Active NPI 1003874991 Individual Practitioner Male Practitioner

Dr. Robert Mitchell Thacker , OD

Optometrist • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Thacker, OD is a certified Optometrist practicing in Providence, RI. With approximately 33 years of clinical experience since graduating from New England College Of Optometry in 1993, Dr. Thacker delivers high-quality medical care to the local community at 1466 BROAD ST.

Dr. Thacker is affiliated with George D Bertherman,O.D., Inc. and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1466 Broad St

Providence, RI 029052836

Telephone 4019416221

Fax 4019416227

Associated Practice Facility / Clinic

🏢 George D. Bertherman,o.d., Inc. Facility NPI 1316072143

Medicare Profile & Education

Medical School

New England College Of Optometry

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Providence, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +16.8 yrs vs City Avg

City Avg: 16.2 Yrs

State Avg: 23.3 Yrs

Regional Practice Density

65 Specialists

Practicing in Providence, RI (280 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

1.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thacker (33 Years) 33 Yrs

Providence Specialty Average (16.2 Years) 16.2 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
92014 Established patient complete exam of visual system	27	27	$110.00	$108.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	50	50	$110.00	$108.60
92250 Photography of the retina	16	15	$95.00	$38.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	12	$60.00	$57.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	52	52	$110.00	$109.07
92250 Photography of the retina	18	18	$95.00	$38.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$60.00	$59.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	71	71	$109.44	$109.44
92250 Photography of the retina	19	19	$95.00	$41.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	13	$59.12	$58.02
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$80.00	$80.00
92133 Imaging of optic nerve	13	13	$75.00	$37.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	59	59	$90.34	$90.09
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$65.00	$64.89
92250 Photography of the retina	12	12	$95.00	$47.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	75	75	$90.00	$88.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	31	$45.00	$44.35
99213 Established patient office or other outpatient visit, typically 15 minutes	30	25	$65.00	$64.10
92250 Photography of the retina	25	24	$95.00	$52.64
92133 Imaging of optic nerve	24	23	$75.00	$36.85
92083 Exam of visual field with extended testing	18	17	$90.00	$67.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	81	80	$90.00	$88.42
99213 Established patient office or other outpatient visit, typically 15 minutes	53	35	$65.00	$63.58
92250 Photography of the retina	34	30	$95.00	$56.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	16	$45.00	$43.19
92083 Exam of visual field with extended testing	15	15	$90.00	$63.41
92133 Imaging of optic nerve	14	14	$75.00	$34.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	78	78	$90.00	$87.62
99213 Established patient office or other outpatient visit, typically 15 minutes	38	34	$65.00	$63.57
92250 Photography of the retina	27	26	$95.00	$66.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$45.00	$43.87
92133 Imaging of optic nerve	15	15	$75.00	$35.23
92083 Exam of visual field with extended testing	14	14	$90.00	$65.60

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License RI ODTA00456

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.

Hospital & Practice Group Affiliations

George D Bertherman,o.d., Inc.

1466 Broad St, Providence, RI 029052836

Phone: 4019416221

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Didem Kokturk , OD

Optometrist

NPI 1326173113

Doctor of Optometry

Dr. George Bertherman , OD

Optometrist

NPI 1629074141

Doctor of Optometry

Dr. Samantha Bertherman , OD

Optometrist

NPI 1790353308

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 September 19, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 19, 2013

Registered at 1466 BROAD ST, PROVIDENCE, RI 029052836 (Tel: 4019416221)

📍

Updated Business Mailing Address September 19, 2013

Registered at 506 FISH HILL RD, WEST GREENWICH, RI 028172209

👤

Provider Name / Credentials Updated September 19, 2013

Recorded as ROBERT THACKER, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2013

Optometrist (License #ODTA00456 in RI)

🟢

Initial NPI Registration & Enumeration May 02, 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: 1003874991

Entity Type:

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

Enumeration Date: May 02, 2006

Last Update: September 19, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

506 Fish Hill Rd

West Greenwich, RI 028172209

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.