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Deactivated NPI 1770577058 Deactivated / Inactive NPI Male Practitioner

Dr. Roger M Pickering , OD

Optometrist • Lehi, UT

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Roger Pickering has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 01, 2005
NPI Deactivation Date March 24, 2006
Total Practice Duration ~6 Years of Practice (2000 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Roger Pickering, OD was a registered Optometrist in Lehi, UT. Prior to record deactivation on 2006-03-24, Dr. Pickering completed approximately 6 years of clinical practice following graduation from Ohio State University - College Of Optometry in 2000.

Dr. Pickering accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient complete exam of visual system, photography of the retina, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

159 E Main St
Suite F

Lehi, UT 840432288

Telephone 8017661696
Fax 8017661822
Associated Practice Facility / Clinic
🏢 Lehi Vision Care Facility NPI 1033381496

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Lehi, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +11.7 yrs vs City Avg
City Avg: 14.3 Yrs
State Avg: 19.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Lehi, UT (484 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
17.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pickering (26 Years) 26 Yrs
Lehi Specialty Average (14.3 Years) 14.3 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
37 37 $149.00 $118.31
92250 Photography of the retina
34 28 $80.00 $34.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
31 17 $120.00 $118.37
92004 New patient complete exam of visual system
11 11 $149.00 $140.52

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License UT 4776849-9934

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 Altius Health Plans
290672
Commercial Insurance / Payer ID Blue Cross Blue Shield
47768499900001 (UT)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location April 20, 2008

Registered at 159 E MAIN ST, SUITE F, LEHI, UT 840432288 (Tel: 8017661696)

📍
Updated Business Mailing Address April 20, 2008

Registered at 159 E MAIN ST, SUITE F, LEHI, UT 840432288 (Tel: 8017661696)

👤
Provider Name / Credentials Updated April 20, 2008

Recorded as ROGER PICKERING, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2008

Optometrist (License #4776849-9934 in UT)

🔄
NPI Profile Reactivated April 06, 2006

Record officially reactivated for active practice on April 06, 2006

⚠️
NPI Profile Deactivated March 24, 2006

Record deactivated on March 24, 2006

🟢
Initial NPI Registration & Enumeration September 01, 2005

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: 1770577058
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2005
Last Update: April 20, 2008
Deactivation Date: March 24, 2006
Sole Proprietor: No

Mailing Address

159 E Main St, Suite F

Lehi, UT 840432288

Phone: 8017661696

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.