Active NPI 1144355140 Individual Practitioner Male Practitioner

Dr. Brian D Looney , OD

Optometrist • Richlands, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Looney, OD is a certified Optometrist practicing in Richlands, VA. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Looney delivers high-quality medical care to the local community at 125 SUFFOLK AVE.

Dr. Looney is affiliated with David M Harman Md Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, photography of the retina, 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

125 Suffolk Ave

Richlands, VA 246412434

Telephone 2769630808

Fax 2769352993

Associated Practice Facility / Clinic

🏢 Paul Lallande, Od, Pc, Doctor Of Optometry Facility NPI 1225155229

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Richlands, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs Matches City Avg

City Avg: 30.0 Yrs

State Avg: 20.6 Yrs

Regional Practice Density

3 Specialists

Practicing in Richlands, VA (1522 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

36.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Looney (30 Years) 30 Yrs

Richlands Specialty Average (30.0 Years) 30.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	235	201	$125.63	$88.26
92250 Photography of the retina	150	144	$110.00	$35.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	69	$170.91	$121.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$162.00	$108.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$242.00	$162.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	332	282	$114.49	$88.44
92250 Photography of the retina	132	131	$110.00	$36.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$162.00	$109.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	37	$151.05	$125.66
92134 Imaging of retina	17	17	$74.06	$39.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	5,642	45	$2.15	$1.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	269	252	$137.92	$127.51
99213 Established patient office or other outpatient visit, typically 15 minutes	189	155	$93.31	$90.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$137.53	$111.87
92250 Photography of the retina	61	60	$81.48	$37.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	7,816	50	$2.00	$1.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	361	322	$136.98	$130.20
99213 Established patient office or other outpatient visit, typically 15 minutes	122	95	$93.00	$91.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	119	119	$136.00	$112.95
92250 Photography of the retina	100	97	$80.00	$39.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	5,111	36	$2.07	$1.27
99213 Established patient office or other outpatient visit, typically 15 minutes	209	154	$88.82	$74.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	194	176	$130.72	$107.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	137	137	$131.99	$107.23
92250 Photography of the retina	112	110	$80.00	$43.96
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$95.29	$76.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	6,730	52	$2.10	$1.49
99213 Established patient office or other outpatient visit, typically 15 minutes	312	242	$84.96	$72.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	205	191	$126.77	$105.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	166	166	$124.73	$105.40
92250 Photography of the retina	127	124	$80.16	$48.24
99202 New patient office or other outpatient visit, typically 20 minutes	48	48	$91.88	$74.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	31	$74.38	$44.47
92133 Imaging of optic nerve	16	15	$55.00	$36.94
92134 Imaging of retina	12	12	$55.00	$40.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,712	14	$2.21	$1.41
99213 Established patient office or other outpatient visit, typically 15 minutes	330	265	$74.03	$66.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	191	191	$113.86	$99.70
92250 Photography of the retina	122	121	$79.67	$51.09
99202 New patient office or other outpatient visit, typically 20 minutes	86	86	$73.92	$69.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	67	$113.74	$97.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	25	$48.79	$40.25
92133 Imaging of optic nerve	18	16	$55.00	$35.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	235	220	$71.10	$65.12
92250 Photography of the retina	93	91	$75.11	$54.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	85	68	$41.58	$38.84
99202 New patient office or other outpatient visit, typically 20 minutes	71	71	$70.76	$66.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$105.00	$94.94

Medical Specialties & State Licenses

CMS Verified: 2022-10-04

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WV 1011-OD

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

Commercial Insurance / Payer ID Umwa

1458599 (WV)

Commercial Insurance / Payer ID Mountain State Blue Cross

001705926 (WV)

Hospital & Practice Group Affiliations

David M Harman Md Llc

125 Suffolk Ave, Richlands, VA 246412434

Phone: 2769630808

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Allen Lallande , OD

Optometrist

NPI 1164423208

Doctor of Optometry

Dr. Amanda Umlandt , OD

Optometrist

NPI 1720217854

Doctor of Optometry

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Business Mailing Address October 04, 2022

Registered at PO BOX 45923, BALTIMORE, MD 212975923 (Tel: 8779690392)

✅

NPI Profile Active September 30, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 30, 2017

Registered at 125 SUFFOLK AVE, RICHLANDS, VA 246412434 (Tel: 2769630808)

📍

Updated Business Mailing Address September 30, 2017

Registered at PO BOX 607, WELCH, WV 248010607 (Tel: (304) 436-8435)

👤

Provider Name / Credentials Updated September 30, 2017

Recorded as BRIAN LOONEY, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2017

Optometrist (License #1011-OD in WV)

✅

NPI Profile Active February 04, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 04, 2014

Registered at 1193 PLAZA DR, GRUNDY, VA 246146780 (Tel: 2769354558)

📍

Updated Business Mailing Address February 04, 2014

Registered at PO BOX 607, WELCH, WV 248010607 (Tel: 3044368435)

👤

Provider Name / Credentials Updated February 04, 2014

Recorded as BRIAN LOONEY, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2014

Optometrist (License #1011-OD in WV)

🟢

Initial NPI Registration & Enumeration February 22, 2007

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: 1144355140

Entity Type:

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

Enumeration Date: February 22, 2007

Last Update: October 04, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 45923

Baltimore, MD 212975923

Phone: 8779690392

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.