Active NPI 1275501421 Individual Practitioner Male Practitioner

David Klibanoff

Optometrist • Pawtucket, RI

Professional Overview & Biography Verified Profile Summary

David Klibanoff is a registered healthcare professional specializing in Optometrist in Pawtucket, RI. Practice services are available at 121 BROAD ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, photography of the retina, 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

121 Broad St

Pawtucket, RI 028602053

Telephone 4017233400

Fax 4017272326

Associated Practice Facility / Clinic

🏢 Klibanoff Eye Associates, Ltd Facility NPI 1467508556

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Pawtucket, RI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.3 Yrs

State Avg: 23.3 Yrs

Regional Practice Density

11 Specialists

Practicing in Pawtucket, RI (280 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.8% 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
99213 Established patient office or other outpatient visit, typically 15 minutes	37	29	$125.00	$93.61
92250 Photography of the retina	22	22	$160.00	$38.97
92014 Established patient complete exam of visual system	18	18	$180.00	$131.71
92134 Imaging of retina	14	14	$157.14	$42.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	121	78	$125.00	$95.37
92250 Photography of the retina	72	71	$160.00	$39.24
92014 Established patient complete exam of visual system	71	71	$180.00	$133.41
92134 Imaging of retina	34	32	$100.00	$42.82
92004 New patient complete exam of visual system	21	21	$200.00	$157.96
92133 Imaging of optic nerve	19	19	$100.00	$35.66
92083 Exam of visual field with extended testing	19	19	$160.00	$66.53
92020 Examination of cornea and iris using lens device and slit lamp	18	18	$54.00	$29.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	66	66	$180.00	$134.74
99213 Established patient office or other outpatient visit, typically 15 minutes	63	41	$125.00	$96.73
92250 Photography of the retina	54	54	$160.00	$41.77
92134 Imaging of retina	17	17	$100.00	$43.40
92004 New patient complete exam of visual system	14	14	$200.00	$159.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	50	$125.00	$79.49
92014 Established patient complete exam of visual system	63	63	$180.00	$134.13
92250 Photography of the retina	49	49	$160.00	$48.05
92134 Imaging of retina	26	24	$100.00	$43.26
92083 Exam of visual field with extended testing	12	12	$160.00	$67.56
92133 Imaging of optic nerve	11	11	$100.00	$36.58
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$54.00	$29.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	124	75	$125.00	$78.06
92014 Established patient complete exam of visual system	92	92	$180.00	$133.65
92250 Photography of the retina	91	89	$160.00	$53.66
92134 Imaging of retina	40	38	$100.00	$43.27
92133 Imaging of optic nerve	17	16	$100.00	$36.50
92083 Exam of visual field with extended testing	17	17	$160.00	$67.94
92020 Examination of cornea and iris using lens device and slit lamp	15	15	$54.00	$29.14
92004 New patient complete exam of visual system	12	12	$200.00	$159.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	146	88	$125.00	$74.08
92250 Photography of the retina	96	94	$160.00	$58.40
92014 Established patient complete exam of visual system	76	76	$180.00	$127.39
92145 Measurement of corneal pressure	62	26	$45.00	$17.41
92134 Imaging of retina	43	42	$100.00	$42.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$165.00	$109.08
92004 New patient complete exam of visual system	20	20	$200.00	$154.30
92083 Exam of visual field with extended testing	20	20	$160.00	$65.69
92133 Imaging of optic nerve	18	18	$100.00	$35.46
92020 Examination of cornea and iris using lens device and slit lamp	18	18	$54.00	$27.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	227	130	$125.00	$70.83
92250 Photography of the retina	146	136	$160.00	$64.34
92145 Measurement of corneal pressure	84	34	$45.00	$16.93
92134 Imaging of retina	63	62	$100.00	$40.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	58	$165.00	$104.23
92014 Established patient complete exam of visual system	44	44	$180.00	$119.89
92004 New patient complete exam of visual system	42	42	$200.00	$145.04
92083 Exam of visual field with extended testing	29	29	$160.00	$62.27
92020 Examination of cornea and iris using lens device and slit lamp	25	25	$54.00	$26.15
92133 Imaging of optic nerve	24	24	$100.00	$33.79

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License RI ODTG476

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. Benjamin Klibanoff , OD

Optometrist

NPI 1053611996

Doctor of Optometry

Dr. Mona Klibanoff , OD

Optometrist

NPI 1427364157

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 May 20, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 20, 2008

Registered at 121 BROAD ST, PAWTUCKET, RI 028602053 (Tel: 4017233400)

📍

Updated Business Mailing Address May 20, 2008

Registered at 121 BROAD ST, PAWTUCKET, RI 028602053 (Tel: 4017233400)

👤

Provider Name / Credentials Updated May 20, 2008

Recorded as DAVID KLIBANOFF

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2008

Optometrist (License #ODTG476 in RI)

🟢

Initial NPI Registration & Enumeration March 12, 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: 1275501421

Entity Type:

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

Enumeration Date: March 12, 2006

Last Update: May 20, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

121 Broad St

Pawtucket, RI 028602053

Phone: 4017233400

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.