Active NPI 1255302287 Individual Practitioner Male Practitioner

Dr. Jonathan Daniel Paul , MD

Ophthalmology • Burlington, VT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Paul, MD is a certified Ophthalmology practicing in Burlington, VT. With approximately 22 years of clinical experience since graduating from Boston University School Of Medicine in 2004, Dr. Paul delivers high-quality medical care to the local community at 111 COLCHESTER AVE.

Dr. Paul is affiliated with University Of Vermont Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of optic nerve, removal of cataract with insertion of lens. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

111 Colchester Ave

Burlington, VT 05401

Telephone 8028473843

Fax 8028471481

Associated Practice Facility / Clinic

🏢 University Of Vermont Medical Center Inc Facility NPI 1568419976

Medicare Profile & Education

Medical School

Boston University School Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Burlington, VT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -1.6 yrs vs City Avg

City Avg: 23.6 Yrs

State Avg: 23.9 Yrs

Regional Practice Density

11 Specialists

Practicing in Burlington, VT (57 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Paul (22 Years) 22 Yrs

Burlington Specialty Average (23.6 Years) 23.6 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
99213 Established patient office or other outpatient visit, typically 15 minutes	556	447	$70.93	$62.49
92133 Imaging of optic nerve	259	243	$23.45	$20.41
66984 Removal of cataract with insertion of lens	153	92	$2437.22	$515.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	137	$105.01	$92.17
92082 Exam of visual field with intermediate testing	132	126	$22.36	$19.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$90.70	$77.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$140.78	$125.91
66821 Removal of recurring cataract in lens capsule using a laser	47	35	$1485.21	$298.73
92083 Exam of visual field with extended testing	47	46	$28.91	$25.62
92134 Imaging of retina	46	43	$27.22	$23.68
92136 Measurement of corneal curvature and depth of eye	45	45	$32.60	$28.93
92020 Examination of cornea and iris using lens device and slit lamp	28	28	$22.57	$19.38
65855 Laser repair to improve eye fluid flow	23	19	$1084.96	$195.04
66982 Complex removal of cataract with insertion of prosthetic lens	18	17	$3347.22	$704.07
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	18	12	$1343.67	$225.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	561	451	$72.43	$63.61
92133 Imaging of optic nerve	206	200	$24.00	$20.88
66984 Removal of cataract with insertion of lens	159	97	$2746.31	$523.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	138	126	$106.61	$93.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	104	104	$90.38	$79.29
92083 Exam of visual field with extended testing	103	98	$30.00	$26.24
92082 Exam of visual field with intermediate testing	64	63	$23.00	$20.21
92136 Measurement of corneal curvature and depth of eye	62	61	$33.82	$29.53
92134 Imaging of retina	48	47	$28.00	$24.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$144.95	$128.03
92020 Examination of cornea and iris using lens device and slit lamp	32	31	$23.00	$19.88
66982 Complex removal of cataract with insertion of prosthetic lens	25	17	$3824.44	$717.14
66821 Removal of recurring cataract in lens capsule using a laser	25	20	$1653.80	$302.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	461	357	$75.37	$65.38
92133 Imaging of optic nerve	197	189	$25.05	$21.44
92083 Exam of visual field with extended testing	127	120	$30.36	$26.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	112	$109.93	$96.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$94.55	$81.14
66984 Removal of cataract with insertion of lens	98	64	$2607.42	$520.13
92136 Measurement of corneal curvature and depth of eye	55	52	$34.29	$29.98
92020 Examination of cornea and iris using lens device and slit lamp	51	50	$23.25	$20.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$149.25	$131.91
92134 Imaging of retina	36	36	$28.29	$24.92
92082 Exam of visual field with intermediate testing	32	29	$24.03	$20.46
66821 Removal of recurring cataract in lens capsule using a laser	27	21	$1633.25	$305.54
92012 Established patient problem focused exam of visual system	26	26	$56.96	$49.89
66982 Complex removal of cataract with insertion of prosthetic lens	20	16	$3607.64	$727.64
76514 Ultrasound scan of cornea to determine thickness	15	15	$9.14	$7.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	204	200	$88.00	$77.09
92133 Imaging of optic nerve	198	193	$25.00	$21.84
99213 Established patient office or other outpatient visit, typically 15 minutes	182	172	$68.62	$64.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	152	$97.77	$94.18
92083 Exam of visual field with extended testing	123	114	$30.78	$27.08
66984 Removal of cataract with insertion of lens	110	68	$2293.65	$524.63
92012 Established patient problem focused exam of visual system	99	88	$58.00	$51.06
92020 Examination of cornea and iris using lens device and slit lamp	75	69	$23.76	$20.43
92004 New patient complete exam of visual system	59	59	$109.00	$95.93
92136 Measurement of corneal curvature and depth of eye	55	47	$34.78	$30.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$86.83	$82.03
92134 Imaging of retina	27	27	$28.70	$25.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$143.78	$133.56
76514 Ultrasound scan of cornea to determine thickness	26	26	$9.00	$7.88
92082 Exam of visual field with intermediate testing	25	25	$24.00	$21.14
66982 Complex removal of cataract with insertion of prosthetic lens	22	16	$3194.18	$740.14
66821 Removal of recurring cataract in lens capsule using a laser	20	17	$1416.50	$311.51
65855 Laser repair to improve eye fluid flow	16	12	$1025.50	$203.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	297	281	$88.77	$79.86
92133 Imaging of optic nerve	199	197	$25.00	$22.61
92004 New patient complete exam of visual system	164	164	$110.45	$99.38
92012 Established patient problem focused exam of visual system	148	117	$58.73	$52.66
66984 Removal of cataract with insertion of lens	108	64	$2409.96	$544.62
92083 Exam of visual field with extended testing	91	90	$31.63	$28.05
92020 Examination of cornea and iris using lens device and slit lamp	81	77	$24.00	$21.15
76514 Ultrasound scan of cornea to determine thickness	55	55	$9.78	$8.16
92136 Measurement of corneal curvature and depth of eye	37	32	$35.78	$31.67
66821 Removal of recurring cataract in lens capsule using a laser	29	23	$1294.48	$314.47
92014 Established patient complete exam of visual system	22	22	$119.00	$76.19
92082 Exam of visual field with intermediate testing	22	22	$24.82	$21.88
65855 Laser repair to improve eye fluid flow	21	15	$966.86	$208.81
92004 New patient complete exam of visual system	21	21	$148.33	$103.83
92012 Established patient problem focused exam of visual system	18	17	$71.83	$54.53
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	16	11	$1179.00	$238.28
92134 Imaging of retina	15	15	$29.00	$25.88
92133 Imaging of optic nerve	14	14	$33.93	$22.26
66982 Complex removal of cataract with insertion of prosthetic lens	14	11	$3073.00	$754.85
92020 Examination of cornea and iris using lens device and slit lamp	13	13	$29.08	$20.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$87.00	$78.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	291	261	$88.24	$79.52
92012 Established patient problem focused exam of visual system	259	167	$59.00	$52.64
92004 New patient complete exam of visual system	165	165	$110.24	$99.40
92020 Examination of cornea and iris using lens device and slit lamp	144	129	$24.00	$21.30
92133 Imaging of optic nerve	133	125	$25.00	$22.37
92083 Exam of visual field with extended testing	103	95	$31.19	$28.11
66984 Removal of cataract with insertion of lens	95	61	$2578.52	$615.18
76514 Ultrasound scan of cornea to determine thickness	63	63	$10.90	$8.08
65855 Laser repair to improve eye fluid flow	46	31	$1001.74	$208.24
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	36	23	$1184.94	$237.02
92004 New patient complete exam of visual system	27	27	$110.89	$99.38
92014 Established patient complete exam of visual system	22	22	$133.86	$76.58
92134 Imaging of retina	18	18	$29.00	$25.93
66982 Complex removal of cataract with insertion of prosthetic lens	17	13	$3231.65	$795.07
92012 Established patient problem focused exam of visual system	16	15	$73.44	$52.33
92002 New patient problem focused exam of visual system	14	14	$69.00	$48.13
92020 Examination of cornea and iris using lens device and slit lamp	14	14	$28.71	$20.82
92082 Exam of visual field with intermediate testing	11	11	$25.00	$21.71
92133 Imaging of optic nerve	11	11	$36.36	$23.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92133 Imaging of optic nerve	45	45	$25.00	$22.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$86.00	$77.58
92020 Examination of cornea and iris using lens device and slit lamp	28	28	$24.00	$21.22
92083 Exam of visual field with extended testing	19	19	$31.00	$27.99
92014 Established patient complete exam of visual system	18	18	$88.00	$79.62
92012 Established patient problem focused exam of visual system	17	17	$59.00	$52.85
92136 Measurement of corneal curvature and depth of eye	14	14	$35.00	$31.57
76514 Ultrasound scan of cornea to determine thickness	14	14	$11.00	$9.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$83.08	$75.09
92004 New patient complete exam of visual system	11	11	$110.00	$99.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	27	27	$176.41	$130.03
92012 Established patient problem focused exam of visual system	20	20	$123.05	$89.84
92004 New patient complete exam of visual system	16	16	$200.44	$156.57
92134 Imaging of retina	15	15	$99.20	$43.29

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License VT 042.0012437

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.

Ophthalmology - Glaucoma Specialist

NUCC Taxonomy Code: 207WX0009X

State License CA 148289

An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License KY 49087

Hospital & Practice Group Affiliations

University Of Vermont Medical Center Inc

111 Colchester Ave, Burlington, VT 054011473

Phone: 8028470000

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Stephen Pecsenyicki , MD

Ophthalmology

NPI 1447275771

Doctor of Medicine (M.D.)

Dr. Brian Kim , MD

Ophthalmology

NPI 1881655496

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location September 04, 2018

Registered at 111 COLCHESTER AVE, BURLINGTON, VT 05401 (Tel: 8028473843)

✅

NPI Profile Active May 28, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 28, 2017

Registered at 100 E CALIFORNIA BLVD, PASADENA, CA 911053205 (Tel: 6262695317)

📍

Updated Business Mailing Address May 28, 2017

Registered at 100 EAST CALIFORNIA BLVD, PASADENA, CA 911053205 (Tel: (626) 269-5317)

👤

Provider Name / Credentials Updated May 28, 2017

Recorded as JONATHAN PAUL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2017

Ophthalmology (License #148289 in CA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2017

Ophthalmology (License #49087 in KY)

📍

Updated Practice Location January 13, 2017

Registered at 740 S LIMESTONE, LEXINGTON, KY 405360001 (Tel: 8028474520)

✅

NPI Profile Active August 20, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 20, 2016

Registered at 111 COLCHESTER AVE, BURLINGTON, VT 054011473 (Tel: 8028474520)

📍

Updated Business Mailing Address August 20, 2016

Registered at 740 SOUTH LIMESTONE, KENTUCKY CLINIC E304, LEXINGTON, KY 40515 (Tel: 8592182631)

👤

Provider Name / Credentials Updated August 20, 2016

Recorded as JONATHAN PAUL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2016

Ophthalmology (License #49087 in KY)

🟢

Initial NPI Registration & Enumeration January 28, 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: 1255302287

Entity Type:

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

Enumeration Date: January 28, 2006

Last Update: September 04, 2018

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

100 East California Blvd

Pasadena, CA 911053205

Phone: 6262695317

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.