Active NPI 1962474643 Individual Practitioner Male Practitioner

Dr. James Dooner , MD

Ophthalmology • Austin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Dooner, MD is a certified Ophthalmology practicing in Austin, TX. With approximately 35 years of clinical experience since completing medical education in 1991, Dr. Dooner delivers high-quality medical care to the local community at 801 W 38TH ST.

Dr. Dooner is affiliated with Austin Retina Associates Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, faricimab-svoa, 0.1 mg, injection, avacincaptad pegol, 0.1 mg, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

801 W 38th St
Suite 200

Austin, TX 787051169

Telephone 5124510103

Fax 5124512741

Associated Practice Facility / Clinic

🏢 Austin Retina Associates Pllc Facility NPI 1114999828

Medicare Profile & Education

Medical School

Other

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Austin, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +11.0 yrs vs City Avg

City Avg: 24.0 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

116 Specialists

Practicing in Austin, TX (1616 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dooner (35 Years) 35 Yrs

Austin Specialty Average (24.0 Years) 24.0 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
J2777 Injection, faricimab-svoa, 0.1 mg	6,600	31	$84.00	$34.38
J2782 Injection, avacincaptad pegol, 0.1 mg	3,400	40	$250.00	$108.01
92134 Imaging of retina	2,271	857	$125.00	$39.20
J0178 Injection, aflibercept, 1 mg	2,246	261	$2000.00	$825.73
67028 Injection of drug into eye	1,602	438	$550.00	$130.79
Q5128 Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	1,464	80	$1000.00	$218.14
J2781 Injection, pegcetacoplan, intravitreal, 1 mg	915	30	$336.00	$141.52
J0177 Injection, aflibercept hd, 1 mg	888	29	$693.75	$332.44
99213 Established patient office or other outpatient visit, typically 15 minutes	585	382	$200.00	$93.23
92250 Photography of the retina	404	307	$95.00	$37.66
92235 Exam of retinal blood vessels using a special camera after injection of a dye	389	341	$270.00	$165.12
92014 Established patient complete exam of visual system	357	334	$265.14	$129.04
92004 New patient complete exam of visual system	144	144	$315.00	$153.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	111	$270.00	$129.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$350.00	$172.60
J9035 Injection, bevacizumab, 10 mg	83	34	$150.00	$71.35
92012 Established patient problem focused exam of visual system	59	57	$190.00	$90.80
J3590 Unclassified biologics	49	30	$5183.67	$2014.68
J3490 Unclassified drugs	30	18	$5550.00	$2660.54
76512 Ultrasound of eye disease, growth, or structure	27	22	$150.00	$47.51
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	24	22	$2310.00	$1182.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	3,660	11	$84.00	$36.55
J0178 Injection, aflibercept, 1 mg	2,782	268	$2000.00	$868.75
92134 Imaging of retina	2,208	765	$125.00	$39.46
67028 Injection of drug into eye	1,630	406	$550.00	$124.76
J2781 Injection, pegcetacoplan, intravitreal, 1 mg	795	31	$336.00	$151.06
Q5128 Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	617	46	$1000.00	$258.31
99213 Established patient office or other outpatient visit, typically 15 minutes	592	377	$200.00	$88.88
92250 Photography of the retina	409	297	$95.00	$36.29
92235 Exam of retinal blood vessels using a special camera after injection of a dye	373	314	$270.00	$135.39
J2778 Injection, ranibizumab, 0.1 mg	365	26	$800.00	$225.58
92014 Established patient complete exam of visual system	343	309	$265.00	$126.09
J9035 Injection, bevacizumab, 10 mg	208	67	$150.00	$68.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	196	167	$270.00	$125.56
92004 New patient complete exam of visual system	161	161	$315.00	$148.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$350.00	$163.18
J3490 Unclassified drugs	82	37	$5071.10	$2192.36
92012 Established patient problem focused exam of visual system	81	75	$190.00	$90.66
76512 Ultrasound of eye disease, growth, or structure	25	19	$150.00	$46.26
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	23	23	$2310.00	$1113.32
67036 Removal of eye fluid (vitreous) between the lens and retina	14	14	$1820.00	$719.51
67145 Photocoagulation treatment to prevent detachment of retina	13	11	$750.00	$239.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	3,170	289	$2000.00	$900.76
92134 Imaging of retina	2,477	880	$85.00	$39.59
67028 Injection of drug into eye	1,707	410	$550.00	$125.40
99213 Established patient office or other outpatient visit, typically 15 minutes	1,128	534	$125.00	$90.38
J2778 Injection, ranibizumab, 0.1 mg	858	32	$801.05	$273.62
92235 Exam of retinal blood vessels using a special camera after injection of a dye	552	447	$200.00	$126.29
92250 Photography of the retina	455	339	$95.00	$36.57
92014 Established patient complete exam of visual system	345	326	$200.00	$126.59
J9035 Injection, bevacizumab, 10 mg	294	99	$105.27	$68.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	249	213	$150.00	$127.33
92004 New patient complete exam of visual system	196	196	$200.00	$151.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$225.00	$163.99
76512 Ultrasound of eye disease, growth, or structure	44	37	$100.00	$45.09
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	36	35	$1550.00	$1159.98
92012 Established patient problem focused exam of visual system	33	32	$150.00	$89.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	3,050	292	$2000.00	$911.74
92134 Imaging of retina	2,255	829	$85.00	$41.00
67028 Injection of drug into eye	1,761	426	$550.00	$124.77
J2778 Injection, ranibizumab, 0.1 mg	1,105	36	$800.45	$300.51
92250 Photography of the retina	770	554	$95.00	$37.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	618	389	$150.00	$129.13
99213 Established patient office or other outpatient visit, typically 15 minutes	572	386	$125.00	$91.39
92235 Exam of retinal blood vessels using a special camera after injection of a dye	527	432	$200.00	$119.36
92014 Established patient complete exam of visual system	339	322	$200.00	$127.57
92012 Established patient problem focused exam of visual system	308	263	$150.00	$90.48
J7999 Compounded drug, not otherwise classified	256	93	$100.00	$84.67
92004 New patient complete exam of visual system	219	219	$200.00	$152.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$225.00	$166.62
J9035 Injection, bevacizumab, 10 mg	81	23	$100.00	$69.96
76512 Ultrasound of eye disease, growth, or structure	48	37	$100.00	$49.23
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	27	27	$1550.00	$1177.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$200.00	$181.14
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	12	11	$1800.00	$1335.50
66985 Insertion of prosthetic lens	11	11	$1000.00	$433.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$250.00	$222.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	3,116	310	$1996.79	$920.82
92134 Imaging of retina	2,141	758	$85.00	$40.68
67028 Injection of drug into eye	1,724	421	$550.00	$112.74
92012 Established patient problem focused exam of visual system	1,265	613	$149.41	$88.40
J2778 Injection, ranibizumab, 0.1 mg	1,229	59	$816.84	$329.67
92250 Photography of the retina	815	619	$95.11	$41.91
92014 Established patient complete exam of visual system	572	528	$199.37	$125.95
92235 Exam of retinal blood vessels using a special camera after injection of a dye	523	434	$200.00	$104.00
92004 New patient complete exam of visual system	259	259	$199.65	$150.25
J9035 Injection, bevacizumab, 10 mg	212	66	$100.00	$77.64
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	203	11	$257.15	$191.60
76512 Ultrasound of eye disease, growth, or structure	43	35	$100.00	$50.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$225.00	$164.87
J7999 Compounded drug, not otherwise classified	37	23	$100.00	$85.00
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	32	31	$1550.00	$1189.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	23	$150.00	$109.22
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	24	14	$500.00	$336.45
67036 Removal of eye fluid (vitreous) between the lens and retina	18	17	$1500.00	$904.63
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$125.00	$75.04
67108 Repair of detached retina and drainage of eye fluid between lens and retina	14	14	$1550.00	$1239.17
67145 Photocoagulation treatment to prevent detachment of retina	12	12	$770.42	$534.49
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	11	11	$1800.00	$1381.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$200.00	$147.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	3,059	295	$2001.52	$931.91
92134 Imaging of retina	2,534	861	$85.00	$40.56
67028 Injection of drug into eye	1,947	443	$554.72	$110.56
J2778 Injection, ranibizumab, 0.1 mg	1,706	68	$811.61	$349.16
92012 Established patient problem focused exam of visual system	1,438	668	$125.00	$87.24
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg	1,120	15	$6.25	$3.78
92250 Photography of the retina	893	695	$105.02	$45.73
92014 Established patient complete exam of visual system	696	641	$171.13	$124.81
92235 Exam of retinal blood vessels using a special camera after injection of a dye	622	518	$200.00	$89.81
J9035 Injection, bevacizumab, 10 mg	361	150	$100.00	$79.71
92004 New patient complete exam of visual system	343	343	$170.00	$148.85
76512 Ultrasound of eye disease, growth, or structure	62	46	$160.00	$57.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	40	$160.00	$107.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$225.00	$163.49
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	33	33	$3000.00	$1168.75
99213 Established patient office or other outpatient visit, typically 15 minutes	26	23	$110.00	$73.42
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	14	$40.00	$22.65
67036 Removal of eye fluid (vitreous) between the lens and retina	15	15	$2500.00	$830.97
92225 Examination of eye by ophthalmoscope with retinal drawing	12	12	$45.00	$27.52
92285 Photography of content of eyes	12	12	$65.00	$18.99
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	12	11	$1000.00	$315.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	2,557	841	$85.00	$40.54
J0178 Injection, aflibercept, 1 mg	2,434	210	$2000.00	$946.18
67028 Injection of drug into eye	1,986	427	$550.00	$108.85
J3396 Injection, verteporfin, 0.1 mg	1,950	13	$12.00	$10.70
J2778 Injection, ranibizumab, 0.1 mg	1,724	66	$814.62	$363.03
92012 Established patient problem focused exam of visual system	1,384	636	$125.00	$85.16
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg	1,160	17	$6.20	$3.67
92250 Photography of the retina	755	633	$104.99	$50.26
J9035 Injection, bevacizumab, 10 mg	718	190	$100.00	$76.31
92014 Established patient complete exam of visual system	618	605	$170.00	$123.27
92235 Exam of retinal blood vessels using a special camera after injection of a dye	591	513	$200.07	$83.79
92004 New patient complete exam of visual system	335	335	$170.01	$146.64
99213 Established patient office or other outpatient visit, typically 15 minutes	58	54	$110.00	$71.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	43	$160.00	$105.92
76512 Ultrasound of eye disease, growth, or structure	42	37	$160.00	$72.08
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	31	30	$3000.00	$1164.50
67145 Photocoagulation treatment to prevent detachment of retina	27	25	$1050.00	$458.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$229.63	$161.69
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	26	18	$4000.00	$1278.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$75.00	$43.08
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	22	13	$1000.00	$328.73
92225 Examination of eye by ophthalmoscope with retinal drawing	22	19	$45.00	$26.97
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	12	$40.00	$21.31
67036 Removal of eye fluid (vitreous) between the lens and retina	18	17	$2500.00	$719.21
67221 Destruction of vascular growth between retina and sclera	13	13	$735.00	$290.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	2,622	796	$85.00	$39.64
J3396 Injection, verteporfin, 0.1 mg	2,400	12	$12.00	$10.58
J0178 Injection, aflibercept, 1 mg	2,112	171	$2000.00	$953.27
67028 Injection of drug into eye	2,051	422	$550.27	$107.63
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg	1,560	23	$5.06	$3.74
J2778 Injection, ranibizumab, 0.1 mg	1,490	64	$818.12	$372.60
92012 Established patient problem focused exam of visual system	1,329	608	$125.00	$82.76
J9035 Injection, bevacizumab, 10 mg	935	218	$100.00	$72.10
92250 Photography of the retina	719	611	$104.97	$63.32
92235 Exam of retinal blood vessels using a special camera after injection of a dye	592	512	$200.07	$74.96
92014 Established patient complete exam of visual system	572	551	$169.74	$119.13
92004 New patient complete exam of visual system	327	327	$170.00	$143.95
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	266	12	$257.15	$187.17
99213 Established patient office or other outpatient visit, typically 15 minutes	134	118	$110.00	$70.29
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	84	12	$40.00	$1.78
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	58	35	$40.00	$19.60
76512 Ultrasound of eye disease, growth, or structure	48	41	$160.00	$85.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$160.00	$101.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$250.00	$160.76
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	22	15	$1000.00	$333.29
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	22	22	$3000.00	$1108.14
67145 Photocoagulation treatment to prevent detachment of retina	20	20	$1050.00	$519.48
67221 Destruction of vascular growth between retina and sclera	16	12	$735.00	$288.05
67036 Removal of eye fluid (vitreous) between the lens and retina	16	16	$2500.00	$818.72
92225 Examination of eye by ophthalmoscope with retinal drawing	15	15	$45.00	$26.39

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX K6568

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology - Retina Specialist

NUCC Taxonomy Code: 207WX0107X

State License TX K6568

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

042070501 (TX)

Commercial Insurance / Payer ID Railroad Medicare

180036047 (TX)

Commercial Insurance / Payer ID Bcbs Tx

84850S (TX)

Hospital & Practice Group Affiliations

Austin Retina Associates Pllc

801 W 38th St, Austin, TX 787051169

Phone: 5124510103

Practice Associates & Co-Workers

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

17 Associated Practitioners

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Ophthalmology

NPI 1043773187

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Dr. Philip Storey , MD

Ophthalmology

NPI 1053614453

Doctor of Medicine (M.D.)

Dr. Robert Wong , MD

Ophthalmology

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Doctor of Medicine (M.D.)

Dr. Peter Nixon , MD

Ophthalmology

NPI 1467438531

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active May 04, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 04, 2017

Registered at 801 W 38TH ST, SUITE 200, AUSTIN, TX 787051169 (Tel: 5124510103)

📍

Updated Business Mailing Address May 04, 2017

Registered at 801 W 38TH ST, SUITE 200, AUSTIN, TX 787051169 (Tel: 5124510103)

👤

Provider Name / Credentials Updated May 04, 2017

Recorded as JAMES DOONER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2017

Ophthalmology (License #K6568 in TX)

✅

NPI Profile Active November 18, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location November 18, 2009

Registered at 801 W 38TH ST, SUITE 200, AUSTIN, TX 787051169 (Tel: 5124510103)

📍

Updated Business Mailing Address November 18, 2009

Registered at 801 W 38TH ST, SUITE 200, AUSTIN, TX 787051169 (Tel: 5124510103)

👤

Provider Name / Credentials Updated November 18, 2009

Recorded as JAMES DOONER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2009

Ophthalmology (License #K6568 in TX)

🟢

Initial NPI Registration & Enumeration February 06, 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: 1962474643

Entity Type:

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

Enumeration Date: February 06, 2006

Last Update: May 04, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

801 W 38th St, Suite 200

Austin, TX 787051169

Phone: 5124510103

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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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.