Active NPI 1285886358 Individual Practitioner Female Practitioner

Dr. Heidi Lynn Sensenig , OD

Optometrist • Wyomissing, PA

Professional Overview & Biography Verified Profile Summary

Dr. Heidi Sensenig, OD is a registered healthcare professional specializing in Optometrist in Wyomissing, PA. Practice services are available at 50 BERKSHIRE CT under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, exam to measure eye deviation and range of motion, 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

50 Berkshire Ct

Wyomissing, PA 196101219

Telephone 6103743134

Fax 6103740484

Associated Practice Facility / Clinic

🏢 Wyomissing Optometric Center, Inc. Facility NPI 1366404345

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Wyomissing, PA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 19.7 Yrs

State Avg: 24.8 Yrs

Regional Practice Density

28 Specialists

Practicing in Wyomissing, PA (2764 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.5% 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
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	23	$275.00	$165.71
92060 Exam to measure eye deviation and range of motion	29	21	$130.00	$59.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	25	$275.00	$173.25
92060 Exam to measure eye deviation and range of motion	29	22	$130.00	$59.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92060 Exam to measure eye deviation and range of motion	33	15	$130.00	$62.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	16	$275.00	$179.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92060 Exam to measure eye deviation and range of motion	56	45	$117.95	$61.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$163.95	$103.34
92014 Established patient complete exam of visual system	15	15	$192.00	$124.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$190.00	$164.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	59	58	$135.00	$123.67
92012 Established patient problem focused exam of visual system	50	40	$110.00	$86.10
92060 Exam to measure eye deviation and range of motion	36	30	$105.00	$62.34
92083 Exam of visual field with extended testing	26	25	$105.00	$62.15
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$100.00	$72.80
92133 Imaging of optic nerve	21	21	$100.00	$34.99
92134 Imaging of retina	16	16	$100.00	$39.43
92250 Photography of the retina	14	14	$80.00	$49.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$140.00	$106.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$70.00	$43.99
92004 New patient complete exam of visual system	11	11	$150.00	$147.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	118	103	$133.09	$118.46
92012 Established patient problem focused exam of visual system	92	63	$110.00	$82.05
92250 Photography of the retina	37	35	$80.00	$52.49
92083 Exam of visual field with extended testing	36	33	$105.00	$59.86
92060 Exam to measure eye deviation and range of motion	36	30	$105.00	$59.95
92133 Imaging of optic nerve	35	35	$100.00	$34.78
92134 Imaging of retina	32	30	$100.00	$38.61
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$100.00	$68.80
92004 New patient complete exam of visual system	17	17	$150.00	$141.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	125	101	$118.56	$113.69
92012 Established patient problem focused exam of visual system	87	57	$108.16	$79.39
92134 Imaging of retina	49	42	$100.00	$37.93
92250 Photography of the retina	44	43	$80.00	$60.47
92083 Exam of visual field with extended testing	40	36	$105.00	$58.47
92060 Exam to measure eye deviation and range of motion	34	22	$105.00	$59.54
92133 Imaging of optic nerve	31	29	$100.00	$33.68
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$98.82	$68.24
92004 New patient complete exam of visual system	16	16	$128.13	$126.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$137.14	$100.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$67.50	$40.58
92284 Evaluation of eye adaptation to light and dark with interpretation and report	11	11	$100.00	$57.17

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License PA OEG002147

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

Commercial Insurance / Payer ID Capital Blue Cross

50082253 (PA)

Commercial Insurance / Payer ID Aetna

5586009 (PA)

Commercial Insurance / Payer ID Aetna Hmo

6732446 (PA)

Commercial Insurance / Payer ID Humana

OEG002147 (PA)

Commercial Insurance / Payer ID Highmark Blue Shield

SE2071705 (PA)

Commercial Insurance / Payer ID Amerihealth/hmo

1285886358 (PA)

Commercial Insurance / Payer ID Cigna Health

1285886358 (PA)

Commercial Insurance / Payer ID Health Assurance

1285886358 (PA)

Commercial Insurance / Payer ID Keystone East

3547521000 (PA)

Commercial Insurance / Payer ID Vision Service Plan

1285886358 (PA)

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Amanda Legge , OD

Optometrist

NPI 1275895138

Doctor of Optometry

Dr. Kerry Burrell , OD

Optometrist

NPI 1336135003

Doctor of Optometry

Dr. Glenn Corbin , OD

Optometrist

NPI 1508828666

Doctor of Optometry

Dr. Robert Copeland , OD, FCOVD

Optometrist

NPI 1538121694

Doctor of Optometry, FCOVD

Dr. Stephen Shalamanda , OD

Optometrist

NPI 1568203248

Doctor of Optometry

Dr. Jeff Stefanick , OD

Optometrist

NPI 1639658081

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 February 21, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 21, 2013

Registered at 50 BERKSHIRE CT, WYOMISSING, PA 196101219 (Tel: 6103743134)

📍

Updated Business Mailing Address February 21, 2013

Registered at 50 BERKSHIRE CT, WYOMISSING, PA 196101219 (Tel: 6103743134)

👤

Provider Name / Credentials Updated February 21, 2013

Recorded as HEIDI SENSENIG, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2013

Optometrist (License #OEG002147 in PA)

🟢

Initial NPI Registration & Enumeration October 21, 2008

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: 1285886358

Entity Type:

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

Enumeration Date: October 21, 2008

Last Update: February 21, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

50 Berkshire Ct

Wyomissing, PA 196101219

Phone: 6103743134

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.