Active NPI 1447267976 Individual Practitioner Male Practitioner

Dr. Paul Thomas Edwards , OD

Optometrist • Mathews, VA

Professional Overview & Biography Verified Profile Summary

Dr. Paul Edwards, OD is a certified Optometrist practicing in Mathews, VA. With approximately 42 years of clinical experience since graduating from University Alabama Birmingham - School Of Optometry in 1984, Dr. Edwards delivers high-quality medical care to the local community at 75 D MAIN STREET.

Dr. Edwards is affiliated with Old Dominion Eye Care Inc and does not directly accept Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

75 D Main Street

Mathews, VA 231091270

Telephone 8047252430

Fax 8047252377

Medicare Profile & Education

Medical School

University Alabama Birmingham - School Of Optometry

Graduation Year

1984

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Mathews, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs Matches City Avg

City Avg: 42.0 Yrs

State Avg: 20.6 Yrs

Regional Practice Density

1 Specialists

Practicing in Mathews, VA (1522 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Edwards (42 Years) 42 Yrs

Mathews Specialty Average (42.0 Years) 42.0 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	523	516	$195.00	$116.15
92012 Established patient problem focused exam of visual system	188	126	$125.00	$82.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	157	157	$215.00	$152.84
92250 Photography of the retina	138	137	$100.00	$34.12
92133 Imaging of optic nerve	56	56	$100.00	$33.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$165.00	$102.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	397	392	$188.77	$121.93
92012 Established patient problem focused exam of visual system	153	99	$121.99	$85.90
92250 Photography of the retina	92	92	$99.08	$35.75
92004 New patient complete exam of visual system	56	56	$209.55	$145.40
92133 Imaging of optic nerve	43	42	$71.16	$33.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$215.00	$159.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	23	$65.00	$55.53
92083 Exam of visual field with extended testing	26	24	$130.19	$61.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	450	443	$182.73	$126.01
92012 Established patient problem focused exam of visual system	196	125	$118.98	$88.63
92250 Photography of the retina	103	102	$99.17	$36.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$215.00	$165.73
92004 New patient complete exam of visual system	61	61	$204.67	$148.90
92133 Imaging of optic nerve	53	51	$65.66	$35.81
92083 Exam of visual field with extended testing	24	23	$126.67	$62.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$65.00	$56.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	459	446	$177.06	$127.84
92012 Established patient problem focused exam of visual system	150	97	$120.47	$90.64
92250 Photography of the retina	116	115	$98.79	$39.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$215.00	$168.75
92004 New patient complete exam of visual system	54	54	$186.30	$151.87
92133 Imaging of optic nerve	36	36	$66.67	$36.64
92083 Exam of visual field with extended testing	18	18	$123.89	$63.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$65.00	$56.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	481	473	$175.63	$126.84
92012 Established patient problem focused exam of visual system	160	105	$121.75	$89.02
92250 Photography of the retina	94	94	$98.88	$45.30
92004 New patient complete exam of visual system	61	61	$198.61	$151.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	19	$65.00	$45.76
92133 Imaging of optic nerve	27	26	$64.44	$36.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$215.00	$165.22
92083 Exam of visual field with extended testing	15	14	$123.33	$63.60
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$40.00	$27.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	529	521	$176.87	$125.83
92012 Established patient problem focused exam of visual system	224	139	$120.89	$87.71
92250 Photography of the retina	131	130	$98.40	$49.90
92004 New patient complete exam of visual system	72	72	$201.81	$148.58
92133 Imaging of optic nerve	48	45	$65.83	$35.92
92083 Exam of visual field with extended testing	31	28	$122.10	$63.64
92020 Examination of cornea and iris using lens device and slit lamp	21	21	$40.00	$27.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	14	$64.41	$44.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$215.00	$163.31
92002 New patient problem focused exam of visual system	11	11	$140.00	$83.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	533	528	$174.99	$121.93
92012 Established patient problem focused exam of visual system	189	118	$122.25	$84.49
92250 Photography of the retina	101	101	$99.01	$55.19
92004 New patient complete exam of visual system	98	98	$205.31	$145.95
92133 Imaging of optic nerve	43	43	$65.58	$35.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	21	$64.63	$42.26
92020 Examination of cornea and iris using lens device and slit lamp	15	15	$36.33	$25.97
92083 Exam of visual field with extended testing	12	12	$130.83	$62.02
92002 New patient problem focused exam of visual system	12	12	$137.08	$80.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	573	556	$168.74	$115.57
92012 Established patient problem focused exam of visual system	131	95	$121.11	$80.18
92004 New patient complete exam of visual system	107	107	$198.63	$139.45
92250 Photography of the retina	77	77	$99.16	$61.66
92133 Imaging of optic nerve	48	48	$65.42	$34.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	19	$55.00	$40.26
99213 Established patient office or other outpatient visit, typically 15 minutes	16	11	$87.50	$67.30
92083 Exam of visual field with extended testing	14	14	$129.64	$59.73
92002 New patient problem focused exam of visual system	13	13	$136.54	$76.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$200.00	$153.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$137.73	$100.49

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License VA 0618000435

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

009203753 (VA)

Commercial Insurance / Payer ID Anthem Blue Cross/blue Sh

072708 (VA)

Hospital & Practice Group Affiliations

Old Dominion Eye Care Inc

101 Technology Park Dr, Kilmarnock, VA 224823837

Phone: 8044350547

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 05, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 05, 2014

Registered at 75 D MAIN STREET, MATHEWS, VA 231091270 (Tel: 8047252430)

📍

Updated Business Mailing Address March 05, 2014

Registered at PO BOX 1270, MATHEWS, VA 231091270 (Tel: 8047252430)

👤

Provider Name / Credentials Updated March 05, 2014

Recorded as PAUL EDWARDS, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2014

Optometrist (License #0618000435 in VA)

🟢

Initial NPI Registration & Enumeration August 01, 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: 1447267976

Entity Type:

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

Enumeration Date: August 01, 2006

Last Update: March 05, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 1270

Mathews, VA 231091270

Phone: 8047252430

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.