Active NPI 1104846336 Individual Practitioner Male Practitioner

Dr. Thomas James Riley , OD

Optometrist • Spokane, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Riley, OD is a certified Optometrist practicing in Spokane, WA. With approximately 32 years of clinical experience since graduating from Pacific University - College Of Optometry in 1994, Dr. Riley delivers high-quality medical care to the local community at 427 S BERNARD ST.

Dr. Riley is affiliated with Spokane Eye Clinic Ps and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

427 S Bernard St

Spokane, WA 992042509

Telephone 5094560107

Fax 5097472635

Associated Practice Facility / Clinic

🏢 Spokane Eye Clinic Ps Facility NPI 1730187899

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Spokane, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +13.1 yrs vs City Avg

City Avg: 18.9 Yrs

State Avg: 20.4 Yrs

Regional Practice Density

90 Specialists

Practicing in Spokane, WA (1692 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Riley (32 Years) 32 Yrs

Spokane Specialty Average (18.9 Years) 18.9 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	622	563	$198.00	$128.49
99213 Established patient office or other outpatient visit, typically 15 minutes	424	310	$137.00	$91.55
92083 Exam of visual field with extended testing	243	221	$139.91	$62.55
92014 Established patient complete exam of visual system	129	124	$194.00	$127.07
92250 Photography of the retina	110	105	$134.00	$36.83
92134 Imaging of retina	97	84	$89.16	$38.71
92012 Established patient problem focused exam of visual system	88	78	$138.00	$89.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$304.00	$168.28
92133 Imaging of optic nerve	84	71	$90.79	$32.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$200.00	$112.23
92004 New patient complete exam of visual system	16	16	$229.00	$145.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	574	404	$135.41	$90.52
92014 Established patient complete exam of visual system	463	435	$190.11	$129.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	387	373	$198.00	$128.58
92083 Exam of visual field with extended testing	331	309	$140.53	$63.06
92134 Imaging of retina	132	121	$91.59	$40.20
92250 Photography of the retina	129	127	$132.22	$37.18
92133 Imaging of optic nerve	100	93	$92.46	$34.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$304.00	$161.68
92004 New patient complete exam of visual system	44	44	$228.02	$147.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$200.00	$113.36
92020 Examination of cornea and iris using lens device and slit lamp	25	25	$51.00	$28.20
92012 Established patient problem focused exam of visual system	14	12	$132.86	$92.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	765	483	$135.00	$90.94
92014 Established patient complete exam of visual system	686	634	$190.00	$127.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	304	287	$198.00	$128.48
92083 Exam of visual field with extended testing	279	253	$140.18	$63.16
92134 Imaging of retina	201	173	$92.54	$40.49
92250 Photography of the retina	139	132	$130.14	$36.42
92133 Imaging of optic nerve	137	132	$90.18	$33.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$304.00	$166.57
92004 New patient complete exam of visual system	86	86	$228.00	$152.50
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	$112.86
92020 Examination of cornea and iris using lens device and slit lamp	33	33	$51.00	$27.07
76514 Ultrasound scan of cornea to determine thickness	17	17	$28.00	$11.34
92012 Established patient problem focused exam of visual system	12	11	$132.00	$91.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	794	518	$135.00	$92.36
92014 Established patient complete exam of visual system	542	509	$190.00	$129.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	389	362	$198.00	$130.72
92134 Imaging of retina	322	264	$92.54	$41.17
92083 Exam of visual field with extended testing	275	255	$141.27	$64.67
92133 Imaging of optic nerve	150	145	$91.56	$35.18
92250 Photography of the retina	123	122	$132.91	$39.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$304.00	$168.54
92012 Established patient problem focused exam of visual system	105	91	$132.00	$92.13
92004 New patient complete exam of visual system	76	76	$228.00	$152.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$200.00	$113.33
92020 Examination of cornea and iris using lens device and slit lamp	38	38	$51.00	$28.58
76514 Ultrasound scan of cornea to determine thickness	17	16	$28.00	$11.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	749	697	$190.00	$129.13
92012 Established patient problem focused exam of visual system	654	438	$132.00	$90.44
92134 Imaging of retina	279	238	$91.67	$40.79
92004 New patient complete exam of visual system	233	233	$228.00	$153.24
92083 Exam of visual field with extended testing	229	205	$140.14	$63.91
99213 Established patient office or other outpatient visit, typically 15 minutes	148	118	$135.00	$75.38
92133 Imaging of optic nerve	134	125	$90.40	$34.90
92002 New patient problem focused exam of visual system	118	118	$125.00	$86.74
92250 Photography of the retina	72	70	$134.00	$45.84
92020 Examination of cornea and iris using lens device and slit lamp	19	19	$51.00	$28.54
76512 Ultrasound of eye disease, growth, or structure	16	14	$181.00	$52.87
76514 Ultrasound scan of cornea to determine thickness	11	11	$28.00	$10.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	849	777	$190.00	$128.35
92012 Established patient problem focused exam of visual system	837	527	$132.00	$89.42
92134 Imaging of retina	367	316	$90.74	$40.15
92004 New patient complete exam of visual system	295	295	$228.00	$153.28
92083 Exam of visual field with extended testing	291	261	$139.56	$63.99
99213 Established patient office or other outpatient visit, typically 15 minutes	262	197	$135.00	$74.00
92133 Imaging of optic nerve	133	124	$87.25	$33.95
92002 New patient problem focused exam of visual system	114	114	$125.00	$85.80
92250 Photography of the retina	75	71	$130.43	$48.39
76512 Ultrasound of eye disease, growth, or structure	30	27	$174.97	$59.31
92020 Examination of cornea and iris using lens device and slit lamp	20	20	$51.00	$28.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$198.00	$91.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	784	727	$190.00	$126.90
99213 Established patient office or other outpatient visit, typically 15 minutes	632	372	$135.00	$72.78
92012 Established patient problem focused exam of visual system	523	405	$132.00	$87.87
92134 Imaging of retina	301	249	$91.36	$40.67
92004 New patient complete exam of visual system	296	296	$228.00	$152.48
92083 Exam of visual field with extended testing	225	202	$139.84	$63.43
92002 New patient problem focused exam of visual system	148	148	$125.00	$83.99
92133 Imaging of optic nerve	106	106	$80.26	$31.28
92250 Photography of the retina	80	77	$132.32	$55.69
76512 Ultrasound of eye disease, growth, or structure	35	22	$170.66	$68.96
76514 Ultrasound scan of cornea to determine thickness	27	27	$28.00	$14.67
92020 Examination of cornea and iris using lens device and slit lamp	22	22	$51.00	$27.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$198.00	$104.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$200.00	$108.51
67820 Removal of eyelashes using forceps	11	11	$114.64	$44.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	747	443	$135.00	$71.82
92014 Established patient complete exam of visual system	699	647	$190.00	$123.24
92012 Established patient problem focused exam of visual system	408	323	$132.00	$85.17
92004 New patient complete exam of visual system	345	345	$228.00	$148.81
92134 Imaging of retina	310	263	$92.10	$39.81
92083 Exam of visual field with extended testing	208	190	$141.32	$63.34
92002 New patient problem focused exam of visual system	173	173	$125.00	$81.42
92250 Photography of the retina	82	74	$130.73	$62.78
92133 Imaging of optic nerve	82	82	$87.26	$34.01
67820 Removal of eyelashes using forceps	48	43	$105.08	$52.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	44	$198.00	$98.80
76512 Ultrasound of eye disease, growth, or structure	44	30	$170.50	$84.11
92071 Fitting of contact lens for treatment of eye surface disease	36	19	$123.00	$37.85
76514 Ultrasound scan of cornea to determine thickness	30	30	$28.00	$14.27
92020 Examination of cornea and iris using lens device and slit lamp	19	18	$51.00	$26.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$200.00	$96.31
92225 Examination of eye by ophthalmoscope with retinal drawing	11	11	$51.00	$26.94

Medical Specialties & State Licenses

CMS Verified: 2024-08-02

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WA 3114

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 - Corneal and Contact Management

NUCC Taxonomy Code: 152WC0802X

State License WA 3114

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Optometrist - Low Vision Rehabilitation

NUCC Taxonomy Code: 152WL0500X

State License WA 3114

Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.

Optometrist - Occupational Vision

NUCC Taxonomy Code: 152WX0102X

State License WA 3114

Optometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision, visual performances, eye safety, and health.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2032795 (WA)

Hospital & Practice Group Affiliations

Spokane Eye Clinic Ps

427 S Bernard St, Spokane, WA 992042509

Phone: 5094560107

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Ophthalmology

NPI 1003814021

Doctor of Medicine (M.D.)

Dr. Robert Wirthlin , MD

Ophthalmology

NPI 1013973254

Doctor of Medicine (M.D.)

Dr. Rachel Gilles , OD

Optometrist

NPI 1033696455

Doctor of Optometry

Dr. Jennifer Kerns , OD

Optometrist

NPI 1144228982

Doctor of Optometry

Dr. Danielle Schleicher , OD

Optometrist

NPI 1174107015

Doctor of Optometry

Dr. Kolten Kuntz , OD

Optometrist

NPI 1194126391

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 May 16, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 16, 2016

Registered at 427 S BERNARD ST, SPOKANE, WA 992042509 (Tel: 5094560107)

📍

Updated Business Mailing Address May 16, 2016

Registered at 427 S BERNARD ST, SPOKANE, WA 992042509 (Tel: 5094560107)

👤

Provider Name / Credentials Updated May 16, 2016

Recorded as THOMAS RILEY, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2016

Optometrist (License #3114 in WA)

🟢

Initial NPI Registration & Enumeration July 20, 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: 1104846336

Entity Type:

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

Enumeration Date: July 20, 2006

Last Update: August 02, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

427 S Bernard St

Spokane, WA 992042509

Phone: 5094560107

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.