Active NPI 1700830536 Individual Practitioner Male Practitioner

Dr. Gerald O Theune , OD

Optometrist • Whitewater, WI

Professional Overview & Biography Verified Profile Summary

Dr. Gerald Theune, OD is a registered healthcare professional specializing in Optometrist in Whitewater, WI. Practice services are available at 128 N TRATT ST under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

128 N Tratt St

Whitewater, WI 531901212

Telephone 2624734514

Fax 2624733161

Associated Practice Facility / Clinic

🏢 Dean Health Systems, Inc. Facility NPI 1063458354

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Whitewater, WI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 21.0 Yrs

Regional Practice Density

2 Specialists

Practicing in Whitewater, WI (1196 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.0% 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 (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	41	41	$315.00	$122.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	346	346	$312.00	$124.13
99213 Established patient office or other outpatient visit, typically 15 minutes	45	43	$191.00	$72.85
92133 Imaging of optic nerve	41	35	$151.00	$35.64
92134 Imaging of retina	38	38	$144.00	$40.04
92083 Exam of visual field with extended testing	20	19	$276.00	$61.94
92004 New patient complete exam of visual system	13	13	$372.00	$147.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	5,133	40	$73.70	$1.39
92014 Established patient complete exam of visual system	411	408	$187.38	$123.14
99213 Established patient office or other outpatient visit, typically 15 minutes	49	45	$187.00	$71.97
92134 Imaging of retina	46	42	$158.38	$39.85
92133 Imaging of optic nerve	31	31	$169.00	$34.44
92083 Exam of visual field with extended testing	26	25	$310.00	$61.24
92004 New patient complete exam of visual system	19	19	$261.00	$148.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	5,401	36	$71.64	$1.45
92014 Established patient complete exam of visual system	453	452	$184.00	$126.61
99213 Established patient office or other outpatient visit, typically 15 minutes	69	63	$184.00	$73.10
92004 New patient complete exam of visual system	46	46	$255.00	$152.06
92134 Imaging of retina	45	44	$158.33	$41.15
92133 Imaging of optic nerve	40	36	$145.72	$33.03
92083 Exam of visual field with extended testing	29	25	$257.31	$55.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$137.00	$43.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$264.07	$108.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,656	25	$70.02	$1.37
66821 Removal of recurring cataract in lens capsule using a laser	970	11	$28.13	$0.70
92014 Established patient complete exam of visual system	489	486	$180.00	$119.43
99213 Established patient office or other outpatient visit, typically 15 minutes	76	61	$180.00	$69.98
92133 Imaging of optic nerve	70	47	$111.74	$24.51
92134 Imaging of retina	69	47	$108.70	$26.64
92004 New patient complete exam of visual system	42	42	$250.00	$143.87
92083 Exam of visual field with extended testing	30	17	$174.40	$36.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	23	$137.00	$41.64

Medical Specialties & State Licenses

CMS Verified: 2020-12-29

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WI 1557-035

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

1700830536 (WI)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Craig Nevermann , OD

Optometrist

NPI 1962453662

Doctor of Optometry

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location December 29, 2020

Registered at 128 N TRATT ST, WHITEWATER, WI 531901212 (Tel: 2624734514)

📍

Updated Business Mailing Address December 29, 2020

Registered at 128 N TRATT ST, WHITEWATER, WI 531901212 (Tel: 2624734514)

✅

NPI Profile Active January 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 14, 2016

Registered at 128 N TRATT ST, WHITEWATER, WI 531901205 (Tel: 2624734514)

📍

Updated Business Mailing Address January 14, 2016

Registered at 128 N TRATT ST, WHITEWATER, WI 531901205 (Tel: 2624734514)

👤

Provider Name / Credentials Updated January 14, 2016

Recorded as GERALD THEUNE, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2016

Optometrist (License #1557-035 in WI)

🟢

Initial NPI Registration & Enumeration May 19, 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: 1700830536

Entity Type:

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

Enumeration Date: May 19, 2006

Last Update: December 29, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

128 N Tratt St

Whitewater, WI 531901212

Phone: 2624734514

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.