Active NPI 1417915745 Individual Practitioner Male Practitioner

Dr. Sheldon Jay Cowen , MD

Ophthalmology • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Dr. Sheldon Cowen, MD is a registered healthcare professional specializing in Ophthalmology in Seattle, WA. Practice services are available at 515 MINOR AVE under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

515 Minor Ave
Suite 160

Seattle, WA 981042120

Telephone 2066245288

Fax 2066284321

Associated Practice Facility / Clinic

🏢 Minor & James Medical Pllc Facility NPI 1548250012

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Seattle, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.0 Yrs

State Avg: 26.4 Yrs

Regional Practice Density

159 Specialists

Practicing in Seattle, WA (552 Statewide)

Telehealth Adoption Rate

3.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

28.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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	171	169	$218.04	$140.50
92134 Imaging of retina	134	109	$62.27	$44.43
99213 Established patient office or other outpatient visit, typically 15 minutes	92	73	$142.34	$98.18
92133 Imaging of optic nerve	61	61	$55.41	$38.90
92250 Photography of the retina	58	58	$75.23	$40.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	42	$194.39	$138.17
92083 Exam of visual field with extended testing	53	53	$107.85	$72.47
92201 Extended exam of the back part of the eye with retinal drawing	31	24	$35.97	$25.26
67028 Injection of drug into eye	21	13	$160.00	$124.13
92202 Extended exam of the back part of the eye with optic nerve drawing	16	14	$35.00	$16.64
92012 Established patient problem focused exam of visual system	16	16	$115.00	$100.58
92004 New patient complete exam of visual system	16	16	$200.00	$165.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	518	495	$165.38	$142.10
92134 Imaging of retina	486	326	$55.05	$45.36
99213 Established patient office or other outpatient visit, typically 15 minutes	345	184	$120.12	$99.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	207	140	$167.34	$136.70
92133 Imaging of optic nerve	202	198	$55.87	$39.29
92083 Exam of visual field with extended testing	186	164	$85.32	$71.22
92201 Extended exam of the back part of the eye with retinal drawing	145	67	$35.00	$26.90
92250 Photography of the retina	97	97	$50.52	$40.39
92012 Established patient problem focused exam of visual system	52	49	$115.77	$98.92
67028 Injection of drug into eye	48	16	$150.00	$125.40
92202 Extended exam of the back part of the eye with optic nerve drawing	43	32	$35.00	$16.93
92136 Measurement of corneal curvature and depth of eye	41	24	$65.00	$45.10
92004 New patient complete exam of visual system	38	38	$200.79	$168.51
66821 Removal of recurring cataract in lens capsule using a laser	35	27	$425.00	$371.64
66984 Removal of cataract with insertion of lens	34	20	$800.00	$595.19
68840 Probing of nasal-tear duct	19	17	$334.21	$212.67
65855 Laser repair to improve eye fluid flow	15	11	$353.00	$272.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	488	468	$160.62	$141.97
92134 Imaging of retina	484	323	$52.49	$45.68
99213 Established patient office or other outpatient visit, typically 15 minutes	460	227	$110.04	$99.27
92083 Exam of visual field with extended testing	192	173	$80.95	$71.51
92133 Imaging of optic nerve	186	180	$52.12	$39.71
92201 Extended exam of the back part of the eye with retinal drawing	155	72	$31.48	$26.99
92250 Photography of the retina	101	98	$48.96	$39.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	69	$171.40	$140.48
J9035 Injection, bevacizumab, 10 mg	66	13	$94.00	$68.51
92012 Established patient problem focused exam of visual system	63	56	$112.16	$100.98
67028 Injection of drug into eye	62	20	$150.00	$125.69
92136 Measurement of corneal curvature and depth of eye	39	24	$68.34	$45.58
66984 Removal of cataract with insertion of lens	34	20	$741.18	$568.50
92202 Extended exam of the back part of the eye with optic nerve drawing	33	28	$21.98	$16.83
92004 New patient complete exam of visual system	29	29	$184.75	$168.07
66821 Removal of recurring cataract in lens capsule using a laser	26	20	$413.50	$376.80
65855 Laser repair to improve eye fluid flow	20	15	$314.38	$262.96
68840 Probing of nasal-tear duct	15	15	$325.45	$212.61
76514 Ultrasound scan of cornea to determine thickness	11	11	$17.54	$11.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	495	232	$104.96	$100.45
92134 Imaging of retina	440	292	$48.80	$46.40
92014 Established patient complete exam of visual system	434	415	$151.43	$143.65
92083 Exam of visual field with extended testing	166	145	$77.28	$72.52
92133 Imaging of optic nerve	158	153	$46.83	$40.43
J2778 Injection, ranibizumab, 0.1 mg	145	11	$403.60	$314.88
92201 Extended exam of the back part of the eye with retinal drawing	122	63	$27.90	$27.50
92250 Photography of the retina	92	91	$49.11	$42.29
J9035 Injection, bevacizumab, 10 mg	86	17	$94.00	$72.72
67028 Injection of drug into eye	80	21	$133.13	$124.85
92012 Established patient problem focused exam of visual system	70	58	$105.18	$103.08
92202 Extended exam of the back part of the eye with optic nerve drawing	40	34	$18.23	$17.07
66821 Removal of recurring cataract in lens capsule using a laser	35	28	$389.34	$382.87
92136 Measurement of corneal curvature and depth of eye	34	21	$63.48	$52.58
92004 New patient complete exam of visual system	30	30	$174.25	$171.30
66984 Removal of cataract with insertion of lens	23	14	$700.00	$606.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	479	230	$91.73	$82.36
92014 Established patient complete exam of visual system	407	399	$155.59	$140.30
92134 Imaging of retina	371	265	$50.32	$45.39
92133 Imaging of optic nerve	165	161	$50.73	$39.72
92083 Exam of visual field with extended testing	153	135	$79.73	$71.47
92201 Extended exam of the back part of the eye with retinal drawing	134	93	$30.65	$27.48
92250 Photography of the retina	91	87	$56.00	$48.93
92012 Established patient problem focused exam of visual system	71	63	$109.86	$98.77
67028 Injection of drug into eye	64	14	$123.00	$111.83
J9035 Injection, bevacizumab, 10 mg	64	11	$94.00	$78.27
92136 Measurement of corneal curvature and depth of eye	45	29	$78.00	$56.97
66984 Removal of cataract with insertion of lens	32	21	$700.00	$605.80
92004 New patient complete exam of visual system	27	27	$184.50	$168.20
66821 Removal of recurring cataract in lens capsule using a laser	16	16	$412.00	$375.35
76514 Ultrasound scan of cornea to determine thickness	14	14	$15.00	$12.53
68840 Probing of nasal-tear duct	13	13	$324.00	$221.81
65855 Laser repair to improve eye fluid flow	13	11	$303.00	$275.32
66982 Complex removal of cataract with insertion of prosthetic lens	13	11	$1000.00	$826.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	759	362	$90.08	$80.44
92014 Established patient complete exam of visual system	682	662	$154.43	$139.07
92134 Imaging of retina	650	471	$50.52	$44.82
92226 Examination of eye by ophthalmoscope with retinal drawing	593	177	$31.17	$27.81
92083 Exam of visual field with extended testing	267	226	$80.42	$71.46
92133 Imaging of optic nerve	213	210	$46.32	$38.81
92250 Photography of the retina	134	132	$62.95	$53.60
92012 Established patient problem focused exam of visual system	103	86	$108.76	$94.94
J9035 Injection, bevacizumab, 10 mg	58	15	$77.24	$68.90
92136 Measurement of corneal curvature and depth of eye	57	38	$86.64	$62.88
67028 Injection of drug into eye	56	16	$122.72	$111.21
92004 New patient complete exam of visual system	45	45	$183.80	$162.85
66984 Removal of cataract with insertion of lens	35	24	$1919.00	$701.55
68840 Probing of nasal-tear duct	31	29	$306.41	$208.80
66821 Removal of recurring cataract in lens capsule using a laser	30	25	$418.34	$359.61
66982 Complex removal of cataract with insertion of prosthetic lens	23	15	$2400.00	$869.09
65855 Laser repair to improve eye fluid flow	17	14	$300.38	$272.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	802	390	$88.36	$76.07
92014 Established patient complete exam of visual system	705	690	$154.36	$133.95
92134 Imaging of retina	619	456	$51.38	$43.94
92226 Examination of eye by ophthalmoscope with retinal drawing	572	179	$30.62	$26.35
92083 Exam of visual field with extended testing	301	249	$80.36	$69.28
92133 Imaging of optic nerve	249	243	$47.01	$38.34
92250 Photography of the retina	131	131	$71.47	$58.11
92012 Established patient problem focused exam of visual system	96	80	$107.71	$92.56
92136 Measurement of corneal curvature and depth of eye	59	36	$100.46	$64.78
67028 Injection of drug into eye	58	19	$138.16	$107.56
92004 New patient complete exam of visual system	57	57	$183.90	$160.35
66984 Removal of cataract with insertion of lens	47	29	$1949.70	$667.99
66821 Removal of recurring cataract in lens capsule using a laser	45	39	$413.21	$347.50
J9035 Injection, bevacizumab, 10 mg	38	15	$65.00	$63.96
68840 Probing of nasal-tear duct	36	35	$316.22	$207.37
65855 Laser repair to improve eye fluid flow	26	19	$322.71	$254.39
76514 Ultrasound scan of cornea to determine thickness	14	12	$20.38	$14.75
92285 Photography of content of eyes	14	14	$26.19	$22.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	854	425	$87.47	$75.10
92014 Established patient complete exam of visual system	723	709	$150.34	$129.12
92134 Imaging of retina	596	476	$50.56	$42.50
92226 Examination of eye by ophthalmoscope with retinal drawing	547	189	$30.07	$25.50
92083 Exam of visual field with extended testing	333	264	$81.93	$65.73
92133 Imaging of optic nerve	254	249	$46.63	$37.60
92250 Photography of the retina	154	153	$83.71	$69.73
92012 Established patient problem focused exam of visual system	80	71	$105.14	$87.48
92136 Measurement of corneal curvature and depth of eye	66	41	$113.96	$68.90
66984 Removal of cataract with insertion of lens	60	36	$1951.07	$634.38
66821 Removal of recurring cataract in lens capsule using a laser	57	45	$406.13	$344.36
92004 New patient complete exam of visual system	56	56	$180.69	$154.21
67028 Injection of drug into eye	41	13	$121.47	$105.52
68840 Probing of nasal-tear duct	39	38	$307.05	$200.44
76514 Ultrasound scan of cornea to determine thickness	19	18	$20.53	$15.03
65855 Laser repair to improve eye fluid flow	19	12	$293.80	$255.24
66982 Complex removal of cataract with insertion of prosthetic lens	14	11	$2400.00	$824.60
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$32.32	$28.08

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WA MD00025992

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1100478 (WA)

Commercial Insurance / Payer ID Tax Id

911706205 (WA)

Practice Associates & Co-Workers

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

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Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 04, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 04, 2016

Registered at 515 MINOR AVE, SUITE 160, SEATTLE, WA 981042120 (Tel: 2066245288)

📍

Updated Business Mailing Address October 04, 2016

Registered at 515 MINOR AVE, SUITE 160, SEATTLE, WA 981042120 (Tel: 2066245288)

👤

Provider Name / Credentials Updated October 04, 2016

Recorded as SHELDON COWEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2016

Ophthalmology (License #MD00025992 in WA)

🟢

Initial NPI Registration & Enumeration May 03, 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: 1417915745

Entity Type:

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

Enumeration Date: May 03, 2006

Last Update: October 04, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

515 Minor Ave, Suite 160

Seattle, WA 981042120

Phone: 2066245288

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.