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Ophthalmology • Wausau, WI 54403 • NPI #1679556484

Dr. Douglas Edwards, MD

800 N 1st St, Wausau, WI 54403 • +1-240-555-1482

Medical Education: Accredited U.S. Medical School (Class of 2012)

26 Active CMS HCPCS Codes
4.67/5
Waiting-Room Score
26 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Wausau Percentiles

NPI #1679556484 • CBSA Regional • Ophthalmology

Dr. Douglas Edwards DotMD Verification Badge

Dr. Douglas Edwards, MD (NPI #1679556484) practices Ophthalmology in Wausau, WI (54403) with sub-specialty concentration in 26 Active CMS HCPCS Codes, recording 2,513 annual CMS services across 758 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (50th Wausau percentile) (-0.23σ vs WI state mean, 57.21th statewide percentile).

Fee-schedule auditing of NPI 1679556484 highlights 930 annual claims for 92014 (50th Wausau percentile; $238–$326 self-pay corridor) plus 653 encounters under 92134 and 427 under 92083.

Uninsured and high-deductible cash patients visiting Dr. Douglas Edwards in Wausau (54403) face an estimated $209.00 initial evaluation fee at 800 N 1st St (hybrid in-clinic and telehealth video consults; 20-minute average reception wait; bedside manner 4.87/5 from 26 verified reports).

Spanning 14 years of clinical practice following 2012 graduation from medical training, Dr. Douglas Edwards integrates 26 Active CMS HCPCS Codes diagnostics for Wausau metro patients.

Wausau Percentile 50.00th

Compared against Wausau, WI Ophthalmology peers

WI State Percentile 57.21th

2,513 annual services across 758 beneficiaries

Regional Volume Z-Score -0.226σ

Standard deviations from WI 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 930 50th $238 – $326
92134 Scanning Computerized Ophthalmic Retinal OCT Imaging 653 47th $131 – $179
92083 Extended Threshold Visual Field Glaucoma Perimetry 427 50th $157 – $215
92004 New Patient Complete Medical Eye & IOP Evaluation 302 48th $286 – $392
66984 Extracapsular Cataract Removal w/ Intraocular Lens Implant 201 45th $1047 – $1435
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Dr. Douglas Edwards, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Edwards National Provider Identifier NPI #1679556484 (MD) CMS NPPES Registry (54403)
Dr. Edwards Wausau CMS Volume Rank 50.00th Pct (2,513 CMS svcs; Z -0.226σ) CMS Medicare Part B (WI Ophthalmology)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Wausau, WI)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 20 min lobby wait 26 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.87/5 Listening • 4.82/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
20 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.87/5
Patient communication rating
Modern Protocol Openness
4.82/5
Preventive labs, GLP-1s & HRT
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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