Active NPI 1528102159 Individual Practitioner Female Practitioner

Dr. Ashley R Crouch , OD

Optometrist • Sioux Falls, SD

Professional Overview & Biography Verified Profile Summary

Dr. Ashley Crouch, OD is a certified Optometrist practicing in Sioux Falls, SD. With approximately 32 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 1994, Dr. Crouch delivers high-quality medical care to the local community at 5118 W 26TH ST.

Dr. Crouch maintains professional affiliations with Eyecare Specialties Of South Dakota Pc, Family Eye Care Center Pc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of retina, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5118 W 26th St

Sioux Falls, SD 571063520

Telephone 6053391939

Fax 6053300252

Associated Practice Facility / Clinic

🏢 Family Eye Care Center, P.c. Facility NPI 1932144870

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

1994

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Sioux Falls, SD

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +14.4 yrs vs City Avg

City Avg: 17.6 Yrs

State Avg: 22.6 Yrs

Regional Practice Density

76 Specialists

Practicing in Sioux Falls, SD (253 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

25.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Crouch (32 Years) 32 Yrs

Sioux Falls Specialty Average (17.6 Years) 17.6 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	83	$108.95	$107.54
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$76.00	$74.98
92134 Imaging of retina	31	26	$90.00	$39.13
92133 Imaging of optic nerve	25	21	$80.00	$32.78
92083 Exam of visual field with extended testing	23	20	$98.00	$61.78
66984 Removal of cataract with insertion of lens	21	11	$144.00	$101.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$110.00	$106.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	83	$108.77	$107.24
99213 Established patient office or other outpatient visit, typically 15 minutes	34	25	$76.00	$74.98
92083 Exam of visual field with extended testing	21	18	$98.00	$61.79
92133 Imaging of optic nerve	21	18	$80.00	$33.84
66984 Removal of cataract with insertion of lens	19	13	$144.00	$103.02
92134 Imaging of retina	17	16	$90.00	$39.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$110.00	$108.25
92250 Photography of the retina	12	11	$125.00	$36.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	72	$109.00	$107.94
99213 Established patient office or other outpatient visit, typically 15 minutes	37	29	$76.00	$75.29
92133 Imaging of optic nerve	24	21	$80.00	$34.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$110.00	$109.30
92083 Exam of visual field with extended testing	18	16	$98.00	$62.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	79	$108.84	$108.84
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$76.00	$76.00
92250 Photography of the retina	17	17	$125.00	$38.89
92083 Exam of visual field with extended testing	16	14	$98.00	$63.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$110.00	$110.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	54	$109.00	$107.75
99213 Established patient office or other outpatient visit, typically 15 minutes	20	15	$76.00	$74.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$110.00	$106.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	67	$108.81	$106.47
99213 Established patient office or other outpatient visit, typically 15 minutes	15	11	$76.00	$72.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$168.00	$160.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	66	$109.00	$99.91
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$76.00	$67.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$168.00	$151.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	50	$110.13	$98.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$168.00	$149.86

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License SD 527

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

Medicaid State Provider ID

9201512 (SD)

Commercial Insurance / Payer ID Spectera

CV12701 (SD)

Commercial Insurance / Payer ID Cigna Dmerc

1250550001 (SD)

Commercial Insurance / Payer ID Sioux Valley Health Plan

22508 (SD)

Commercial Insurance / Payer ID Davis Vision

5214 (SD)

Commercial Insurance / Payer ID Vsp

5118 (SD)

Commercial Insurance / Payer ID Dakotacare

9231588 (SD)

Commercial Insurance / Payer ID Bcbs

0004142 (SD)

Hospital & Practice Group Affiliations

Eyecare Specialties Of South Dakota Pc

5118 W 26th St, Sioux Falls, SD 571063520

Phone: 6053391939

Family Eye Care Center Pc

5118 W 26th St, Sioux Falls, SD 571063520

Phone: 6053301939

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Kevin Crouch , OD

Optometrist

NPI 1740324367

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 July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 5118 W 26TH ST, SIOUX FALLS, SD 571063520 (Tel: 6053391939)

📍

Updated Business Mailing Address July 08, 2007

Registered at 5118 W 26TH ST, SIOUX FALLS, SD 571063520 (Tel: 6053391939)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ASHLEY CROUCH, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #527 in SD)

🟢

Initial NPI Registration & Enumeration February 16, 2007

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: 1528102159

Entity Type:

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

Enumeration Date: February 16, 2007

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5118 W 26th St

Sioux Falls, SD 571063520

Phone: 6053391939

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.