Active NPI 1083705826 Individual Practitioner Male Practitioner

Dr. Michael J Deiboldt , OD

Optometrist • Winchester, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Deiboldt, OD is a certified Optometrist practicing in Winchester, VA. With approximately 27 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 1999, Dr. Deiboldt delivers high-quality medical care to the local community at 420 W JUBAL EARLY DR STE 200.

Dr. Deiboldt is affiliated with Blue Ridge Eye Specialists Pc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

420 W Jubal Early Dr Ste 200

Winchester, VA 226016435

Telephone 5406622700

Fax 5406628801

Associated Practice Facility / Clinic

🏢 Blue Ridge Eye Specialists Pc Facility NPI 1043422314

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Winchester, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +6.8 yrs vs City Avg

City Avg: 20.2 Yrs

State Avg: 20.6 Yrs

Regional Practice Density

22 Specialists

Practicing in Winchester, VA (1522 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Deiboldt (27 Years) 27 Yrs

Winchester Specialty Average (20.2 Years) 20.2 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	275	272	$180.00	$122.03
99213 Established patient office or other outpatient visit, typically 15 minutes	112	84	$135.00	$87.98
92133 Imaging of optic nerve	107	107	$265.00	$35.18
92012 Established patient problem focused exam of visual system	90	74	$125.00	$86.29
92004 New patient complete exam of visual system	58	58	$220.00	$144.43
92134 Imaging of retina	58	53	$265.00	$39.00
92083 Exam of visual field with extended testing	50	50	$140.00	$60.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	39	$180.00	$122.13
76514 Ultrasound scan of cornea to determine thickness	11	11	$85.00	$10.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	287	280	$180.00	$124.11
92012 Established patient problem focused exam of visual system	146	113	$125.00	$88.24
99213 Established patient office or other outpatient visit, typically 15 minutes	123	83	$135.00	$88.50
92133 Imaging of optic nerve	110	109	$265.00	$36.04
92004 New patient complete exam of visual system	67	67	$220.00	$147.34
92083 Exam of visual field with extended testing	62	62	$140.00	$61.65
92134 Imaging of retina	55	53	$265.00	$39.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	40	$180.00	$125.35
92250 Photography of the retina	13	13	$140.00	$36.74
76514 Ultrasound scan of cornea to determine thickness	13	13	$85.00	$10.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	255	250	$180.00	$125.94
92012 Established patient problem focused exam of visual system	144	113	$125.00	$89.46
99213 Established patient office or other outpatient visit, typically 15 minutes	122	89	$135.00	$89.97
92133 Imaging of optic nerve	108	106	$265.00	$36.85
92004 New patient complete exam of visual system	88	88	$220.00	$150.06
92083 Exam of visual field with extended testing	65	64	$140.00	$62.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	53	$180.00	$127.89
92134 Imaging of retina	38	35	$265.00	$39.86
76514 Ultrasound scan of cornea to determine thickness	17	17	$85.00	$11.08
92250 Photography of the retina	12	12	$140.00	$37.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	244	243	$180.00	$126.95
99213 Established patient office or other outpatient visit, typically 15 minutes	150	104	$135.00	$91.89
92012 Established patient problem focused exam of visual system	133	97	$125.00	$90.64
92133 Imaging of optic nerve	106	105	$265.00	$37.00
92004 New patient complete exam of visual system	95	95	$220.00	$150.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	88	$180.00	$128.34
92083 Exam of visual field with extended testing	70	69	$140.00	$63.29
76514 Ultrasound scan of cornea to determine thickness	22	22	$85.00	$11.66
92250 Photography of the retina	21	21	$140.00	$39.58
92134 Imaging of retina	20	19	$265.00	$39.15
92020 Examination of cornea and iris using lens device and slit lamp	17	17	$65.00	$28.15
92201 Extended exam of the back part of the eye with retinal drawing	12	11	$95.00	$25.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	272	271	$180.00	$126.02
92012 Established patient problem focused exam of visual system	142	113	$125.00	$89.05
92004 New patient complete exam of visual system	125	125	$220.00	$149.88
99213 Established patient office or other outpatient visit, typically 15 minutes	106	82	$135.00	$75.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	87	$180.00	$109.38
92250 Photography of the retina	75	75	$140.00	$45.30
92083 Exam of visual field with extended testing	66	66	$140.00	$63.14
92133 Imaging of optic nerve	60	60	$265.00	$34.89
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	24	23	$60.00	$14.57
76514 Ultrasound scan of cornea to determine thickness	21	21	$85.00	$12.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	282	277	$180.00	$121.71
92012 Established patient problem focused exam of visual system	219	144	$125.00	$84.85
99213 Established patient office or other outpatient visit, typically 15 minutes	122	88	$135.00	$71.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	83	$180.00	$105.02
92004 New patient complete exam of visual system	81	81	$220.00	$147.00
92250 Photography of the retina	74	74	$140.00	$48.88
92083 Exam of visual field with extended testing	51	50	$140.00	$61.58
92133 Imaging of optic nerve	42	42	$265.00	$33.08
92225 Examination of eye by ophthalmoscope with retinal drawing	17	16	$95.00	$26.95
76514 Ultrasound scan of cornea to determine thickness	15	15	$85.00	$12.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	286	282	$180.00	$117.09
92012 Established patient problem focused exam of visual system	198	138	$125.00	$82.03
99213 Established patient office or other outpatient visit, typically 15 minutes	128	89	$135.00	$68.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	93	$180.00	$101.07
92004 New patient complete exam of visual system	92	92	$220.00	$142.16
92250 Photography of the retina	60	60	$140.00	$52.76
92083 Exam of visual field with extended testing	47	47	$140.00	$59.36
92133 Imaging of optic nerve	39	39	$265.00	$32.76
92225 Examination of eye by ophthalmoscope with retinal drawing	18	18	$95.00	$25.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$100.00	$41.06
76514 Ultrasound scan of cornea to determine thickness	16	16	$85.00	$14.30
92002 New patient problem focused exam of visual system	13	13	$135.00	$78.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	254	247	$180.00	$114.37
92012 Established patient problem focused exam of visual system	237	152	$125.00	$78.16
99213 Established patient office or other outpatient visit, typically 15 minutes	123	90	$135.00	$67.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	87	$180.00	$98.94
92250 Photography of the retina	83	83	$140.00	$60.09
92004 New patient complete exam of visual system	74	74	$220.00	$136.53
92083 Exam of visual field with extended testing	49	49	$140.00	$59.51
92133 Imaging of optic nerve	33	33	$265.00	$32.06
92002 New patient problem focused exam of visual system	20	20	$135.00	$75.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$100.00	$40.19
92225 Examination of eye by ophthalmoscope with retinal drawing	13	13	$95.00	$25.08

Medical Specialties & State Licenses

CMS Verified: 2022-11-10

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License VA 0681800575

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.

Hospital & Practice Group Affiliations

Blue Ridge Eye Specialists Pc

420 W Jubal Early Dr, Winchester, VA 226016435

Phone: 5406622700

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Alan Fink , MD

Ophthalmology

NPI 1720179344

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 November 20, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location November 20, 2008

Registered at 420 W JUBAL EARLY DR STE 200, WINCHESTER, VA 226016435 (Tel: 5406622700)

📍

Updated Business Mailing Address November 20, 2008

Registered at 420 W JUBAL EARLY DR STE 200, WINCHESTER, VA 226016435 (Tel: 5406622700)

👤

Provider Name / Credentials Updated November 20, 2008

Recorded as MICHAEL DEIBOLDT, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2008

Optometrist (License #0681800575 in VA)

🟢

Initial NPI Registration & Enumeration September 27, 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: 1083705826

Entity Type:

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

Enumeration Date: September 27, 2006

Last Update: November 10, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

420 W Jubal Early Dr Ste 200

Winchester, VA 226016435

Phone: 5406622700

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.