National Provider Identifier
Maureen Kimora Wallen, OD
Maureen Kimora Wallen, OD is listed in the NPPES registry with a primary specialty of Optometrist in Camillus, NY and a listed phone number of (315) 488-1601.
Profile Overview
- NPI
- 1285618439
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- December 01, 2005
- Last Updated
- April 01, 2010
Practice Location
- 5700 West Genesee Street
- Suite 112
- Camillus, NY 13031
Phone: (315) 488-1601
Specialties
- Optometrist (152W00000X)
Browse Similar Providers
See more Optometrist providers in Camillus, NY.
Medicare Part B Activity
Reported 873 Medicare fee-for-service service lines in 2023.
Peer comparison
Compared to Optometrist providers in the Syracuse, NY metro area.
This provider is in the 77th percentile for Medicare service volume.
Higher volume than most peers.
Performs 129% more Medicare services than the peer median.
Higher than 44 of 57 peers.
- Activity Percentile
- 77.2%
- Rank by Services
- 13 of 57
- Total Services
- 873
- Est. Allowed Value
- $94,745.54
- Dataset Year
- 2023
- Drug Code Share
- 0.0%
Estimated allowed value reflects Medicare fee-for-service allowed amounts only. It does not include Medicare Advantage, commercial insurance, cash-pay services, or employment compensation.
Percentile distribution
Each bar represents a 10-point percentile band of peers by total Medicare services for Optometrist across the Syracuse, NY metro area. Taller bars indicate higher service-volume bands. Highlighted bar marks this provider's percentile band.
Observed service range: 13 to 3,838 total Medicare services.
Top Clinical Services
- 92014: Established patient complete exam of visual system
584 services | $71,601.75
- 92004: New patient complete exam of visual system
65 services | $9,372.40
- 92134: Imaging of retina
56 services | $2,163.55
- 92250: Photography of the retina
49 services | $1,778.46
- 92012: Established patient problem focused exam of visual system
46 services | $4,021.51
Full Record
- NPI
- 1285618439
- Entity Type
- Individual
- Last Name
- Wallen
- First Name
- Maureen
- Middle Name
- Kimora
- Credential
- OD
- Provider Other Last Name
- Rolf
- Provider Other First Name
- Maureen
- Provider Other Middle Name
- Kimora
- Provider Other Credential Text
- OD
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 5700 West Genesee Street
- Mailing Address Line 2
- Suite 112
- Mailing City
- Camillus
- Mailing State
- NY
- Mailing ZIP Code
- 13031
- Mailing Country
- US
- Mailing Phone
- (315) 488-1601
- Mailing Fax
- (315) 488-0047
- Practice Street Address
- 5700 West Genesee Street
- Practice Address Line 2
- Suite 112
- Practice City
- Camillus
- Practice State
- NY
- Practice ZIP Code
- 13031
- Practice Country
- US
- Practice Phone
- (315) 488-1601
- Practice Fax
- (315) 488-0047
- Enumeration Date
- December 01, 2005
- Last Updated
- April 01, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)
- Other Identifiers
- P00799448 (Medicare Railroad), 02845334 (NY)