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Active NPI 1487017075 Individual Practitioner Male Practitioner

Paul Nefedov

Optometrist • Longview, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Paul Nefedov is a certified Optometrist practicing in Longview, WA. With approximately 9 years of clinical experience since graduating from Pacific University - College Of Optometry in 2017, Paul Nefedov delivers high-quality medical care to the local community at 600 TRIANGLE CTR STE 400.

Paul Nefedov maintains professional affiliations with Pacific University, University Professional Services 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 retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

600 Triangle Ctr Ste 400

Longview, WA 986324667

Telephone 3604230220
Fax 3604230697
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Longview, WA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -7.5 yrs vs City Avg
City Avg: 16.5 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
20 Specialists

Practicing in Longview, WA (1692 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
76.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nefedov (9 Years) 9 Yrs
Longview Specialty Average (16.5 Years) 16.5 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
383 377 $310.00 $125.91
99213 Established patient office or other outpatient visit, typically 15 minutes
281 195 $347.09 $90.39
92134 Imaging of retina
238 197 $326.05 $39.63
92004 New patient complete exam of visual system
180 180 $405.04 $148.60
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
162 112 $47.00 $16.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
145 122 $443.86 $126.02
92133 Imaging of optic nerve
143 116 $315.61 $34.76
92083 Exam of visual field with extended testing
135 95 $441.16 $63.64
92250 Photography of the retina
25 24 $427.96 $37.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
23 23 $554.78 $166.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
21 21 $398.29 $110.74

Medical Specialties & State Licenses

CMS Verified: 2022-06-14
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OR ATI4325

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 CA 33688

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 OD60997195

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

University Professional Services

2055 Exchange St, Astoria, OR 971033419

Phone: 5033383803

Pacific University

2043 College Way, Forest Grove, OR 971161756

Phone: 5033522756

University Professional Services

600 Triangle Ctr, Longview, WA 986324667

Phone: 3604230220

Secondary Practice Locations

600 Triangle Ctr, Suite 400

Longivew, WA 986324667

Phone: 3604230220

2375 Ne Highway 99w

Mcminnville, OR 971289201

Phone: 5034341183

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1033190558

Doctor of Medicine (M.D.)

NPI 1215918735

Doctor of Medicine (M.D.)

NPI 1275859399

Doctor of Medicine (M.D.)

Dr. Dong-Wouk Park , MD

Ophthalmology - Retina Specialist

NPI 1548600372

Doctor of Medicine (M.D.)

NPI 1578889218

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location June 17, 2022

Registered at 600 TRIANGLE CTR STE 400, LONGVIEW, WA 986324667 (Tel: 3604230220)

📍
Updated Business Mailing Address June 17, 2022

Registered at 600 TRIANGLE CTR STE 400, LONGVIEW, WA 986324667 (Tel: 3604230220)

📍
Updated Practice Location January 19, 2022

Registered at 2375 NE HIGHWAY 99W, MCMINNVILLE, OR 971289201 (Tel: 5034341183)

📍
Updated Business Mailing Address January 19, 2022

Registered at 2375 NE HIGHWAY 99W, MCMINNVILLE, OR 971289201 (Tel: 5034341183)

NPI Profile Active August 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2017

Registered at 4860 Y ST, 2400, SACRAMENTO, CA 95817 (Tel: 9167346460)

📍
Updated Business Mailing Address August 30, 2017

Registered at 4860 Y ST, SACRAMENTO, CA 958172307 (Tel: (916) 734-6460)

👤
Provider Name / Credentials Updated August 30, 2017

Recorded as PAUL NEFEDOV

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

Optometrist (License #33688 in CA)

NPI Profile Active March 31, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2016

Registered at 2727 22ND AVE APT 45, FOREST GROVE, OR 971161871 (Tel: 9168806188)

📍
Updated Business Mailing Address March 31, 2016

Registered at 2727 22ND AVE APT 45, FOREST GROVE, OR 971161871 (Tel: 9168806188)

👤
Provider Name / Credentials Updated March 31, 2016

Recorded as PAUL NEFEDOV

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 31, 2016

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: 1487017075
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2016
Last Update: June 17, 2022
Sole Proprietor: No

Mailing Address

600 Triangle Ctr Ste 400

Longview, WA 986324667

Phone: 3604230220

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.