Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083685101 Individual Practitioner Male Practitioner

Dr. James G Theurer , MD

Ophthalmology • Provo, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Theurer, MD is a certified Ophthalmology practicing in Provo, UT. With approximately 32 years of clinical experience since graduating from University Of Utah School Of Medicine in 1994, Dr. Theurer delivers high-quality medical care to the local community at 1735 N STATE ST.

Dr. Theurer is affiliated with Central Utah Eye Associates and accepts Medicare assignment.

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

1735 N State St

Provo, UT 846041010

Telephone 8013741818
Fax 8013792959
Associated Practice Facility / Clinic
🏢 Central Utah Eye Associates Facility NPI 1992722888

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Provo, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
32 Yrs +10.2 yrs vs City Avg
City Avg: 21.8 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
18 Specialists

Practicing in Provo, UT (211 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Theurer (32 Years) 32 Yrs
Provo 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
92014 Established patient complete exam of visual system
617 462 $385.00 $118.47
92250 Photography of the retina
231 224 $145.00 $34.81
99213 Established patient office or other outpatient visit, typically 15 minutes
209 129 $277.00 $86.50
92134 Imaging of retina
193 172 $154.00 $37.97
92012 Established patient problem focused exam of visual system
170 119 $273.00 $83.70
92133 Imaging of optic nerve
153 151 $154.00 $34.13
92083 Exam of visual field with extended testing
124 111 $260.00 $59.26
92004 New patient complete exam of visual system
39 39 $457.00 $140.87
92136 Measurement of corneal curvature and depth of eye
26 17 $170.00 $38.00
66984 Removal of cataract with insertion of lens
24 15 $1645.00 $508.54
66821 Removal of recurring cataract in lens capsule using a laser
18 15 $1019.00 $312.45
92020 Examination of cornea and iris using lens device and slit lamp
14 14 $85.00 $25.88

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License UT 983624541205

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare
180041850 (UT)
Commercial Insurance / Payer ID Aetna
5557665 (UT)
Commercial Insurance / Payer ID Cigna
8064710002 (UT)
Commercial Insurance / Payer ID Pgba
87028357684604A001 (UT)
Commercial Insurance / Payer ID United Healthcare
0800084 (UT)
Commercial Insurance / Payer ID Tricare
87028357684604A001 (UT)
Commercial Insurance / Payer ID Emia
870283576TH1 (UT)
Commercial Insurance / Payer ID Dmba
345610 (UT)
Commercial Insurance / Payer ID Affordable
1182764 (UT)
Commercial Insurance / Payer ID Select Health
107008469102 (UT)

Hospital & Practice Group Affiliations

Central Utah Eye Associates

1735 N State St, Provo, UT 846041010

Phone: 8013741818

Practice Associates & Co-Workers

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

15 Associated Practitioners
Dr. Jonathan Gunther , MD

Ophthalmology - Retina Specialist

NPI 1023073459

Doctor of Medicine (M.D.)

NPI 1063483071

Doctor of Medicine (M.D.)

NPI 1114991429

Doctor of Medicine (M.D.)

NPI 1134674278

Doctor of Medicine (M.D.)

NPI 1255727905

Doctor of Medicine (M.D.)

Dr. Justin Wilkinson , MD

Ophthalmology - Cornea and External Diseases Specialist

NPI 1396937074

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 16, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 16, 2011

Registered at 1735 N STATE ST, PROVO, UT 846041010 (Tel: 8013741818)

📍
Updated Business Mailing Address September 16, 2011

Registered at 120 S 1025 E, LINDON, UT 840422134 (Tel: 8013623151)

👤
Provider Name / Credentials Updated September 16, 2011

Recorded as JAMES THEURER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2011

Ophthalmology (License #983624541205 in UT)

🟢
Initial NPI Registration & Enumeration January 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. James Theurer. Be the first to share your experience!

Sign in to leave a review for Dr. James Theurer

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1083685101
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2006
Last Update: September 16, 2011
Sole Proprietor: No

Mailing Address

120 S 1025 E

Lindon, UT 840422134

Phone: 8013623151

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.