Active NPI 1063528446 Individual Practitioner Male Practitioner

Dr. Michael Allen Keith , OD

Optometrist • Johnson City, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Keith, OD is a certified Optometrist practicing in Johnson City, TN. With approximately 36 years of clinical experience since graduating from Southern College Of Optometry in 1990, Dr. Keith delivers high-quality medical care to the local community at 119 BOONE RIDGE DR.

Dr. Keith is affiliated with Keith Family Vision Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, 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

119 Boone Ridge Dr
Suite 101

Johnson City, TN 376154998

Telephone 4232837300

Fax 4232834729

Associated Practice Facility / Clinic

🏢 Inpatient Medical Services, Pc Facility NPI 1316925191

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Johnson City, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +21.0 yrs vs City Avg

City Avg: 15.0 Yrs

State Avg: 22.1 Yrs

Regional Practice Density

35 Specialists

Practicing in Johnson City, TN (1373 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

33.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Keith (36 Years) 36 Yrs

Johnson City Specialty Average (15.0 Years) 15.0 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
92014 Established patient complete exam of visual system	151	151	$100.00	$98.75
99213 Established patient office or other outpatient visit, typically 15 minutes	103	73	$95.00	$83.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	67	$135.00	$117.82
92133 Imaging of optic nerve	69	49	$90.00	$32.12
92134 Imaging of retina	64	61	$90.00	$36.23
92083 Exam of visual field with extended testing	38	36	$90.00	$57.26
66984 Removal of cataract with insertion of lens	24	13	$210.00	$97.74
92012 Established patient problem focused exam of visual system	13	13	$95.00	$81.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	150	147	$95.67	$94.48
99213 Established patient office or other outpatient visit, typically 15 minutes	93	75	$91.34	$81.80
92134 Imaging of retina	75	66	$90.00	$36.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	62	$131.88	$117.07
92133 Imaging of optic nerve	57	46	$89.82	$32.48
92083 Exam of visual field with extended testing	40	37	$90.00	$57.06
92012 Established patient problem focused exam of visual system	21	21	$94.05	$82.04
92004 New patient complete exam of visual system	11	11	$102.73	$101.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	158	156	$75.00	$74.35
99213 Established patient office or other outpatient visit, typically 15 minutes	127	99	$75.00	$74.32
92134 Imaging of retina	77	69	$90.00	$37.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	71	$110.00	$109.07
92133 Imaging of optic nerve	50	44	$89.80	$32.93
92012 Established patient problem focused exam of visual system	33	33	$70.00	$69.29
92083 Exam of visual field with extended testing	33	33	$90.00	$57.91
66984 Removal of cataract with insertion of lens	16	11	$210.00	$98.64
92250 Photography of the retina	15	15	$90.00	$34.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	148	145	$75.00	$75.00
99213 Established patient office or other outpatient visit, typically 15 minutes	130	106	$75.00	$75.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	79	$110.00	$110.00
92134 Imaging of retina	85	72	$90.00	$38.22
92133 Imaging of optic nerve	58	51	$90.00	$33.22
92083 Exam of visual field with extended testing	41	41	$90.00	$58.87
92012 Established patient problem focused exam of visual system	30	29	$70.00	$70.00
66984 Removal of cataract with insertion of lens	26	17	$210.00	$100.05
92250 Photography of the retina	25	24	$90.00	$36.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	148	146	$75.00	$74.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	92	$110.00	$102.87
99213 Established patient office or other outpatient visit, typically 15 minutes	87	69	$75.00	$70.61
92134 Imaging of retina	65	57	$90.00	$38.18
92133 Imaging of optic nerve	57	52	$90.00	$33.67
92083 Exam of visual field with extended testing	38	37	$90.00	$59.05
92012 Established patient problem focused exam of visual system	22	22	$70.00	$69.85
92004 New patient complete exam of visual system	16	16	$80.00	$79.99
92250 Photography of the retina	13	13	$90.00	$42.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	199	15	$22.16	$12.12
92014 Established patient complete exam of visual system	158	157	$75.00	$73.84
99213 Established patient office or other outpatient visit, typically 15 minutes	119	93	$75.00	$69.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	97	$110.00	$102.09
92134 Imaging of retina	70	61	$90.00	$38.17
92133 Imaging of optic nerve	60	52	$90.00	$33.26
92083 Exam of visual field with extended testing	44	42	$90.00	$59.47
92012 Established patient problem focused exam of visual system	26	26	$70.00	$69.20
92250 Photography of the retina	19	19	$90.00	$46.97
92004 New patient complete exam of visual system	12	12	$80.00	$79.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	161	158	$75.00	$74.09
99213 Established patient office or other outpatient visit, typically 15 minutes	104	80	$75.00	$66.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	59	$110.00	$97.97
92133 Imaging of optic nerve	56	45	$90.00	$32.83
92134 Imaging of retina	53	43	$90.00	$37.48
92083 Exam of visual field with extended testing	40	39	$90.00	$57.83
92250 Photography of the retina	33	32	$90.00	$51.35
92012 Established patient problem focused exam of visual system	33	31	$70.00	$69.24
92004 New patient complete exam of visual system	20	20	$80.00	$79.25
66984 Removal of cataract with insertion of lens	20	15	$210.00	$109.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	183	181	$75.00	$73.12
99213 Established patient office or other outpatient visit, typically 15 minutes	91	68	$75.00	$64.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	45	$110.00	$94.22
92133 Imaging of optic nerve	47	36	$90.00	$31.39
92134 Imaging of retina	44	37	$90.00	$35.49
92083 Exam of visual field with extended testing	34	34	$90.00	$55.77
66984 Removal of cataract with insertion of lens	33	22	$210.00	$112.10
92012 Established patient problem focused exam of visual system	28	28	$70.00	$68.07
92250 Photography of the retina	27	27	$90.00	$56.70
92004 New patient complete exam of visual system	15	15	$80.00	$77.88

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TN T 1320

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

3597579 (TN)

Hospital & Practice Group Affiliations

Keith Family Vision Clinic

119 Boone Ridge Dr, Johnson City, TN 376154998

Phone: 42328373000

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Gregory Keith , OD

Optometrist

NPI 1952488314

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 119 BOONE RIDGE DR, SUITE 101, JOHNSON CITY, TN 376154998 (Tel: 4232837300)

📍

Updated Business Mailing Address July 08, 2007

Registered at 119 BOONE RIDGE DR, SUITE 101, JOHNSON CITY, TN 376154998 (Tel: 4232837300)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL KEITH, O.D.

🎓

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

Optometrist (License #T 1320 in TN)

🟢

Initial NPI Registration & Enumeration August 21, 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: 1063528446

Entity Type:

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

Enumeration Date: August 21, 2006

Last Update: July 08, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

119 Boone Ridge Dr, Suite 101

Johnson City, TN 376154998

Phone: 4232837300

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.