Active NPI 1104853605 Individual Practitioner Male Practitioner

Dr. Craig Gerald Hoover , OD

Optometrist • Culpeper, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Craig Hoover, OD is a certified Optometrist practicing in Culpeper, VA. With approximately 35 years of clinical experience since graduating from Pennsylvania College Of Optometry in 1991, Dr. Hoover delivers high-quality medical care to the local community at 691 LAUREL ST.

Dr. Hoover accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, 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

691 Laurel St
Suite 100

Culpeper, VA 227013909

Telephone 5408250541

Fax 5408295823

Associated Practice Facility / Clinic

🏢 Culpeper Endodontics Facility NPI 1639425648

Medicare Profile & Education

Medical School

Pennsylvania College Of Optometry

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Culpeper, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs -0.3 yrs vs City Avg

City Avg: 35.3 Yrs

State Avg: 20.6 Yrs

Regional Practice Density

7 Specialists

Practicing in Culpeper, VA (1522 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

37.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hoover (35 Years) 35 Yrs

Culpeper Specialty Average (35.3 Years) 35.3 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
66984 Removal of cataract with insertion of lens	3,655	27	$3.41	$1.13
99213 Established patient office or other outpatient visit, typically 15 minutes	290	220	$109.00	$88.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	204	$175.00	$125.01
92250 Photography of the retina	210	208	$130.00	$36.11
92014 Established patient complete exam of visual system	188	188	$165.00	$122.99
92133 Imaging of optic nerve	133	133	$95.00	$35.24
92134 Imaging of retina	80	71	$95.00	$39.44
92020 Examination of cornea and iris using lens device and slit lamp	57	57	$60.00	$26.77
92083 Exam of visual field with extended testing	49	47	$135.00	$61.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$205.00	$162.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	19	$69.00	$55.04
92004 New patient complete exam of visual system	13	13	$230.00	$145.92
92012 Established patient problem focused exam of visual system	12	12	$110.00	$86.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	4,845	37	$3.41	$1.17
99213 Established patient office or other outpatient visit, typically 15 minutes	297	212	$109.00	$88.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	253	240	$175.00	$125.31
92250 Photography of the retina	235	226	$130.00	$36.76
92014 Established patient complete exam of visual system	183	179	$165.00	$124.43
92133 Imaging of optic nerve	157	149	$95.00	$35.93
92020 Examination of cornea and iris using lens device and slit lamp	88	88	$60.00	$27.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$205.00	$163.39
92083 Exam of visual field with extended testing	52	51	$135.00	$61.54
92134 Imaging of retina	46	45	$95.00	$39.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	30	$69.00	$55.42
92012 Established patient problem focused exam of visual system	20	20	$110.00	$88.32
92004 New patient complete exam of visual system	12	12	$230.00	$147.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$155.00	$109.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,262	26	$3.38	$1.19
99213 Established patient office or other outpatient visit, typically 15 minutes	301	199	$109.00	$90.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	228	$175.00	$127.79
92250 Photography of the retina	227	221	$130.00	$37.16
92014 Established patient complete exam of visual system	195	195	$165.00	$126.65
92133 Imaging of optic nerve	147	143	$95.00	$36.68
92020 Examination of cornea and iris using lens device and slit lamp	74	74	$60.00	$28.06
92134 Imaging of retina	50	49	$95.00	$40.57
92083 Exam of visual field with extended testing	47	45	$135.00	$62.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$205.00	$166.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	28	$69.00	$56.41
92012 Established patient problem focused exam of visual system	17	16	$111.12	$89.01
92004 New patient complete exam of visual system	17	17	$230.00	$149.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$155.29	$112.02
76514 Ultrasound scan of cornea to determine thickness	11	11	$35.00	$10.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,026	24	$2.99	$1.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	350	312	$174.49	$130.69
99213 Established patient office or other outpatient visit, typically 15 minutes	308	209	$108.78	$91.79
92250 Photography of the retina	212	209	$129.71	$39.68
92133 Imaging of optic nerve	125	121	$95.00	$37.50
92014 Established patient complete exam of visual system	110	110	$165.00	$128.34
92020 Examination of cornea and iris using lens device and slit lamp	60	60	$60.28	$28.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	35	$69.00	$56.76
92083 Exam of visual field with extended testing	44	42	$135.00	$64.16
92134 Imaging of retina	42	39	$95.00	$41.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$205.00	$169.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,047	16	$1.42	$1.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	402	366	$109.33	$107.94
92250 Photography of the retina	217	213	$70.57	$45.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	164	101	$44.61	$43.94
99213 Established patient office or other outpatient visit, typically 15 minutes	142	104	$74.74	$73.90
92133 Imaging of optic nerve	93	90	$45.42	$37.23
92020 Examination of cornea and iris using lens device and slit lamp	82	79	$29.56	$27.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$110.21	$108.28
92134 Imaging of retina	38	37	$44.83	$41.10
92083 Exam of visual field with extended testing	27	27	$65.00	$63.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,759	22	$1.42	$1.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	490	461	$108.68	$106.39
92250 Photography of the retina	291	280	$70.01	$50.08
99213 Established patient office or other outpatient visit, typically 15 minutes	215	144	$74.00	$73.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	205	144	$44.12	$43.49
92133 Imaging of optic nerve	126	126	$44.58	$36.43
92020 Examination of cornea and iris using lens device and slit lamp	114	114	$28.84	$27.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$111.17	$106.94
92083 Exam of visual field with extended testing	76	67	$65.00	$63.71
92134 Imaging of retina	43	42	$44.83	$40.83
76514 Ultrasound scan of cornea to determine thickness	15	15	$15.10	$11.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,937	20	$1.42	$1.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	445	420	$108.90	$105.90
99213 Established patient office or other outpatient visit, typically 15 minutes	268	186	$75.44	$71.28
92250 Photography of the retina	260	254	$70.57	$56.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	220	139	$44.57	$43.24
92133 Imaging of optic nerve	138	135	$44.56	$36.28
92020 Examination of cornea and iris using lens device and slit lamp	101	100	$28.63	$26.26
92083 Exam of visual field with extended testing	93	85	$66.51	$62.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$111.85	$106.81
92134 Imaging of retina	38	38	$44.83	$41.42
76514 Ultrasound scan of cornea to determine thickness	26	26	$16.63	$13.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	4,539	30	$1.42	$1.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	423	395	$108.79	$101.95
99213 Established patient office or other outpatient visit, typically 15 minutes	251	173	$74.27	$68.73
92250 Photography of the retina	247	233	$69.42	$62.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	188	127	$44.53	$41.29
92133 Imaging of optic nerve	124	121	$44.18	$35.21
92020 Examination of cornea and iris using lens device and slit lamp	111	110	$28.58	$25.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$111.08	$101.61
92083 Exam of visual field with extended testing	70	65	$66.00	$60.87
92134 Imaging of retina	36	36	$46.22	$38.12
76514 Ultrasound scan of cornea to determine thickness	23	23	$15.97	$13.12

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License VA 0618000484

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

Medicaid State Provider ID

009233920 (VA)

Commercial Insurance / Payer ID Railroad Medicare

410038493 (VA)

Commercial Insurance / Payer ID Medicare Dmerc

1246280001 (VA)

Commercial Insurance / Payer ID Blue Cross Blue Shield

232671 (VA)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Sushant Mahajan , DMD, MS

Dentist - Endodontics

NPI 1538471131

Doctor of Dental Medicine, Master of Science

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 05, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 05, 2012

Registered at 691 LAUREL ST, SUITE 100, CULPEPER, VA 227013909 (Tel: 5408250541)

📍

Updated Business Mailing Address September 05, 2012

Registered at 691 LAUREL ST., SUITE 100, CULPEPER, VA 22701 (Tel: 5408250541)

👤

Provider Name / Credentials Updated September 05, 2012

Recorded as CRAIG HOOVER, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2012

Optometrist (License #0618000484 in VA)

🟢

Initial NPI Registration & Enumeration June 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: 1104853605

Entity Type:

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

Enumeration Date: June 28, 2006

Last Update: September 05, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

691 Laurel St., Suite 100

Culpeper, VA 22701

Phone: 5408250541

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.