.88
92083 Exam of visual field with extended testing	87	83	$85.00	$64.67
99213 Established patient office or other outpatient visit, typically 15 minutes	57	52	$100.00	$73.00
92060 Exam to measure eye deviation and range of motion	44	30	$80.00	$61.12
92225 Examination of eye by ophthalmoscope with retinal drawing	24	21	$35.00	$27.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$180.00	$165.44
67820 Removal of eyelashes using forceps	18	13	$91.67	$46.01
66984 Removal of cataract with insertion of lens	16	11	$1400.00	$123.08
92004 New patient complete exam of visual system	14	14	$165.00	$150.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	544	398	$140.13	$122.88
92250 Photography of the retina	516	370	$90.20	$65.92
92081 Exam of visual field with limited testing	317	267	$50.00	$31.15
92012 Established patient problem focused exam of visual system	185	126	$100.03	$84.94
99354 Prolonged office or other outpatient service first hour	113	100	$130.09	$126.11
92020 Examination of cornea and iris using lens device and slit lamp	105	86	$50.05	$26.57
92226 Examination of eye by ophthalmoscope with retinal drawing	93	62	$35.00	$24.55
92083 Exam of visual field with extended testing	77	72	$85.00	$61.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	61	$115.76	$106.73
99213 Established patient office or other outpatient visit, typically 15 minutes	39	35	$100.00	$72.50
92060 Exam to measure eye deviation and range of motion	34	27	$80.00	$60.01
92285 Photography of content of eyes	17	16	$50.00	$17.76
92225 Examination of eye by ophthalmoscope with retinal drawing	16	14	$32.81	$25.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$180.00	$162.58
92004 New patient complete exam of visual system	13	13	$165.00	$148.10

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License PA MD024428E

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

Medicaid State Provider ID

0008690260003 (PA)

Commercial Insurance / Payer ID Blue Shield

000103038

Commercial Insurance / Payer ID Independence Blue Cross

0053163000

Practice Associates & Co-Workers

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

1 Associated Practitioners

Amie Kraft

Specialist

NPI 1861537342

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 14, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location February 14, 2008

Registered at 1220 VALLEY FORGE RD, SUITE 39, VALLEY FORGE, PA 194820608 (Tel: 6109351211)

📍

Updated Business Mailing Address February 14, 2008

Registered at 1220 VALLEY FORGE RD SUITE 39, PO BOX 608, VALLEY FORGE, PA 194820608 (Tel: 6109351211)

👤

Provider Name / Credentials Updated February 14, 2008

Recorded as DON KOEPSELL, MD PHD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2008

Ophthalmology (License #MD024428E in PA)

🟢

Initial NPI Registration & Enumeration August 18, 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: 1548374572

Entity Type:

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

Enumeration Date: August 18, 2006

Last Update: February 14, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1220 Valley Forge Rd Suite 39, Po Box 608

Valley Forge, PA 194820608

Phone: 6109351211

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.