Active NPI 1407881725 Individual Practitioner Male Practitioner

Dr. Keith Edward Whaley , OD

Optometrist • Pigeon Forge, TN

Professional Overview & Biography Verified Profile Summary

Dr. Keith Whaley, OD is a registered healthcare professional specializing in Optometrist in Pigeon Forge, TN. Practice services are available at 2541 SAND PIKE BLVD under active NPI credentials.

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

2541 Sand Pike Blvd

Pigeon Forge, TN 378636205

Telephone 8654280959

Fax 8654290923

Associated Practice Facility / Clinic

🏢 Keith E. Whaley O.d. Facility NPI 1467617670

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Pigeon Forge, TN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 6.0 Yrs

State Avg: 22.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Pigeon Forge, TN (1373 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

36.1% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	126	126	$135.00	$115.02
92250 Photography of the retina	105	104	$87.00	$33.60
99213 Established patient office or other outpatient visit, typically 15 minutes	44	42	$120.00	$83.41
92133 Imaging of optic nerve	23	22	$65.00	$33.17
92134 Imaging of retina	15	15	$65.00	$36.89
92083 Exam of visual field with extended testing	11	11	$90.00	$57.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	270	270	$135.00	$116.69
92250 Photography of the retina	194	192	$87.00	$34.33
99213 Established patient office or other outpatient visit, typically 15 minutes	78	70	$120.00	$83.46
92134 Imaging of retina	37	37	$65.00	$37.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	24	$160.00	$118.20
92083 Exam of visual field with extended testing	24	22	$90.00	$57.15
92133 Imaging of optic nerve	21	21	$65.00	$33.73
66984 Removal of cataract with insertion of lens	20	15	$200.00	$96.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	278	277	$135.00	$117.99
92250 Photography of the retina	207	205	$87.00	$34.52
99213 Established patient office or other outpatient visit, typically 15 minutes	91	73	$71.10	$69.64
92134 Imaging of retina	43	39	$65.00	$37.61
92083 Exam of visual field with extended testing	29	28	$85.17	$57.85
92133 Imaging of optic nerve	28	28	$65.00	$34.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$100.42	$96.39
92004 New patient complete exam of visual system	12	12	$155.00	$140.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	328	326	$135.00	$119.19
92250 Photography of the retina	309	297	$87.00	$36.70
99213 Established patient office or other outpatient visit, typically 15 minutes	187	136	$70.00	$70.00
92004 New patient complete exam of visual system	48	48	$155.00	$142.18
92134 Imaging of retina	40	36	$65.00	$38.45
92133 Imaging of optic nerve	36	35	$65.00	$34.84
92083 Exam of visual field with extended testing	33	32	$85.00	$58.87
66984 Removal of cataract with insertion of lens	30	18	$200.00	$99.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$92.00	$92.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	344	343	$135.00	$119.28
92250 Photography of the retina	288	283	$87.00	$42.23
99213 Established patient office or other outpatient visit, typically 15 minutes	147	108	$70.00	$69.88
66984 Removal of cataract with insertion of lens	46	27	$200.00	$100.04
92083 Exam of visual field with extended testing	42	41	$85.00	$59.02
92004 New patient complete exam of visual system	40	40	$155.00	$142.89
92133 Imaging of optic nerve	34	34	$65.00	$34.71
92134 Imaging of retina	33	33	$65.00	$38.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$95.00	$94.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	378	376	$135.00	$115.61
92250 Photography of the retina	288	283	$87.00	$45.55
99213 Established patient office or other outpatient visit, typically 15 minutes	170	127	$70.00	$67.27
92134 Imaging of retina	55	54	$65.00	$37.62
66984 Removal of cataract with insertion of lens	49	32	$200.00	$112.86
92133 Imaging of optic nerve	46	45	$65.00	$33.78
92083 Exam of visual field with extended testing	42	42	$85.00	$57.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	36	$95.00	$91.16
92004 New patient complete exam of visual system	27	27	$155.00	$138.58
92012 Established patient problem focused exam of visual system	15	12	$100.00	$79.64
92082 Exam of visual field with intermediate testing	14	14	$65.00	$43.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	468	467	$135.00	$111.91
92250 Photography of the retina	202	199	$87.00	$49.84
99213 Established patient office or other outpatient visit, typically 15 minutes	199	143	$70.00	$64.59
92134 Imaging of retina	64	54	$65.00	$36.80
66984 Removal of cataract with insertion of lens	52	30	$200.00	$111.94
92083 Exam of visual field with extended testing	50	49	$85.00	$56.39
92004 New patient complete exam of visual system	36	36	$155.00	$134.31
92133 Imaging of optic nerve	35	35	$65.00	$33.41
92012 Established patient problem focused exam of visual system	27	21	$100.00	$77.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$95.00	$92.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	465	461	$135.00	$108.40
99213 Established patient office or other outpatient visit, typically 15 minutes	221	153	$70.00	$63.89
92250 Photography of the retina	125	123	$87.00	$56.52
92134 Imaging of retina	72	69	$65.00	$35.88
66984 Removal of cataract with insertion of lens	55	32	$200.00	$112.06
92133 Imaging of optic nerve	44	42	$65.00	$32.65
92083 Exam of visual field with extended testing	42	40	$85.00	$55.58
92004 New patient complete exam of visual system	28	28	$155.00	$130.78
92020 Examination of cornea and iris using lens device and slit lamp	23	23	$40.00	$23.77
92012 Established patient problem focused exam of visual system	18	11	$100.00	$74.20

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TN OD1729

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

3940567 (TN)

Commercial Insurance / Payer ID Champva

621651733 (TN)

Commercial Insurance / Payer ID United Healthcare

621651733 (TN)

Commercial Insurance / Payer ID Cariten

621651733 (TN)

Commercial Insurance / Payer ID Cigna Healthcare

621651733 (TN)

Commercial Insurance / Payer ID Humana

621651733 (TN)

Commercial Insurance / Payer ID John Deere Healthcare

621651733 (TN)

Commercial Insurance / Payer ID Bcbs

3041669 (TN)

Commercial Insurance / Payer ID Tricare For Life

621651733 (TN)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Darion Horner , OD

Optometrist

NPI 1174139604

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 03, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 03, 2012

Registered at 2541 SAND PIKE BLVD, PIGEON FORGE, TN 378636205 (Tel: 8654280959)

📍

Updated Business Mailing Address May 03, 2012

Registered at 2541 SAND PIKE BLVD, PIGEON FORGE, TN 378636205 (Tel: 8654280959)

👤

Provider Name / Credentials Updated May 03, 2012

Recorded as KEITH WHALEY, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2012

Optometrist (License #OD1729 in TN)

🟢

Initial NPI Registration & Enumeration July 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: 1407881725

Entity Type:

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

Enumeration Date: July 12, 2006

Last Update: May 03, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2541 Sand Pike Blvd

Pigeon Forge, TN 378636205

Phone: 8654280959

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.