Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Paul Nefedov

Optometrist โ€ข Longview, WA

Active NPI 1487017075 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

600 Triangle Ctr Ste 400
Longview, WA 986324667

Call 3604230220 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

600 Triangle Ctr Ste 400

Longview, WA 986324667

Telephone 3604230220
Fax 3604230697
Organization at the Same NPPES Address or Phone
Lower Columbia Eye Clinic Inc Ps Facility NPI 1609944784

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Longivew, WA; Mcminnville, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Pacific University; University Professional Services. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Pacific University - College Of Optometry

Graduation Year

2017

Medicare patients

795 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $151,324 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $99,970 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

853 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$62,550 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $96.92 in 2020

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2020.

Guide: How to read an Open Payments record

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Paul Nefedov has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Paul Nefedov as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Longview and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Optometrist in Washington (2024, 785 clinicians with data). Median for this group: 285. Middle half: 97 to 649.

Too few clinicians listed under Optometrist in Longview have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Optometrist in Washington (2024, 785 clinicians with data). Median for this group: $27,262. Middle half: $9,508 to $56,631.

Too few clinicians listed under Optometrist in Longview have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Optometrist in Washington (2024, 785 clinicians with data). Median for this group: $17,622. Middle half: $6,124 to $37,867.

Too few clinicians listed under Optometrist in Longview have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 90% of clinicians listed under Optometrist in Washington (2024, 742 clinicians with data). Median for this group: 131. Middle half: 46 to 310.

Too few clinicians listed under Optometrist in Longview have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 85% of clinicians listed under Optometrist in Washington (2024, 742 clinicians with data). Median for this group: $7,614. Middle half: $899 to $25,552.

Too few clinicians listed under Optometrist in Longview have Medicare Part D data for 2024 to compare.

19 active clinicians are listed under Optometrist with a practice address in Longview, WA (1,643 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Longview

0% of these 19 clinicians have the CMS telehealth indicator.

63.2% of these 19 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2020), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2020
Disclosure Year:

Program year 2020 (payments made January 1 โ€“ December 31, 2020): fewer than 11 records totaling $96.92.

Manufacturer Payment Nature Product Type Amount ($)
Alcon Vision LLC
Food and Beverage
In-kind items and services
AcrySof IQ PanOptix General $96.92

Source: CMS Open Payments, program year 2020, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code 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 with low level od decision making, if using time, 20 minutes or more
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

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Latanoprost Latanoprost 263 9,673 $1,928.49 60
Neomycin-Polymyxin-Dexameth Neomycin/Polymyxin B/Dexametha 73 917 $1,028.37 51
Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat 62 3,057 $802.46 22
Brimonidine Tartrate Brimonidine Tartrate 52 2,168 $432.63 15
Restasis Cyclosporine 38 1,170 $24,087.03 โ€”
Tobramycin-Dexamethasone Tobramycin/Dexamethasone 32 595 $1,615.13 27
Cyclosporine Cyclosporine 31 930 $9,353.44 โ€”
Doxycycline Monohydrate Doxycycline Monohydrate 21 728 $375.58 12
Restasis Multidose Cyclosporine 21 950 $20,727.77 โ€”
Erythromycin Erythromycin Base 20 314 $314.40 11
Prednisolone Acetate Prednisolone Acetate 15 553 $620.81 13
Fluorometholone Fluorometholone 15 348 $894.88 โ€”
Moxifloxacin Moxifloxacin Hcl 13 165 $369.37 12

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-06-14
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

License # reported to NPPES 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

License # reported to NPPES 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

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OPTOMETRY

Medicare Enrollment ID

I20220509000413

Enrollment State Jurisdiction

WA

PECOS Control ID

5496027450

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1578889218

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.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
๐Ÿ“
Updated Practice Location June 17, 2022

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

๐Ÿ“
Updated Business Mailing Address June 17, 2022

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

๐Ÿ“
Updated Practice Location January 19, 2022

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

๐Ÿ“
Updated Business Mailing Address January 19, 2022

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

โœ…
NPI Profile Active August 30, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location August 30, 2017

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

๐Ÿ“
Updated Business Mailing Address August 30, 2017

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

๐Ÿ‘ค
Provider Name / Credentials Updated August 30, 2017

Recorded as PAUL NEFEDOV

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2017

Optometrist (license number reported to NPPES: CA 33688)

โœ…
NPI Profile Active March 31, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) March 31, 2016

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

๐Ÿ“
Business Mailing Address (Initial Record) March 31, 2016

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

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) March 31, 2016

Recorded as PAUL NEFEDOV

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2016

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration March 31, 2016

First registered as active Individual Practitioner in NPPES Database.

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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

Other Optometrists in Longview

All Optometrists in Longview

Mailing Address

600 Triangle Ctr Ste 400

Longview, WA 986324667

Phone: 3604230220

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.