Active NPI 1306805007 Individual Practitioner Male Practitioner

Dr. Darin R. Cummings , OD

Optometrist • Ephraim, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Darin Cummings, OD is a certified Optometrist practicing in Ephraim, UT. With approximately 26 years of clinical experience since graduating from Indiana University - School Of Optometry in 2000, Dr. Cummings delivers high-quality medical care to the local community at 43 E 450 N.

Dr. Cummings is affiliated with Eye Center Of Ephraim Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, imaging of 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

43 E 450 N

Ephraim, UT 846274027

Telephone 4352835555

Fax 4352838642

Associated Practice Facility / Clinic

🏢 Eye Center Of Ephraim, Llc Facility NPI 1457548216

Medicare Profile & Education

Medical School

Indiana University - School Of Optometry

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Ephraim, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +5.5 yrs vs City Avg

City Avg: 20.5 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Ephraim, UT (484 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cummings (26 Years) 26 Yrs

Ephraim Specialty Average (20.5 Years) 20.5 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
92014 Established patient complete exam of visual system	369	356	$155.00	$118.60
92134 Imaging of retina	307	245	$80.00	$37.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	168	137	$155.00	$121.89
99213 Established patient office or other outpatient visit, typically 15 minutes	107	70	$115.00	$86.39
92133 Imaging of optic nerve	89	77	$80.00	$33.95
92004 New patient complete exam of visual system	48	48	$180.00	$140.59
66984 Removal of cataract with insertion of lens	46	32	$240.00	$95.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	23	$95.00	$53.39
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	25	23	$170.00	$116.85
67820 Removal of eyelashes using forceps	22	16	$80.00	$20.28
92083 Exam of visual field with extended testing	19	14	$135.00	$58.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	341	336	$155.00	$119.62
92134 Imaging of retina	236	190	$80.00	$37.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	186	152	$155.00	$121.79
99213 Established patient office or other outpatient visit, typically 15 minutes	160	97	$115.00	$85.86
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	123	119	$170.00	$118.43
92133 Imaging of optic nerve	64	60	$80.00	$33.86
66984 Removal of cataract with insertion of lens	54	39	$240.00	$94.26
92004 New patient complete exam of visual system	41	41	$180.00	$142.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	27	$95.00	$53.58
92250 Photography of the retina	12	12	$125.00	$35.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	405	400	$155.00	$120.61
92134 Imaging of retina	237	201	$80.00	$38.63
99213 Established patient office or other outpatient visit, typically 15 minutes	181	113	$111.24	$86.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	124	$155.00	$122.98
92004 New patient complete exam of visual system	81	81	$180.00	$143.50
92133 Imaging of optic nerve	70	62	$80.00	$35.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	40	$95.00	$53.86
66984 Removal of cataract with insertion of lens	53	41	$240.00	$95.87
67820 Removal of eyelashes using forceps	21	17	$80.00	$17.99
92083 Exam of visual field with extended testing	17	15	$135.00	$59.08
92020 Examination of cornea and iris using lens device and slit lamp	17	16	$65.00	$26.90
92285 Photography of content of eyes	17	16	$60.00	$21.35
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$110.00	$69.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	430	425	$155.00	$122.43
92134 Imaging of retina	250	200	$80.00	$39.56
99213 Established patient office or other outpatient visit, typically 15 minutes	196	106	$105.00	$88.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	139	$155.00	$126.08
66984 Removal of cataract with insertion of lens	87	62	$240.00	$98.14
92004 New patient complete exam of visual system	86	86	$180.00	$145.73
92133 Imaging of optic nerve	68	62	$80.00	$35.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	14	$95.00	$54.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	363	346	$155.00	$123.21
99213 Established patient office or other outpatient visit, typically 15 minutes	181	104	$105.03	$73.71
92134 Imaging of retina	173	146	$80.00	$39.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	95	$155.00	$106.47
92133 Imaging of optic nerve	63	59	$80.00	$36.42
92004 New patient complete exam of visual system	59	59	$180.00	$147.06
66984 Removal of cataract with insertion of lens	56	38	$240.00	$99.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	15	$95.00	$44.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	503	483	$150.00	$122.18
92134 Imaging of retina	247	199	$75.00	$39.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	171	151	$150.00	$105.78
99213 Established patient office or other outpatient visit, typically 15 minutes	133	94	$100.00	$72.10
66984 Removal of cataract with insertion of lens	83	56	$240.00	$115.78
92004 New patient complete exam of visual system	82	82	$175.00	$146.20
92133 Imaging of optic nerve	66	62	$75.00	$35.76
92083 Exam of visual field with extended testing	21	21	$130.00	$61.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	13	$90.00	$43.49
92250 Photography of the retina	16	16	$120.00	$48.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	514	489	$150.00	$117.67
92134 Imaging of retina	251	203	$73.50	$37.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	131	$150.00	$100.70
99213 Established patient office or other outpatient visit, typically 15 minutes	150	92	$100.00	$68.85
66984 Removal of cataract with insertion of lens	85	57	$240.00	$112.64
92133 Imaging of optic nerve	77	73	$75.00	$34.45
92004 New patient complete exam of visual system	71	71	$175.00	$141.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	41	$90.00	$41.16
92250 Photography of the retina	42	41	$120.00	$52.92
92083 Exam of visual field with extended testing	38	35	$130.00	$58.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	396	390	$150.00	$115.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	129	$150.00	$100.97
92134 Imaging of retina	149	128	$75.00	$37.92
99213 Established patient office or other outpatient visit, typically 15 minutes	126	82	$100.00	$68.52
92004 New patient complete exam of visual system	90	90	$175.00	$138.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	86	50	$90.00	$40.76
66984 Removal of cataract with insertion of lens	70	51	$243.43	$113.98
92133 Imaging of optic nerve	64	60	$75.00	$34.68
92250 Photography of the retina	59	55	$120.00	$60.25
92083 Exam of visual field with extended testing	32	29	$130.00	$59.23

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License UT 2846438904

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 Select Health

107008974104 (UT)

Commercial Insurance / Payer ID Altius Health Plans

328071 (UT)

Commercial Insurance / Payer ID Pehp

59306 (UT)

Commercial Insurance / Payer ID Regence Bluecross/blue Sh

02846439903001 (UT)

Commercial Insurance / Payer ID United Healthcare

2004532

Commercial Insurance / Payer ID Deseret Mutual Benefit Ad

639164

Hospital & Practice Group Affiliations

Eye Center Of Ephraim Llc

43 E 450, Ephraim, UT 846274027

Phone: 4352835555

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Jacob Robison , OD

Optometrist

NPI 1780970582

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 January 19, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 19, 2012

Registered at 43 E 450 N, EPHRAIM, UT 846274027 (Tel: 4352835555)

📍

Updated Business Mailing Address January 19, 2012

Registered at 43 E 450 N, EPHRAIM, UT 846274027 (Tel: 4352835555)

👤

Provider Name / Credentials Updated January 19, 2012

Recorded as DARIN CUMMINGS, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2012

Optometrist (License #2846438904 in UT)

🟢

Initial NPI Registration & Enumeration March 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: 1306805007

Entity Type:

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

Enumeration Date: March 21, 2006

Last Update: January 19, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

43 E 450 N

Ephraim, UT 846274027

Phone: 4352835555

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.