Active NPI 1770521015 Individual Practitioner Male Practitioner

Dr. Thomas Peter Dowhan , MD

Ophthalmology • St Albans, VT

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Dowhan, MD is a registered healthcare professional specializing in Ophthalmology in St Albans, VT. Practice services are available at 156 N MAIN ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, 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

156 N Main St

St Albans, VT 054781561

Telephone 8025277787

Fax 8025270797

Associated Practice Facility / Clinic

🏢 Thomas P Dowhan Md Pc Facility NPI 1134189525

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in St Albans, VT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 23.9 Yrs

Regional Practice Density

1 Specialists

Practicing in St Albans, VT (57 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

24.7% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	825	780	$155.00	$127.90
99213 Established patient office or other outpatient visit, typically 15 minutes	533	358	$100.19	$90.79
66984 Removal of cataract with insertion of lens	119	77	$818.49	$539.71
92083 Exam of visual field with extended testing	116	116	$95.39	$63.51
92133 Imaging of optic nerve	114	113	$55.79	$37.14
76519 Ultrasound of eye for determination of lens power	112	73	$89.66	$49.89
92004 New patient complete exam of visual system	101	101	$175.30	$151.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	86	$75.00	$56.60
J9035 Injection, bevacizumab, 10 mg	83	24	$45.00	$44.59
67028 Injection of drug into eye	82	24	$150.00	$112.36
92134 Imaging of retina	40	26	$55.00	$40.87
66821 Removal of recurring cataract in lens capsule using a laser	35	28	$360.00	$335.23
65855 Laser repair to improve eye fluid flow	35	25	$360.00	$244.25
92012 Established patient problem focused exam of visual system	32	31	$110.00	$90.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$160.00	$128.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	849	819	$155.00	$129.09
99213 Established patient office or other outpatient visit, typically 15 minutes	572	388	$100.57	$92.07
76519 Ultrasound of eye for determination of lens power	245	166	$90.28	$48.87
66984 Removal of cataract with insertion of lens	244	152	$802.79	$547.79
92083 Exam of visual field with extended testing	180	179	$95.50	$64.59
92004 New patient complete exam of visual system	173	173	$175.17	$153.34
92012 Established patient problem focused exam of visual system	161	152	$110.00	$91.37
67028 Injection of drug into eye	138	29	$156.52	$115.02
J9035 Injection, bevacizumab, 10 mg	138	29	$45.00	$45.00
92133 Imaging of optic nerve	132	132	$55.91	$37.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	97	$160.00	$128.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	85	61	$74.47	$56.51
66821 Removal of recurring cataract in lens capsule using a laser	46	43	$360.00	$340.43
92134 Imaging of retina	45	33	$55.67	$41.79
65855 Laser repair to improve eye fluid flow	45	27	$360.00	$250.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$206.90	$160.37
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$206.00	$208.26
92020 Examination of cornea and iris using lens device and slit lamp	15	13	$30.00	$28.53
76514 Ultrasound scan of cornea to determine thickness	13	13	$40.00	$11.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$200.00	$182.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	866	849	$140.42	$128.92
99213 Established patient office or other outpatient visit, typically 15 minutes	485	320	$85.34	$75.88
76519 Ultrasound of eye for determination of lens power	222	154	$88.56	$52.37
66984 Removal of cataract with insertion of lens	206	145	$776.89	$555.55
92083 Exam of visual field with extended testing	181	181	$95.33	$64.70
92004 New patient complete exam of visual system	179	179	$175.00	$153.66
92012 Established patient problem focused exam of visual system	166	159	$100.24	$90.78
J9035 Injection, bevacizumab, 10 mg	80	21	$45.00	$44.89
67028 Injection of drug into eye	80	21	$120.00	$102.94
92133 Imaging of optic nerve	77	77	$55.39	$38.09
66821 Removal of recurring cataract in lens capsule using a laser	48	43	$373.33	$339.97
65855 Laser repair to improve eye fluid flow	48	31	$381.15	$251.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	33	$63.00	$46.03
92134 Imaging of retina	35	27	$55.86	$41.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$138.57	$104.89
92020 Examination of cornea and iris using lens device and slit lamp	14	11	$30.00	$28.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	920	907	$140.39	$128.10
99213 Established patient office or other outpatient visit, typically 15 minutes	640	438	$85.35	$74.40
92012 Established patient problem focused exam of visual system	330	292	$100.18	$89.46
92083 Exam of visual field with extended testing	223	221	$95.61	$65.23
76519 Ultrasound of eye for determination of lens power	207	148	$89.20	$48.08
66984 Removal of cataract with insertion of lens	202	147	$785.84	$643.91
92004 New patient complete exam of visual system	200	200	$175.00	$152.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	61	$63.00	$45.27
92133 Imaging of optic nerve	83	83	$55.72	$37.58
J9035 Injection, bevacizumab, 10 mg	65	15	$41.00	$40.37
67028 Injection of drug into eye	65	15	$120.00	$102.49
66821 Removal of recurring cataract in lens capsule using a laser	60	55	$381.33	$335.29
65855 Laser repair to improve eye fluid flow	56	34	$432.50	$249.67
92134 Imaging of retina	30	22	$55.00	$41.51
92020 Examination of cornea and iris using lens device and slit lamp	16	16	$32.81	$28.00
76514 Ultrasound scan of cornea to determine thickness	14	14	$40.00	$12.37
66821 Removal of recurring cataract in lens capsule using a laser	12	11	$360.00	$315.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	917	905	$140.43	$127.05
99213 Established patient office or other outpatient visit, typically 15 minutes	691	446	$85.33	$72.65
92012 Established patient problem focused exam of visual system	443	380	$100.00	$88.31
92083 Exam of visual field with extended testing	253	244	$95.00	$64.94
92004 New patient complete exam of visual system	224	223	$175.00	$151.94
76519 Ultrasound of eye for determination of lens power	199	155	$89.56	$55.47
66984 Removal of cataract with insertion of lens	191	143	$796.44	$637.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	107	80	$61.00	$43.78
92133 Imaging of optic nerve	98	98	$56.84	$37.99
66821 Removal of recurring cataract in lens capsule using a laser	69	62	$387.68	$332.45
65855 Laser repair to improve eye fluid flow	66	41	$483.03	$246.86
J9035 Injection, bevacizumab, 10 mg	56	20	$40.00	$39.40
67028 Injection of drug into eye	56	20	$120.00	$101.96
92134 Imaging of retina	40	31	$55.00	$41.97
92020 Examination of cornea and iris using lens device and slit lamp	33	32	$32.73	$27.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$115.00	$106.72
76514 Ultrasound scan of cornea to determine thickness	15	15	$40.00	$14.66
66821 Removal of recurring cataract in lens capsule using a laser	15	12	$350.00	$313.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	935	930	$140.37	$123.73
99213 Established patient office or other outpatient visit, typically 15 minutes	628	427	$85.25	$72.43
92012 Established patient problem focused exam of visual system	425	364	$100.00	$85.45
92083 Exam of visual field with extended testing	252	248	$95.00	$64.50
76519 Ultrasound of eye for determination of lens power	218	170	$89.42	$61.63
92004 New patient complete exam of visual system	209	209	$175.00	$148.79
66984 Removal of cataract with insertion of lens	202	152	$794.46	$636.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	177	124	$61.00	$43.33
J9035 Injection, bevacizumab, 10 mg	85	25	$39.79	$39.18
92133 Imaging of optic nerve	85	85	$55.35	$37.44
67028 Injection of drug into eye	84	25	$120.00	$101.25
65855 Laser repair to improve eye fluid flow	72	45	$360.00	$243.27
66821 Removal of recurring cataract in lens capsule using a laser	66	56	$369.70	$328.59
92134 Imaging of retina	55	37	$55.00	$40.76
76514 Ultrasound scan of cornea to determine thickness	34	34	$40.00	$14.58
92020 Examination of cornea and iris using lens device and slit lamp	30	30	$30.00	$26.93
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	20	13	$403.00	$294.92

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License VT 0420009993

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

Medicaid State Provider ID

0VN2463 (VT)

Commercial Insurance / Payer ID Npi

1770521015 (VT)

Commercial Insurance / Payer ID Railroad Medicare

180041339 (VT)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. P Machanic , MD

Ophthalmology

NPI 1285672501

Doctor of Medicine (M.D.)

Dr. Gregory Brophey , MD

Ophthalmology

NPI 1699889972

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 January 26, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location January 26, 2010

Registered at 156 N MAIN ST, ST ALBANS, VT 054781561 (Tel: 8025277787)

📍

Updated Business Mailing Address January 26, 2010

Registered at 18 PROSPECT ST, ST ALBANS, VT 054781509 (Tel: 8025247549)

👤

Provider Name / Credentials Updated January 26, 2010

Recorded as THOMAS DOWHAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2010

Ophthalmology (License #0420009993 in VT)

🟢

Initial NPI Registration & Enumeration June 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1770521015

Entity Type:

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

Enumeration Date: June 02, 2006

Last Update: January 26, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

18 Prospect St

St Albans, VT 054781509

Phone: 8025247549

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.