Active NPI 1699896167 Individual Practitioner Male Practitioner

Dr. Chad Ryan Bouterse , DO

Ophthalmology • Clarkston, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Chad Bouterse, DO is a certified Ophthalmology practicing in Clarkston, WA. With approximately 21 years of clinical experience since graduating from Michigan State University College Of Osteopathic Medicine in 2005, Dr. Bouterse delivers high-quality medical care to the local community at 500 PORT DR.

Dr. Bouterse is affiliated with Eye Care Specialists Ps and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

500 Port Dr

Clarkston, WA 994031835

Telephone 5097588811

Fax 5097511188

Associated Practice Facility / Clinic

🏢 Eye Care Specialists Ps Facility NPI 1639160450

Medicare Profile & Education

Medical School

Michigan State University College Of Osteopathic Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Clarkston, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -4.0 yrs vs City Avg

City Avg: 25.0 Yrs

State Avg: 26.4 Yrs

Regional Practice Density

3 Specialists

Practicing in Clarkston, WA (552 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bouterse (21 Years) 21 Yrs

Clarkston Specialty Average (25.0 Years) 25.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	943	765	$260.00	$128.52
92014 Established patient complete exam of visual system	675	370	$250.00	$127.03
92285 Photography of content of eyes	475	472	$60.00	$23.70
92134 Imaging of retina	371	166	$100.00	$40.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	139	139	$325.00	$166.47
67028 Injection of drug into eye	135	44	$258.33	$123.16
J0178 Injection, aflibercept, 1 mg	122	13	$1300.00	$827.70
92136 Measurement of corneal curvature and depth of eye	117	71	$175.00	$40.59
66984 Removal of cataract with insertion of lens	113	67	$1500.00	$540.87
92133 Imaging of optic nerve	111	103	$100.00	$35.17
92250 Photography of the retina	101	84	$87.62	$37.40
J7999 Compounded drug, not otherwise classified	85	32	$100.00	$92.50
92004 New patient complete exam of visual system	71	71	$294.58	$148.99
99213 Established patient office or other outpatient visit, typically 15 minutes	62	57	$200.00	$91.66
66821 Removal of recurring cataract in lens capsule using a laser	58	48	$658.62	$305.23
92025 Ct scan of cornea	38	37	$84.24	$33.51
92083 Exam of visual field with extended testing	12	11	$200.00	$64.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,005	744	$224.42	$128.70
92014 Established patient complete exam of visual system	577	340	$218.07	$128.96
92134 Imaging of retina	385	152	$100.00	$41.00
92285 Photography of content of eyes	333	329	$60.00	$23.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	196	196	$282.76	$167.26
67028 Injection of drug into eye	177	49	$270.76	$128.34
J7999 Compounded drug, not otherwise classified	126	37	$100.00	$92.50
92136 Measurement of corneal curvature and depth of eye	123	78	$175.00	$41.29
92133 Imaging of optic nerve	115	106	$100.00	$36.84
J0178 Injection, aflibercept, 1 mg	106	14	$1300.00	$867.74
66984 Removal of cataract with insertion of lens	101	61	$1500.00	$543.45
99213 Established patient office or other outpatient visit, typically 15 minutes	74	67	$151.35	$91.42
66821 Removal of recurring cataract in lens capsule using a laser	68	50	$650.00	$312.84
92004 New patient complete exam of visual system	51	51	$257.45	$153.00
76514 Ultrasound scan of cornea to determine thickness	14	12	$35.00	$10.98
92250 Photography of the retina	11	11	$150.00	$35.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,050	788	$175.40	$129.40
99213 Established patient office or other outpatient visit, typically 15 minutes	575	292	$150.00	$91.68
92134 Imaging of retina	370	169	$100.00	$41.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	221	221	$275.00	$166.97
92285 Photography of content of eyes	211	210	$60.00	$23.59
67028 Injection of drug into eye	128	46	$253.13	$120.31
92133 Imaging of optic nerve	112	102	$100.00	$37.20
92136 Measurement of corneal curvature and depth of eye	85	52	$175.00	$41.67
66984 Removal of cataract with insertion of lens	85	50	$1510.47	$545.38
J0178 Injection, aflibercept, 1 mg	82	14	$1300.00	$900.05
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	78	12	$11.00	$1.14
66821 Removal of recurring cataract in lens capsule using a laser	71	53	$668.31	$312.22
J7999 Compounded drug, not otherwise classified	67	33	$100.00	$92.76
J9035 Injection, bevacizumab, 10 mg	32	17	$90.00	$68.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$200.00	$113.32
92250 Photography of the retina	21	21	$150.00	$38.08
67515 Injection of medication or substance into membrane covering eyeball	16	12	$255.00	$60.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	762	606	$175.00	$131.75
92285 Photography of content of eyes	510	506	$60.00	$23.30
99213 Established patient office or other outpatient visit, typically 15 minutes	443	265	$150.00	$93.03
92134 Imaging of retina	344	167	$100.00	$41.86
92014 Established patient complete exam of visual system	298	270	$200.00	$129.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	230	230	$275.00	$170.16
92012 Established patient problem focused exam of visual system	168	112	$145.00	$92.25
92136 Measurement of corneal curvature and depth of eye	128	73	$175.00	$45.62
67028 Injection of drug into eye	119	48	$238.24	$119.56
92133 Imaging of optic nerve	117	108	$100.00	$36.98
66984 Removal of cataract with insertion of lens	112	66	$1500.00	$547.51
J0178 Injection, aflibercept, 1 mg	90	27	$1300.00	$917.68
J9035 Injection, bevacizumab, 10 mg	71	30	$90.00	$72.54
66821 Removal of recurring cataract in lens capsule using a laser	58	44	$661.21	$313.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$200.00	$114.41
92004 New patient complete exam of visual system	21	21	$250.00	$154.54
92250 Photography of the retina	14	14	$150.00	$40.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	886	638	$200.00	$129.24
92012 Established patient problem focused exam of visual system	618	338	$139.82	$90.60
92134 Imaging of retina	350	149	$100.00	$41.69
92285 Photography of content of eyes	343	342	$60.00	$22.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	145	145	$275.00	$167.01
67028 Injection of drug into eye	119	49	$243.91	$107.84
92136 Measurement of corneal curvature and depth of eye	108	63	$175.00	$50.86
66984 Removal of cataract with insertion of lens	102	60	$1500.00	$545.66
92133 Imaging of optic nerve	101	98	$100.00	$37.05
J9035 Injection, bevacizumab, 10 mg	92	40	$90.00	$78.51
92004 New patient complete exam of visual system	62	62	$250.00	$151.48
66821 Removal of recurring cataract in lens capsule using a laser	57	47	$650.00	$316.68
92250 Photography of the retina	18	18	$150.00	$46.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$200.00	$110.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$175.00	$104.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	978	747	$200.08	$128.42
92012 Established patient problem focused exam of visual system	689	370	$135.00	$89.69
92285 Photography of content of eyes	472	452	$60.00	$21.70
92134 Imaging of retina	356	163	$100.00	$40.98
83861 Microfluid analysis of tears	254	118	$40.00	$22.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	189	189	$275.00	$166.68
92136 Measurement of corneal curvature and depth of eye	142	83	$175.00	$53.62
66984 Removal of cataract with insertion of lens	139	80	$1500.00	$642.86
67028 Injection of drug into eye	138	53	$236.41	$103.31
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	112	15	$11.00	$1.59
92133 Imaging of optic nerve	95	92	$100.00	$36.86
J9035 Injection, bevacizumab, 10 mg	94	39	$90.00	$75.53
66821 Removal of recurring cataract in lens capsule using a laser	76	59	$604.61	$318.46
J0178 Injection, aflibercept, 1 mg	76	19	$1300.00	$943.10
92004 New patient complete exam of visual system	73	73	$250.00	$152.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$200.00	$109.90
92250 Photography of the retina	30	30	$150.00	$51.81
67515 Injection of medication or substance into membrane covering eyeball	24	14	$229.50	$86.08
92025 Ct scan of cornea	22	20	$95.00	$37.91
17110 Destruction of up to 14 skin growths	14	12	$225.00	$109.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	995	753	$200.00	$125.86
92012 Established patient problem focused exam of visual system	713	370	$131.58	$87.80
83861 Microfluid analysis of tears	480	191	$40.00	$21.95
92134 Imaging of retina	293	133	$100.00	$41.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	195	195	$275.00	$165.28
67028 Injection of drug into eye	154	50	$227.92	$102.91
92136 Measurement of corneal curvature and depth of eye	138	81	$175.00	$57.11
66984 Removal of cataract with insertion of lens	130	71	$1500.00	$601.11
92133 Imaging of optic nerve	123	121	$100.00	$37.83
66821 Removal of recurring cataract in lens capsule using a laser	106	73	$593.40	$309.40
J0178 Injection, aflibercept, 1 mg	106	11	$1300.00	$953.27
J9035 Injection, bevacizumab, 10 mg	100	42	$86.36	$76.01
92004 New patient complete exam of visual system	49	49	$250.00	$152.17
92025 Ct scan of cornea	35	27	$95.00	$38.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$200.00	$108.69
92285 Photography of content of eyes	16	16	$60.00	$18.81
92083 Exam of visual field with extended testing	16	14	$200.00	$64.95
76514 Ultrasound scan of cornea to determine thickness	13	13	$35.00	$14.67
92082 Exam of visual field with intermediate testing	12	12	$150.00	$48.99
15823 Removal of excessive skin and fat of upper eyelid	11	11	$2331.82	$790.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,085	779	$200.00	$119.17
92012 Established patient problem focused exam of visual system	717	358	$125.00	$82.21
83861 Microfluid analysis of tears	557	226	$40.00	$22.08
92134 Imaging of retina	347	150	$100.00	$39.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	184	184	$275.00	$155.22
67028 Injection of drug into eye	161	51	$226.40	$97.67
92136 Measurement of corneal curvature and depth of eye	137	86	$175.00	$64.26
92133 Imaging of optic nerve	136	126	$100.00	$36.07
66984 Removal of cataract with insertion of lens	130	81	$1500.00	$598.09
66821 Removal of recurring cataract in lens capsule using a laser	127	85	$550.00	$294.31
J9035 Injection, bevacizumab, 10 mg	104	43	$76.00	$72.99
J0178 Injection, aflibercept, 1 mg	100	13	$1300.00	$962.78
92250 Photography of the retina	45	45	$150.00	$64.04
92083 Exam of visual field with extended testing	44	39	$200.00	$62.36
92004 New patient complete exam of visual system	40	40	$226.25	$144.02
92025 Ct scan of cornea	36	26	$95.00	$35.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$200.00	$103.77
92285 Photography of content of eyes	14	13	$60.00	$19.13

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WA OP60127012

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License MI 5101016467

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License ID O 570

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8564387 (WA)

Commercial Insurance / Payer ID Federal Blue Cross

1699896167

Commercial Insurance / Payer ID Medicaid - Pullman

808567101 (ID)

Commercial Insurance / Payer ID Washington Labor & Industry

258958 (WA)

Commercial Insurance / Payer ID Medicaid - Clarkston

808567100 (ID)

Commercial Insurance / Payer ID Premera Blue Cross

1699896167

Commercial Insurance / Payer ID Asuris - Clarkston

0080BO

Commercial Insurance / Payer ID State License

O 0570 (ID)

Commercial Insurance / Payer ID State License

OP60127012 (WA)

Commercial Insurance / Payer ID Regence Blue Shield

1699896167

Hospital & Practice Group Affiliations

Eye Care Specialists Ps

415 6th St, Lewiston, ID 835012431

Phone: 5097588811

Eye Care Specialists Ps

500 Port Dr, Clarkston, WA 994031835

Phone: 5097588811

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Dorian Rammell , OD

Optometrist

NPI 1245496744

Doctor of Optometry

Dr. Mark Eggleston , MD

Ophthalmology

NPI 1306836705

Doctor of Medicine (M.D.)

Mary Muench , CRNA

Nurse Anesthetist, Certified Registered

NPI 1649361007

Certified Registered Nurse Anesthetist

Dr. Richard Eggleston , MD

Ophthalmology

NPI 1821088147

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 May 28, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location May 28, 2010

Registered at 500 PORT DR, CLARKSTON, WA 994031835 (Tel: 5097588811)

📍

Updated Business Mailing Address May 28, 2010

Registered at 500 PORT DR, CLARKSTON, WA 994031835 (Tel: 5097588811)

👤

Provider Name / Credentials Updated May 28, 2010

Recorded as CHAD BOUTERSE, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2010

Ophthalmology (License #OP60127012 in WA)

🟢

Initial NPI Registration & Enumeration April 03, 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: 1699896167

Entity Type:

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

Enumeration Date: April 03, 2007

Last Update: May 28, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

500 Port Dr

Clarkston, WA 994031835

Phone: 5097588811

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.