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Active NPI 1861487050 Individual Practitioner Male Practitioner

Dr. Scott H Kowallis , OD

Optometrist • Roosevelt, UT

Professional Overview & Biography Verified Profile Summary

Dr. Scott Kowallis, OD is a registered healthcare professional specializing in Optometrist in Roosevelt, UT. Practice services are available at 165 W 200 N under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

165 W 200 N
71-7

Roosevelt, UT 840662834

Telephone 4357222981
Fax 4357223732
Associated Practice Facility / Clinic
🏢 Roosevelt Vision Clinic, Pc Facility NPI 1710973052

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Roosevelt, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.5 Yrs
State Avg: 19.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Roosevelt, UT (484 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
46.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
170 167 $148.77 $119.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
145 70 $158.01 $102.70
92250 Photography of the retina
86 81 $232.26 $53.38
92134 Imaging of retina
42 25 $142.00 $39.35
92004 New patient complete exam of visual system
35 35 $179.16 $143.28
99213 Established patient office or other outpatient visit, typically 15 minutes
28 13 $108.00 $69.36
66984 Removal of cataract with insertion of lens
14 12 $250.00 $121.77

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License UT 111999-9934

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 Va
00437
Commercial Insurance / Payer ID Ihc
107009195101
Commercial Insurance / Payer ID Mba
123252
Commercial Insurance / Payer ID Educator's Mutual
870444057K02
Commercial Insurance / Payer ID Eyemed
UT1999
Commercial Insurance / Payer ID Pehp
12466
Commercial Insurance / Payer ID Medicare Legacy Number
000009840 (UT)
Commercial Insurance / Payer ID Bcbs
87041538400001 (UT)
Commercial Insurance / Payer ID Ntca
87041538400001
Commercial Insurance / Payer ID Opticare
1015 (UT)

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1760477731

Doctor of Optometry

NPI 1780508606

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 June 18, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2008

Registered at 165 W 200 N, 71-7, ROOSEVELT, UT 840662834 (Tel: 4357222981)

📍
Updated Business Mailing Address June 18, 2008

Registered at 165 W 200 N, 71-7, ROOSEVELT, UT 840662834 (Tel: 4357222981)

👤
Provider Name / Credentials Updated June 18, 2008

Recorded as SCOTT KOWALLIS, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2008

Optometrist (License #111999-9934 in UT)

🟢
Initial NPI Registration & Enumeration September 14, 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: 1861487050
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2005
Last Update: June 18, 2008
Sole Proprietor: No

Mailing Address

165 W 200 N, 71-7

Roosevelt, UT 840662834

Phone: 4357222981

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.