Active NPI 1174837579 Individual Practitioner Male Practitioner

Dr. Carl Neil Ekman , OD

Optometrist • Everett, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Carl Ekman, OD is a certified Optometrist practicing in Everett, WA. With approximately 16 years of clinical experience since graduating from Pennsylvania College Of Optometry in 2010, Dr. Ekman delivers high-quality medical care to the local community at 10217 19TH AVE SE STE 102.

Dr. Ekman is affiliated with Kyle Sexton, O.D., Llc and accepts Medicare assignment.

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

10217 19th Ave Se Ste 102

Everett, WA 982084266

Telephone 2531694004

Fax 2531688204

Medicare Profile & Education

Medical School

Pennsylvania College Of Optometry

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Everett, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +3.6 yrs vs City Avg

City Avg: 12.4 Yrs

State Avg: 20.4 Yrs

Regional Practice Density

43 Specialists

Practicing in Everett, WA (1692 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ekman (16 Years) 16 Yrs

Everett Specialty Average (12.4 Years) 12.4 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	27	21	$230.00	$135.67
99213 Established patient office or other outpatient visit, typically 15 minutes	25	17	$175.00	$96.13
92134 Imaging of retina	18	18	$68.00	$42.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	116	102	$122.37	$90.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	100	$177.48	$126.68
92134 Imaging of retina	87	81	$110.51	$40.60
92133 Imaging of optic nerve	39	34	$109.90	$35.51
92083 Exam of visual field with extended testing	39	35	$139.77	$63.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$262.29	$165.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	211	168	$111.00	$41.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	181	149	$175.94	$129.13
99213 Established patient office or other outpatient visit, typically 15 minutes	167	136	$120.36	$91.53
92133 Imaging of optic nerve	52	37	$111.00	$36.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$260.00	$168.77
92083 Exam of visual field with extended testing	28	24	$140.00	$61.87
92136 Measurement of corneal curvature and depth of eye	16	15	$150.00	$49.68
92014 Established patient complete exam of visual system	15	15	$240.00	$129.31

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	319	295	$268.81	$127.31
99213 Established patient office or other outpatient visit, typically 15 minutes	252	170	$188.61	$89.42
92134 Imaging of retina	165	156	$105.18	$39.86
92133 Imaging of optic nerve	144	115	$95.11	$34.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	108	108	$408.61	$163.79
92014 Established patient complete exam of visual system	103	101	$315.00	$123.56
92083 Exam of visual field with extended testing	99	78	$157.83	$59.66
92004 New patient complete exam of visual system	59	59	$375.00	$147.96
92012 Established patient problem focused exam of visual system	54	47	$220.00	$88.05
76514 Ultrasound scan of cornea to determine thickness	28	27	$30.00	$10.87
67820 Removal of eyelashes using forceps	27	17	$79.63	$22.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$270.00	$108.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	435	388	$170.00	$125.45
92012 Established patient problem focused exam of visual system	383	257	$120.00	$87.76
92004 New patient complete exam of visual system	348	348	$210.00	$148.77
92134 Imaging of retina	235	221	$95.00	$40.35
92133 Imaging of optic nerve	192	143	$95.00	$35.21
92083 Exam of visual field with extended testing	170	124	$120.00	$62.71
92002 New patient problem focused exam of visual system	98	98	$115.00	$83.35
76514 Ultrasound scan of cornea to determine thickness	57	54	$70.00	$11.27
92020 Examination of cornea and iris using lens device and slit lamp	15	15	$65.00	$27.76
67820 Removal of eyelashes using forceps	14	11	$150.00	$26.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92004 New patient complete exam of visual system	125	125	$210.00	$149.49
92012 Established patient problem focused exam of visual system	101	72	$120.00	$87.72
92014 Established patient complete exam of visual system	85	85	$170.00	$125.88
92134 Imaging of retina	63	63	$94.02	$40.68
92002 New patient problem focused exam of visual system	52	52	$115.00	$83.55
92133 Imaging of optic nerve	31	29	$92.92	$35.19
92083 Exam of visual field with extended testing	29	25	$115.93	$63.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$149.91	$108.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$150.28	$107.38
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$101.35	$73.70
76514 Ultrasound scan of cornea to determine thickness	19	18	$70.00	$11.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$230.28	$163.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	38	38	$165.00	$135.29
92012 Established patient problem focused exam of visual system	32	27	$125.00	$94.21
92133 Imaging of optic nerve	20	18	$120.54	$37.75
92083 Exam of visual field with extended testing	16	14	$127.62	$67.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$150.29	$101.90
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$101.57	$68.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	166	109	$118.13	$93.45
92014 Established patient complete exam of visual system	119	111	$165.00	$134.30
92133 Imaging of optic nerve	66	47	$135.00	$39.13
92083 Exam of visual field with extended testing	53	41	$140.00	$71.57
92004 New patient complete exam of visual system	32	32	$205.00	$162.22
92134 Imaging of retina	28	25	$135.00	$44.12
92250 Photography of the retina	18	18	$112.00	$73.65

Medical Specialties & State Licenses

CMS Verified: 2023-11-29

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WA 60172882

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 AZ 2236

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

372548 (AZ)

Hospital & Practice Group Affiliations

Kyle Sexton, O.d., Llc

3500 S Meridian, Puyallup, WA 983733749

Phone: 2538649353

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Meagan-Rhose Abanto , OD

Optometrist

NPI 1457027880

Doctor of Optometry

Dr. Simrit Sandhu , OD

Optometrist

NPI 1598639783

Doctor of Optometry

Dr. Roger Hall , OD

Optometrist

NPI 1932271921

Doctor of Optometry

Career & Practice History Timeline

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

18 Historical Events

📍

Updated Practice Location November 29, 2023

Registered at 10217 19TH AVE SE STE 102, EVERETT, WA 982084266 (Tel: 2531694004)

📍

Updated Business Mailing Address November 29, 2023

Registered at 10217 19TH AVE SE STE 102, EVERETT, WA 982084266 (Tel: 2531694004)

📍

Updated Practice Location October 08, 2019

Registered at 2149 W 24TH ST STE 1, YUMA, AZ 853646136 (Tel: 9287264120)

📍

Updated Business Mailing Address October 08, 2019

Registered at 4800 N 22ND ST STE 210, PHOENIX, AZ 850164963 (Tel: 6029551000)

📍

Updated Practice Location April 04, 2018

Registered at 182 W 32ND ST, YUMA, AZ 853648127 (Tel: 9287267757)

📍

Updated Business Mailing Address April 04, 2018

Registered at 220 N MCKEMY AVE, CHANDLER, AZ 852262654 (Tel: 4808354472)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2018

Optometrist (License #2236 in AZ)

✅

NPI Profile Active August 29, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 29, 2017

Registered at 12301 NE 10TH PL STE 200, BELLEVUE, WA 980052487 (Tel: 4254502020)

📍

Updated Business Mailing Address August 29, 2017

Registered at 12301 NE 10TH PL STE 200, BELLEVUE, WA 980052487 (Tel: (425) 450-2020)

👤

Provider Name / Credentials Updated August 29, 2017

Recorded as CARL EKMAN, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2017

Optometrist (License #OD60172882 in WA)

✅

NPI Profile Active November 22, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location November 22, 2010

Registered at 801 ALABAMA ST, BELLINGHAM, WA 982253830 (Tel: 3606181460)

📍

Updated Business Mailing Address November 22, 2010

Registered at 801 ALABAMA ST, BELLINGHAM, WA 982253830 (Tel: 3606181460)

👤

Provider Name / Credentials Updated November 22, 2010

Recorded as CARL EKMAN, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2010

Optometrist (License #OD60172882 in WA)

🟢

Initial NPI Registration & Enumeration July 28, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1174837579

Entity Type:

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

Enumeration Date: July 28, 2010

Last Update: November 29, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10217 19th Ave Se Ste 102

Everett, WA 982084266

Phone: 2531694004

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.