Active NPI 1205863693 Individual Practitioner Female Practitioner

Dr. Sandra K Dolphin , OD

Optometrist • St Croix Falls, WI

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Sandra Dolphin, OD is a registered Optometrist practitioner in St Croix Falls, WI. With approximately 32 years of clinical practice since graduating from University Of Missouri St Louis - School Of Optometry in 1994, Dr. Dolphin provides healthcare services at the registered practice location at 213 S ADAMS ST.

Dr. Dolphin is affiliated with St Croix Falls Eye Associates Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, established patient complete exam of visual system, 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

213 S Adams St

St Croix Falls, WI 54024

Telephone 7154833259

Fax 7154835136

Associated Practice Facility / Clinic

🏢 St Croix Falls Eye Associates Inc. Facility NPI 1669585352

Medicare Profile & Education

Medical School

University Of Missouri St Louis - School Of Optometry

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in St Croix Falls, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs Matches City Avg

City Avg: 32.0 Yrs

State Avg: 21.0 Yrs

Regional Practice Density

1 Specialists

Practicing in St Croix Falls, WI (1196 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dolphin (32 Years) 32 Yrs

St Croix Falls Specialty Average (32.0 Years) 32.0 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
66984 Removal of cataract with insertion of lens	1,946	15	$3.23	$1.12
92014 Established patient complete exam of visual system	211	211	$153.08	$120.06
99213 Established patient office or other outpatient visit, typically 15 minutes	156	117	$152.31	$85.75
92083 Exam of visual field with extended testing	74	71	$202.43	$60.07
92133 Imaging of optic nerve	62	60	$304.35	$31.78
92004 New patient complete exam of visual system	38	38	$175.00	$141.90
92134 Imaging of retina	21	21	$313.67	$37.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$106.82	$53.26
92250 Photography of the retina	14	14	$84.79	$34.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,694	14	$3.19	$1.13
92014 Established patient complete exam of visual system	229	228	$150.00	$120.70
99213 Established patient office or other outpatient visit, typically 15 minutes	138	107	$150.00	$85.14
92083 Exam of visual field with extended testing	55	54	$200.00	$59.49
92133 Imaging of optic nerve	49	49	$300.00	$32.17
92004 New patient complete exam of visual system	40	40	$175.00	$143.07
92134 Imaging of retina	16	16	$305.00	$37.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$105.00	$53.25
92250 Photography of the retina	11	11	$83.00	$35.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,309	25	$3.35	$1.13
92014 Established patient complete exam of visual system	240	240	$150.00	$121.64
99213 Established patient office or other outpatient visit, typically 15 minutes	161	115	$150.00	$86.32
92083 Exam of visual field with extended testing	80	75	$200.00	$60.00
92133 Imaging of optic nerve	63	60	$300.00	$32.42
92004 New patient complete exam of visual system	30	30	$175.00	$144.18
92134 Imaging of retina	22	22	$305.00	$37.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$105.00	$53.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,456	29	$3.25	$1.16
92014 Established patient complete exam of visual system	249	247	$121.69	$121.01
99213 Established patient office or other outpatient visit, typically 15 minutes	176	131	$138.33	$88.11
92083 Exam of visual field with extended testing	80	78	$174.13	$61.50
92133 Imaging of optic nerve	72	71	$279.56	$33.33
92004 New patient complete exam of visual system	40	40	$159.00	$147.26
92134 Imaging of retina	21	21	$290.43	$38.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$88.06	$54.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,710	23	$3.17	$1.19
92014 Established patient complete exam of visual system	242	241	$120.00	$120.64
99213 Established patient office or other outpatient visit, typically 15 minutes	151	112	$137.00	$72.54
92083 Exam of visual field with extended testing	74	69	$170.00	$61.67
92133 Imaging of optic nerve	58	57	$277.00	$33.73
92004 New patient complete exam of visual system	37	37	$155.00	$147.63
92134 Imaging of retina	20	19	$287.00	$39.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	4,457	34	$3.03	$1.39
92014 Established patient complete exam of visual system	229	229	$120.00	$119.81
99213 Established patient office or other outpatient visit, typically 15 minutes	163	114	$137.00	$71.91
92083 Exam of visual field with extended testing	74	69	$170.00	$62.64
92133 Imaging of optic nerve	61	60	$277.00	$33.75
92004 New patient complete exam of visual system	37	37	$155.00	$147.94
92134 Imaging of retina	20	18	$287.00	$38.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$198.00	$105.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$87.00	$43.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,003	17	$3.37	$1.43
92014 Established patient complete exam of visual system	224	224	$120.00	$118.58
99213 Established patient office or other outpatient visit, typically 15 minutes	154	117	$137.00	$70.00
92083 Exam of visual field with extended testing	65	62	$170.00	$62.29
92133 Imaging of optic nerve	57	57	$277.00	$34.00
92004 New patient complete exam of visual system	38	38	$155.00	$146.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$87.00	$42.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,011	17	$3.23	$1.42
92014 Established patient complete exam of visual system	204	204	$120.00	$118.52
99213 Established patient office or other outpatient visit, typically 15 minutes	124	95	$137.00	$70.03
92083 Exam of visual field with extended testing	60	52	$170.00	$60.83
92133 Imaging of optic nerve	50	50	$277.00	$33.03
92004 New patient complete exam of visual system	44	44	$155.00	$143.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$87.00	$41.60
92250 Photography of the retina	15	14	$83.00	$63.20
92134 Imaging of retina	12	12	$287.00	$39.14

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WI 2589-035

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

38623500 (WI)

Commercial Insurance / Payer ID Health Partners

HP26431 (WI)

Commercial Insurance / Payer ID Preferred One

97969-1007552 (WI)

Commercial Insurance / Payer ID Dmepos

5173080001

Commercial Insurance / Payer ID Railroad Medicare

P00175525 (WI)

Commercial Insurance / Payer ID Mn Ma

538722180 (MN)

Commercial Insurance / Payer ID Bcbs Mn

270L2DO (WI)

Commercial Insurance / Payer ID Medica/select Care

22-02486 (WI)

Commercial Insurance / Payer ID Nva

511297 (WI)

Hospital & Practice Group Affiliations

St Croix Falls Eye Associates Inc

135 S Washington St, Saint Croix Falls, WI 540244414

Phone: 7154833259

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Alexander Austing , OD

Optometrist

NPI 1588233639

Doctor of Optometry

Dr. Lawrence Tran , OD

Optometrist

NPI 1730143967

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 October 03, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 03, 2011

Registered at 213 S ADAMS ST, ST CROIX FALLS, WI 54024 (Tel: 7154833259)

📍

Updated Business Mailing Address October 03, 2011

Registered at 213 SOUTH ADAMS STREET, ST CROIX FALLS, WI 54024 (Tel: 7154833259)

👤

Provider Name / Credentials Updated October 03, 2011

Recorded as SANDRA DOLPHIN, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2011

Optometrist (License #2589-035 in WI)

🟢

Initial NPI Registration & Enumeration June 28, 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: 1205863693

Entity Type:

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

Enumeration Date: June 28, 2006

Last Update: October 03, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

213 South Adams Street

St Croix Falls, WI 54024

Phone: 7154833259

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.