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Active NPI 1942388236 Individual Practitioner Male Practitioner

Dr. Scott Edward Borgholthaus , OD OPTOMETRIST

Optometrist • Cheney, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Scott Borgholthaus, OD OPTOMETRIST is a certified Optometrist practicing in Cheney, WA. With approximately 40 years of clinical experience since graduating from Pacific University - College Of Optometry in 1986, Dr. Borgholthaus delivers high-quality medical care to the local community at 1867 1ST ST.

Dr. Borgholthaus accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, 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

1867 1st St

Cheney, WA 990041967

Telephone 5094523937
Fax 5094536567

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Cheney, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
40 Yrs Matches City Avg
City Avg: 40.0 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Cheney, WA (1692 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
19.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Borgholthaus (40 Years) 40 Yrs
Cheney Specialty Average (40.0 Years) 40.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
25 14 $120.00 $82.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
12 12 $170.00 $127.45
92014 Established patient complete exam of visual system
12 12 $120.00 $118.57

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WA 3218

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License ID 0736

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License OR 1812

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
2028124 (WA)
Commercial Insurance / Payer ID Regence Blue Shield
815580 (WA)
Commercial Insurance / Payer ID Palmetto Gba Railroad Med
P00271493

Practice Associates & Co-Workers

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

1 Associated Practitioners
Margaret Blum , MS

Counselor - Professional

NPI 1104964642

Master of Science

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active August 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2017

Registered at 1867 1ST ST, CHENEY, WA 990041967 (Tel: 5094523937)

📍
Updated Business Mailing Address August 30, 2017

Registered at 1867 1ST ST, CHENEY, WA 990041967 (Tel: 5092352010)

👤
Provider Name / Credentials Updated August 30, 2017

Recorded as SCOTT BORGHOLTHAUS, OD OPTOMETRIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2017

Optometrist (License #0736 in ID)

NPI Profile Active October 20, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2010

Registered at 407 N 1ST ST STE 2, YAKIMA, WA 989012365 (Tel: 5094523937)

📍
Updated Business Mailing Address October 20, 2010

Registered at 2703 PATNODE ST, YAKIMA, WA 989011152 (Tel: 5094528663)

👤
Provider Name / Credentials Updated October 20, 2010

Recorded as SCOTT BORGHOLTHAUS, OD OPTOMETRIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2010

Optometrist (License #3218 in WA)

🟢
Initial NPI Registration & Enumeration November 02, 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: 1942388236
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2006
Last Update: August 30, 2017
Sole Proprietor: Yes

Mailing Address

1867 1st St

Cheney, WA 990041967

Phone: 5092352010

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.