Active NPI 1003917030 Individual Practitioner Male Practitioner

Dr. Edward L Grimes , OD

Optometrist • San Angelo, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Edward Grimes, OD is a certified Optometrist practicing in San Angelo, TX. With approximately 41 years of clinical experience since graduating from University Of Houston - College Of Optometry in 1985, Dr. Grimes delivers high-quality medical care to the local community at 4450 SUNSET DR.

Dr. Grimes is affiliated with Angelo Eye Associates Pa and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

4450 Sunset Dr

San Angelo, TX 769015611

Telephone 3254812286

Fax 3254812028

Associated Practice Facility / Clinic

🏢 Shannon Clinic Facility NPI 1770587149

Medicare Profile & Education

Medical School

University Of Houston - College Of Optometry

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in San Angelo, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +17.5 yrs vs City Avg

City Avg: 23.5 Yrs

State Avg: 19.5 Yrs

Regional Practice Density

14 Specialists

Practicing in San Angelo, TX (5156 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Grimes (41 Years) 41 Yrs

San Angelo Specialty Average (23.5 Years) 23.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes	454	444	$176.00	$91.19
92014 Established patient complete exam of visual system	132	132	$263.00	$121.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	117	95	$110.00	$56.53
92004 New patient complete exam of visual system	90	90	$316.00	$147.09
92133 Imaging of optic nerve	51	37	$129.00	$36.09
92134 Imaging of retina	21	19	$129.00	$40.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	497	495	$263.00	$121.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	129	100	$89.70	$54.79
92004 New patient complete exam of visual system	121	121	$316.00	$145.55
99213 Established patient office or other outpatient visit, typically 15 minutes	71	60	$149.63	$87.68
92133 Imaging of optic nerve	63	46	$129.00	$35.59
92134 Imaging of retina	26	25	$129.00	$39.08
92012 Established patient problem focused exam of visual system	12	12	$182.00	$87.16
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$142.45	$70.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	486	485	$263.00	$122.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	123	97	$83.00	$54.88
92004 New patient complete exam of visual system	112	112	$316.00	$143.22
99213 Established patient office or other outpatient visit, typically 15 minutes	53	53	$140.00	$88.43
92133 Imaging of optic nerve	51	37	$129.00	$35.99
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$143.00	$70.81
92012 Established patient problem focused exam of visual system	16	16	$182.00	$87.24
92134 Imaging of retina	15	15	$129.00	$37.45
92002 New patient problem focused exam of visual system	13	13	$173.00	$84.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	525	524	$263.00	$124.11
92004 New patient complete exam of visual system	129	129	$316.00	$148.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	81	$83.00	$55.18
92133 Imaging of optic nerve	66	50	$129.00	$36.63
99213 Established patient office or other outpatient visit, typically 15 minutes	58	56	$140.00	$89.62
92134 Imaging of retina	23	23	$129.00	$40.40
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$143.00	$71.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	521	519	$263.00	$123.46
92004 New patient complete exam of visual system	176	176	$316.00	$148.32
99213 Established patient office or other outpatient visit, typically 15 minutes	135	108	$140.00	$73.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	67	$83.00	$44.63
92133 Imaging of optic nerve	65	48	$129.00	$36.80
92134 Imaging of retina	25	24	$129.00	$40.32
92012 Established patient problem focused exam of visual system	25	25	$182.00	$87.51
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$143.00	$74.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	411	411	$263.00	$121.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	230	230	$207.00	$104.92
99213 Established patient office or other outpatient visit, typically 15 minutes	194	149	$140.00	$71.93
92004 New patient complete exam of visual system	133	133	$316.00	$145.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$207.00	$105.09
92133 Imaging of optic nerve	67	46	$129.00	$36.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	59	$83.00	$42.89
92134 Imaging of retina	45	45	$129.00	$39.01
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$143.00	$74.04
92083 Exam of visual field with extended testing	14	12	$161.00	$61.79
68761 Closure of tear duct opening using plug	14	14	$922.29	$193.83
92012 Established patient problem focused exam of visual system	12	12	$182.00	$85.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	656	641	$140.00	$67.93
99202 New patient office or other outpatient visit, typically 20 minutes	211	211	$143.00	$70.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	199	149	$83.00	$40.83
92133 Imaging of optic nerve	68	48	$129.00	$35.36
92134 Imaging of retina	29	29	$129.00	$38.99
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	18	$38.00	$19.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$207.00	$100.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	514	509	$85.27	$80.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	227	157	$50.69	$40.97
92002 New patient problem focused exam of visual system	218	218	$80.94	$77.44
99213 Established patient office or other outpatient visit, typically 15 minutes	150	150	$139.08	$69.77
92133 Imaging of optic nerve	89	65	$55.16	$35.68
92134 Imaging of retina	83	79	$50.49	$39.11
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$130.82	$69.48
76514 Ultrasound scan of cornea to determine thickness	13	13	$28.82	$13.71

Medical Specialties & State Licenses

CMS Verified: 2025-07-08

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 3472TG

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

Commercial Insurance / Payer ID Bcbs

82781Q (TX)

Hospital & Practice Group Affiliations

Angelo Eye Associates Pa

1721 Kickerbocker Rd, San Angelo, TX 769045521

Phone: 3259448531

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Shun Lui , MD

Ophthalmology

NPI 1093799330

Doctor of Medicine (M.D.)

Dr. Jessica Sumrall , OD

Optometrist

NPI 1568869881

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 13, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location September 13, 2010

Registered at 4450 SUNSET DR, SAN ANGELO, TX 769015611 (Tel: 3254812286)

📍

Updated Business Mailing Address September 13, 2010

Registered at PO BOX 22000, SAN ANGELO, TX 769027200 (Tel: 3256581511)

👤

Provider Name / Credentials Updated September 13, 2010

Recorded as EDWARD GRIMES, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2010

Optometrist (License #3472TG in TX)

🟢

Initial NPI Registration & Enumeration September 25, 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: 1003917030

Entity Type:

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

Enumeration Date: September 25, 2006

Last Update: July 08, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 22000

San Angelo, TX 769027200

Phone: 3256581511

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.