Active NPI 1720021330 Individual Practitioner Male Practitioner

Craig Rouse

Optometrist • Lacey, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Craig Rouse is a certified Optometrist practicing in Lacey, WA. With approximately 29 years of clinical experience since graduating from Pacific University - College Of Optometry in 1997, Craig Rouse delivers high-quality medical care to the local community at 8160 FREEDOM LN NE.

Craig Rouse is affiliated with Aeg Washington Professional Pc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

8160 Freedom Ln Ne
Suite D

Lacey, WA 985164753

Telephone 3604554425

Fax 3604553200

Associated Practice Facility / Clinic

🏢 Nico Rouse Corporation P S Facility NPI 1699941393

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Lacey, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +9.1 yrs vs City Avg

City Avg: 19.9 Yrs

State Avg: 20.4 Yrs

Regional Practice Density

17 Specialists

Practicing in Lacey, WA (1692 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rouse (29 Years) 29 Yrs

Lacey Specialty Average (19.9 Years) 19.9 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	82	61	$190.00	$127.91
92133 Imaging of optic nerve	79	74	$100.00	$35.57
92134 Imaging of retina	60	54	$100.00	$39.72
92285 Photography of content of eyes	54	46	$100.00	$23.71
92083 Exam of visual field with extended testing	50	39	$120.00	$63.99
92250 Photography of the retina	33	32	$130.00	$35.62
92014 Established patient complete exam of visual system	27	27	$165.00	$126.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$200.00	$166.28
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$120.00	$90.82
92004 New patient complete exam of visual system	12	12	$195.00	$149.95
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$60.00	$27.47

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	62	52	$211.00	$127.33
92134 Imaging of retina	49	47	$93.88	$40.56
92133 Imaging of optic nerve	48	46	$94.38	$36.17
92083 Exam of visual field with extended testing	34	28	$115.00	$63.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$279.77	$165.67
99213 Established patient office or other outpatient visit, typically 15 minutes	26	23	$144.81	$90.11
92250 Photography of the retina	25	25	$112.40	$36.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$323.00	$178.59
92014 Established patient complete exam of visual system	15	15	$167.00	$127.09
92285 Photography of content of eyes	12	12	$80.83	$23.23

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	167	112	$232.00	$128.43
92134 Imaging of retina	114	91	$85.00	$40.47
92083 Exam of visual field with extended testing	88	68	$110.00	$63.55
92133 Imaging of optic nerve	72	64	$85.00	$36.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$322.00	$167.20
92250 Photography of the retina	50	49	$108.00	$35.41
92285 Photography of content of eyes	47	40	$54.00	$23.23
99213 Established patient office or other outpatient visit, typically 15 minutes	44	33	$163.00	$91.00
92020 Examination of cornea and iris using lens device and slit lamp	38	37	$51.00	$28.29
76514 Ultrasound scan of cornea to determine thickness	31	31	$35.00	$10.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$323.00	$179.54

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	136	96	$222.21	$130.78
92134 Imaging of retina	93	77	$85.00	$41.01
99213 Established patient office or other outpatient visit, typically 15 minutes	84	55	$158.00	$92.18
92083 Exam of visual field with extended testing	71	52	$110.00	$64.46
92285 Photography of content of eyes	69	51	$48.93	$23.19
92133 Imaging of optic nerve	68	54	$85.00	$36.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$320.55	$168.87
92020 Examination of cornea and iris using lens device and slit lamp	26	26	$51.00	$28.38
76514 Ultrasound scan of cornea to determine thickness	25	25	$35.00	$11.22
92250 Photography of the retina	18	17	$108.00	$38.09

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	179	121	$196.00	$109.04
92134 Imaging of retina	103	86	$85.00	$40.45
92285 Photography of content of eyes	84	61	$37.00	$21.70
92083 Exam of visual field with extended testing	83	72	$110.00	$63.35
99213 Established patient office or other outpatient visit, typically 15 minutes	72	40	$133.00	$75.97
92133 Imaging of optic nerve	66	58	$85.00	$36.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$314.00	$166.12
92250 Photography of the retina	36	35	$108.00	$44.75
92020 Examination of cornea and iris using lens device and slit lamp	22	21	$51.00	$27.17
76514 Ultrasound scan of cornea to determine thickness	20	19	$35.00	$10.99

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	208	154	$196.00	$105.80
92134 Imaging of retina	164	137	$85.00	$39.96
92083 Exam of visual field with extended testing	102	81	$110.00	$61.52
99213 Established patient office or other outpatient visit, typically 15 minutes	90	51	$133.00	$72.43
92285 Photography of content of eyes	73	56	$37.00	$20.78
92250 Photography of the retina	61	54	$108.00	$47.53
92133 Imaging of optic nerve	53	47	$85.00	$35.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$314.00	$160.20
92274 Measurement of retinal and optic nerve function targeting multiple separate locations	30	30	$194.00	$87.84
95930 Measurement of nerve conduction using visual stimulation testing with report	23	23	$205.00	$67.13
92020 Examination of cornea and iris using lens device and slit lamp	19	19	$51.00	$26.97
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	13	13	$228.00	$131.48
76514 Ultrasound scan of cornea to determine thickness	12	12	$35.00	$11.69

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	208	159	$170.13	$107.84
92134 Imaging of retina	143	118	$85.00	$41.30
99213 Established patient office or other outpatient visit, typically 15 minutes	101	65	$114.00	$73.39
92083 Exam of visual field with extended testing	78	63	$110.00	$62.58
92285 Photography of content of eyes	56	47	$37.00	$20.81
92133 Imaging of optic nerve	56	54	$85.00	$37.57
92275 Recording of retinal electrical responses to external stimuli	51	44	$223.00	$149.68
92250 Photography of the retina	33	31	$108.00	$54.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$275.00	$165.46
95930 Measurement of nerve conduction using visual stimulation testing with report	20	20	$205.00	$68.94
76514 Ultrasound scan of cornea to determine thickness	18	17	$35.00	$14.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	14	$75.00	$44.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$184.00	$108.33
92020 Examination of cornea and iris using lens device and slit lamp	12	12	$51.00	$27.14

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	188	146	$170.00	$103.53
99213 Established patient office or other outpatient visit, typically 15 minutes	135	79	$114.00	$70.15
92134 Imaging of retina	114	100	$85.00	$39.44
92083 Exam of visual field with extended testing	84	65	$110.00	$61.51
92133 Imaging of optic nerve	75	67	$85.00	$35.71
92285 Photography of content of eyes	64	53	$37.00	$19.90
92250 Photography of the retina	30	29	$108.00	$63.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$275.00	$157.25
92020 Examination of cornea and iris using lens device and slit lamp	14	14	$51.00	$25.94
76514 Ultrasound scan of cornea to determine thickness	13	13	$35.00	$13.99

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WA MR0424806

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 WA OD00003743

Optometrist

NUCC Taxonomy Code: 152W00000X

State License AK 226

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

OD2260 (AK)

Commercial Insurance / Payer ID Regence Blue Shield Pin

4536RO

Commercial Insurance / Payer ID Tricare Pin #

721551995 (WA)

Commercial Insurance / Payer ID Railroad Medicare Pin #

410048942

Commercial Insurance / Payer ID Aetna Ppo Provider #

7283193

Commercial Insurance / Payer ID Medicare Railroad Carrier Group # De9528

P00327511 (WA)

Commercial Insurance / Payer ID Tricare Pin #

202160317 (AK)

Commercial Insurance / Payer ID Aetna Hmo Provider #

3183314

Hospital & Practice Group Affiliations

Aeg Washington Professional Pc

1098 Alder Ave, Marysville, WA 982704318

Phone: 3606596255

Aeg Washington Professional Pc

8160 Freedom Ln Ne, Lacey, WA 985164753

Phone: 3604554425

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Tanya Petruk , OD

Optometrist

NPI 1487515474

Doctor of Optometry

Dr. Alexandra Heisler , OD

Optometrist

NPI 1922411651

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 14, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location August 14, 2008

Registered at 8160 FREEDOM LN NE, SUITE D, LACEY, WA 985164753 (Tel: 3604554425)

📍

Updated Business Mailing Address August 14, 2008

Registered at 9321 MILBURN LOOP SE, LACEY, WA 985133420 (Tel: 3607901669)

👤

Provider Name / Credentials Updated August 14, 2008

Recorded as CRAIG ROUSE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2008

Optometrist (License #MR0424806 in WA)

🟢

Initial NPI Registration & Enumeration June 13, 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: 1720021330

Entity Type:

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

Enumeration Date: June 13, 2006

Last Update: August 14, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9321 Milburn Loop Se

Lacey, WA 985133420

Phone: 3607901669

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.