PAUL T CREEDEN OD
NPI 1033260997
Optometrist in Cedar Falls, IA

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
29.4/100
CMS Quality Rating
516 DIVISION ST, SUITE 120, CEDAR FALLS, IA 50613(319) 266-0345 Get Directions Write a Review

NPPES record last updated: December 22, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Paul T Creeden Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL T CREEDEN OD (NPI 1033260997) is an individual optometrist in Cedar Falls, Iowa, licensed in Iowa (01870) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1988).

NPPES Registry Identity

NPI1033260997
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NamePAUL T CREEDENCredential: OD
Location Address516 DIVISION ST, SUITE 120Cedar Falls, IA 50613-2382
Mailing Address999 Home Plz, Suite 100Waterloo, IA 50701-4822 · (319) 236-0815
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 1988
Enumeration DateJanuary 16, 2007
Last NPPES UpdateDecember 22, 2009
NPI 1033260997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in IA · 01870
Definition

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.

516 DIVISION ST, Cedar Falls, IA 50613

Other Identifiers 8

Other18418IA · Blue Cross Blue Shield
Medicare UPINT88477IA
Medicaid0117267IA
Medicare NSC0358460003IA
OtherCG4244IA · Medicare Id
Other410027324IA · Medicare Id
Medicare NSC0358460001IA
Medicare PIN18418IA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Paul T Creeden Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214820026
PECOS Enrollment IDI20100924000106
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
455 services452 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
178 services171 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
158 services117 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
130 services123 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
101 services92 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
88 services85 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

29.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability98
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers15 claims15 services$51.38 avg. paid by Medicare
Sphere, trifocal, plano to plus or minus 4.00d, per lens V2300
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers17 claims34 services$54.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
516 DIVISION ST, SUITE 120
CEDAR FALLS, IA 50613
Nurse Practitioner (Family)
516 DIVISION ST, SUITE 110
CEDAR FALLS, IA 50613
Physician Assistant
516 DIVISION ST, SUITE 110
CEDAR FALLS, IA 50613
Optometrist
516 DIVISION ST, SUITE 120
CEDAR FALLS, IA 50613

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Creeden's NPI number?

The NPI number for Paul Creeden is 1033260997. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Paul Creeden located?

Paul Creeden practices at 516 Division St Suite 120, Cedar Falls, IA 50613. The listed phone number is (319) 266-0345.

What is Paul Creeden's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Paul Creeden enrolled in Medicare?

Yes. Paul Creeden is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Creeden accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 4 other insurers list Paul Creeden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Creeden was last updated on December 22, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.