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Active NPI 1740594159 Individual Practitioner Male Practitioner

Dr. John Magnus Ketcher , OD

Optometrist • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Ketcher, OD is a certified Optometrist practicing in Tyler, TX. With approximately 16 years of clinical experience since graduating from Southern College Of Optometry in 2010, Dr. Ketcher delivers high-quality medical care to the local community at 1424 E FRONT ST.

Dr. Ketcher is affiliated with Christus Trinity Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, 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

1424 E Front St

Tyler, TX 75702

Telephone 9035954144
Associated Practice Facility / Clinic
🏢 Dehaven Eye Clinic Pa Facility NPI 1225037955

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Tyler, TX

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs -5.8 yrs vs City Avg
City Avg: 21.8 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
40 Specialists

Practicing in Tyler, TX (5156 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ketcher (16 Years) 16 Yrs
Tyler Specialty Average (21.8 Years) 21.8 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
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
256 208 $22.06 $16.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
185 133 $289.00 $124.91
92004 New patient complete exam of visual system
164 164 $339.00 $144.36
92014 Established patient complete exam of visual system
128 122 $286.00 $121.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
107 107 $375.00 $163.71
92134 Imaging of retina
65 57 $91.00 $39.25
92133 Imaging of optic nerve
29 26 $83.00 $35.31
68761 Closure of tear duct opening using plug
23 12 $770.87 $208.78
92083 Exam of visual field with extended testing
21 20 $141.00 $61.41

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 9394

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License AZ 2022

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License VA 0618002629

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
393764101 (TX)
Commercial Insurance / Payer ID Medicare Rail Road
P02184376 (TX)

Hospital & Practice Group Affiliations

Christus Trinity Clinic

800 E Dawson St, Tyler, TX 757012036

Phone: 9035101186

Secondary Practice Locations

1424 E Front St

Tyler, TX 75702

Phone: 9035954144

Practice Associates & Co-Workers

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

10 Associated Practitioners
Glenda Sealey , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023017290

Certified Registered Nurse Anesthetist

NPI 1144608415

Doctor of Optometry

NPI 1245238898

Doctor of Medicine (M.D.)

NPI 1477550184

Doctor of Medicine (M.D.)

NPI 1497752109

Doctor of Optometry

George Oneal , CRNA

Nurse Anesthetist, Certified Registered

NPI 1548260607

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

17 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2019

Optometrist (License #2022 in AZ)

📍
Updated Practice Location April 01, 2019

Registered at 1424 E FRONT ST, TYLER, TX 75702 (Tel: 9035954144)

📍
Updated Business Mailing Address April 01, 2019

Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9033246400)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2019

Optometrist (License #9394 in TX)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Optometrist (License #2022 in AZ)

NPI Profile Active January 25, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 25, 2018

Registered at 400 WESTHAMPTON STA, RICHMOND, VA 232263330 (Tel: 8042874200)

📍
Updated Business Mailing Address January 25, 2018

Registered at 400 WESTHAMPTON STA, RICHMOND, VA 232263330 (Tel: 8042874200)

👤
Provider Name / Credentials Updated January 25, 2018

Recorded as JOHN KETCHER, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2018

Optometrist (License #0618002629 in VA)

📍
Updated Business Mailing Address August 30, 2017

Registered at 1001 WALNUT ST, EVANSVILLE, IN 477131963 (Tel: 8124212020)

NPI Profile Active April 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 06, 2016

Registered at 2510 E HUNT HWY STE 26, SAN TAN VALLEY, AZ 851435208 (Tel: 9013384153)

📍
Updated Business Mailing Address April 06, 2016

Registered at 2510 E HUNT HWY STE 26, SAN TAN VALLEY, AZ 851435208 (Tel: 9013384153)

👤
Provider Name / Credentials Updated April 06, 2016

Recorded as JOHN KETCHER, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2016

Optometrist (License #2022 in AZ)

🟢
Initial NPI Registration & Enumeration July 28, 2010

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: 1740594159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2010
Last Update: May 17, 2019
Sole Proprietor: No

Mailing Address

Po Box 846098

Dallas, TX 752846098

Phone: 9033246400

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.