Active NPI 1295732840 Individual Practitioner Male Practitioner

Dr. Mark A Gonce , MD

Ophthalmology • Charlottesville, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Gonce, MD is a certified Ophthalmology practicing in Charlottesville, VA. With approximately 36 years of clinical experience since graduating from University Of Oklahoma College Of Medicine in 1990, Dr. Gonce delivers high-quality medical care to the local community at 110 S PANTOPS DR.

Dr. Gonce is affiliated with Charlottesville Eye Associates, Ltd. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, measurement of corneal curvature and depth of eye, 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

110 S Pantops Dr

Charlottesville, VA 229118672

Telephone 4349775160

Fax 4349775202

Associated Practice Facility / Clinic

🏢 Charlottesville Eye Associates Facility NPI 1992703730

Medicare Profile & Education

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Charlottesville, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +13.6 yrs vs City Avg

City Avg: 22.4 Yrs

State Avg: 28.6 Yrs

Regional Practice Density

47 Specialists

Practicing in Charlottesville, VA (619 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gonce (36 Years) 36 Yrs

Charlottesville Specialty Average (22.4 Years) 22.4 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	1,458	1,431	$242.24	$126.65
92136 Measurement of corneal curvature and depth of eye	362	255	$124.61	$39.95
66984 Removal of cataract with insertion of lens	337	238	$1505.47	$541.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	132	$226.49	$128.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	131	114	$102.57	$56.88
99213 Established patient office or other outpatient visit, typically 15 minutes	115	105	$168.41	$91.59
92004 New patient complete exam of visual system	78	78	$265.44	$148.05
66821 Removal of recurring cataract in lens capsule using a laser	64	58	$630.89	$333.00
92133 Imaging of optic nerve	60	59	$81.68	$34.18
92083 Exam of visual field with extended testing	60	59	$136.88	$63.55
92134 Imaging of retina	46	42	$84.63	$40.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$287.52	$164.52
92012 Established patient problem focused exam of visual system	26	26	$164.58	$89.96
68841 Insertion of drug delivery implant into tear duct of eye	17	13	$62.86	$16.21
66982 Complex removal of cataract with insertion of prosthetic lens	13	11	$1864.37	$746.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,393	1,378	$220.00	$126.08
92136 Measurement of corneal curvature and depth of eye	376	253	$182.00	$39.87
66984 Removal of cataract with insertion of lens	347	229	$2005.76	$536.66
99213 Established patient office or other outpatient visit, typically 15 minutes	194	178	$140.00	$89.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	190	171	$85.00	$56.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	161	160	$180.00	$127.27
92004 New patient complete exam of visual system	110	110	$240.00	$147.82
92133 Imaging of optic nerve	103	102	$90.00	$34.72
92083 Exam of visual field with extended testing	83	82	$145.00	$62.59
66821 Removal of recurring cataract in lens capsule using a laser	62	58	$550.00	$332.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$237.97	$165.61
92134 Imaging of retina	49	46	$90.00	$40.25
92012 Established patient problem focused exam of visual system	18	18	$130.00	$89.82
66982 Complex removal of cataract with insertion of prosthetic lens	14	12	$2200.00	$735.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,499	1,474	$220.00	$127.67
92136 Measurement of corneal curvature and depth of eye	429	291	$182.00	$41.30
66984 Removal of cataract with insertion of lens	402	266	$2000.00	$541.52
99213 Established patient office or other outpatient visit, typically 15 minutes	315	260	$140.00	$90.84
92004 New patient complete exam of visual system	222	222	$240.00	$151.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	108	$180.00	$127.77
92083 Exam of visual field with extended testing	94	93	$145.00	$62.38
92133 Imaging of optic nerve	91	91	$90.00	$34.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	65	$85.00	$56.94
66821 Removal of recurring cataract in lens capsule using a laser	53	47	$550.00	$335.58
92134 Imaging of retina	53	53	$90.00	$40.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$230.00	$167.89
66982 Complex removal of cataract with insertion of prosthetic lens	22	17	$2200.00	$721.25
92012 Established patient problem focused exam of visual system	17	17	$130.00	$89.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,657	1,619	$220.00	$128.68
92136 Measurement of corneal curvature and depth of eye	409	281	$182.00	$44.90
66984 Removal of cataract with insertion of lens	368	249	$2000.00	$550.50
99213 Established patient office or other outpatient visit, typically 15 minutes	207	174	$139.42	$92.59
92004 New patient complete exam of visual system	187	187	$240.00	$152.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	110	103	$81.86	$56.88
92133 Imaging of optic nerve	105	104	$90.00	$35.32
92083 Exam of visual field with extended testing	104	103	$145.00	$63.96
92134 Imaging of retina	52	52	$90.00	$41.75
66821 Removal of recurring cataract in lens capsule using a laser	41	38	$550.00	$341.74
92012 Established patient problem focused exam of visual system	40	39	$130.00	$91.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	27	$180.00	$131.72
66982 Complex removal of cataract with insertion of prosthetic lens	29	23	$2200.00	$755.71
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$110.00	$74.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,391	1,367	$203.82	$128.00
92136 Measurement of corneal curvature and depth of eye	407	288	$182.00	$48.87
66984 Removal of cataract with insertion of lens	383	262	$2000.00	$556.00
99213 Established patient office or other outpatient visit, typically 15 minutes	174	141	$130.00	$75.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	142	$178.60	$109.98
92004 New patient complete exam of visual system	149	149	$216.54	$152.10
92083 Exam of visual field with extended testing	102	101	$144.12	$64.10
92133 Imaging of optic nerve	92	90	$90.00	$35.19
66821 Removal of recurring cataract in lens capsule using a laser	57	55	$550.00	$338.46
92012 Established patient problem focused exam of visual system	41	40	$130.00	$89.85
66982 Complex removal of cataract with insertion of prosthetic lens	25	22	$2200.00	$767.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$80.00	$46.06
92134 Imaging of retina	18	18	$90.00	$41.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,235	1,218	$188.64	$126.77
92136 Measurement of corneal curvature and depth of eye	503	363	$182.00	$51.37
66984 Removal of cataract with insertion of lens	443	324	$2000.00	$643.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	358	334	$170.00	$108.21
99213 Established patient office or other outpatient visit, typically 15 minutes	265	214	$129.15	$74.31
92004 New patient complete exam of visual system	156	156	$207.12	$150.31
92083 Exam of visual field with extended testing	130	129	$132.15	$64.29
92133 Imaging of optic nerve	116	114	$86.64	$34.65
66982 Complex removal of cataract with insertion of prosthetic lens	43	35	$2200.00	$794.20
66821 Removal of recurring cataract in lens capsule using a laser	32	30	$550.00	$334.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	31	$78.75	$45.09
92012 Established patient problem focused exam of visual system	27	27	$130.00	$85.62
92134 Imaging of retina	21	20	$86.67	$41.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$200.36	$108.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	900	872	$169.56	$108.12
99213 Established patient office or other outpatient visit, typically 15 minutes	592	489	$103.38	$72.95
92136 Measurement of corneal curvature and depth of eye	418	312	$182.00	$59.83
92014 Established patient complete exam of visual system	382	378	$170.00	$126.90
66984 Removal of cataract with insertion of lens	370	276	$1829.19	$649.15
92083 Exam of visual field with extended testing	138	133	$125.00	$64.29
92133 Imaging of optic nerve	126	124	$80.00	$35.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$181.00	$107.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	72	$70.00	$44.11
92004 New patient complete exam of visual system	69	69	$200.00	$150.99
66821 Removal of recurring cataract in lens capsule using a laser	43	38	$550.00	$336.00
66982 Complex removal of cataract with insertion of prosthetic lens	40	34	$2175.00	$811.12
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$113.57	$75.18
92134 Imaging of retina	17	17	$80.00	$41.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,074	1,065	$155.36	$106.08
99213 Established patient office or other outpatient visit, typically 15 minutes	551	417	$100.00	$71.91
92136 Measurement of corneal curvature and depth of eye	405	311	$182.00	$69.87
66984 Removal of cataract with insertion of lens	348	266	$1600.00	$626.02
92014 Established patient complete exam of visual system	338	338	$170.00	$120.75
92083 Exam of visual field with extended testing	182	179	$125.00	$63.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	146	146	$167.60	$106.62
92133 Imaging of optic nerve	135	135	$80.00	$34.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	111	97	$70.00	$42.94
66821 Removal of recurring cataract in lens capsule using a laser	47	46	$550.00	$323.22
66982 Complex removal of cataract with insertion of prosthetic lens	45	40	$2200.00	$786.79
92004 New patient complete exam of visual system	36	36	$200.00	$147.07
92134 Imaging of retina	17	17	$80.00	$39.97
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$110.00	$73.92

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License VA 0101051053

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 Dmerc

0756400001 (VA)

Commercial Insurance / Payer ID Anthem Bluecross

083222 (VA)

Hospital & Practice Group Affiliations

Charlottesville Eye Associates, Ltd.

110 S Pantops Dr, Charlottesville, VA 229118672

Phone: 4349775160

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. William Macilwaine , MD

Ophthalmology

NPI 1215934864

Doctor of Medicine (M.D.)

Dr. Richard Morton , MD

Ophthalmology

NPI 1558368100

Doctor of Medicine (M.D.)

Dr. William Grover , MD

Ophthalmology

NPI 1598023228

Doctor of Medicine (M.D.)

Dr. Scott Womack , MD

Ophthalmology - Glaucoma Specialist

NPI 1649393679

Doctor of Medicine (M.D.)

Kelly Berrigan

Ophthalmology

NPI 1841877081

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 21, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 21, 2008

Registered at 110 S PANTOPS DR, CHARLOTTESVILLE, VA 229118672 (Tel: 4349775160)

📍

Updated Business Mailing Address January 21, 2008

Registered at 110 S PANTOPS DR, CHARLOTTESVILLE, VA 229118672 (Tel: 4349775160)

👤

Provider Name / Credentials Updated January 21, 2008

Recorded as MARK GONCE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2008

Ophthalmology (License #0101051053 in VA)

🟢

Initial NPI Registration & Enumeration June 28, 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: 1295732840

Entity Type:

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

Enumeration Date: June 28, 2005

Last Update: January 21, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

110 S Pantops Dr

Charlottesville, VA 229118672

Phone: 4349775160

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.