Dr. Jeremy Cefalu, MD
1327 Troup Hwy, Tyler, TX 75701 • +1-887-555-4018
Medical Education: Accredited U.S. Medical School (Class of 1995)
What This Doctor Actually Performs: CMS Medicare Utilization & Tyler Percentiles
NPI #1306289186 • CBSA Regional • Ophthalmology
Operating out of Tyler, TX (1327 Troup Hwy), Ophthalmology clinician Dr. Jeremy Cefalu, MD (accredited MD/DO training, 1995) maintains a focused low-volume boutique caseload (33.33th Tyler percentile) (55.91th TX percentile; Z-score -0.15σ across 2,856 documented services) with sub-specialty concentration in 38 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1306289186 highlights 1057 annual claims for 92014 (33.33th Tyler percentile; $204–$279 self-pay corridor) plus 743 encounters under 92134 and 486 under 92083.
Self-pay new patient consultations with Dr. Cefalu (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 15-minute average reception wait, and a 4.77/5 modern protocol openness score across 21 patient logs.
Patients evaluating Dr. Jeremy Cefalu in ZIP 75701 note 31 years of post-doctoral tenure (null, 1995) alongside 3.1 annual CMS procedures per patient.
Compared against Tyler, TX Ophthalmology peers
2,856 annual services across 912 beneficiaries
Standard deviations from TX Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 1,057 | 33.33th | $204 – $279 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 743 | 36.33th | $112 – $154 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 486 | 37.33th | $135 – $185 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 343 | 30.33th | $245 – $336 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 228 | 36.33th | $899 – $1232 |
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Dr. Jeremy Cefalu, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Cefalu National Provider Identifier | NPI #1306289186 (MD) | CMS NPPES Registry (75701) |
| Dr. Cefalu Tyler CMS Volume Rank | 33.33th Pct (2,856 CMS svcs; Z -0.149σ) | CMS Medicare Part B (TX Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Tyler, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.77/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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