DR. CLARK EDWARD DESHON O.D., F.A.A.O
NPI 1861482309
Optometrist in Olney, IL

Active since October 26, 2005PECOS EnrolledAccepts Medicare Assignment
80.67/100
CMS Quality Rating
303 E MAIN ST, OLNEY, IL 62450(618) 395-2676(618) 395-2720 Get Directions Write a Review

NPPES record last updated: August 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Clark Edward Deshon O.d., F.a.a.o NPPES

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

DR. CLARK EDWARD DESHON O.D., F.A.A.O (NPI 1861482309) is an individual optometrist in Olney, Illinois, licensed in Illinois (046008793) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1861482309
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. CLARK EDWARD DESHONCredential: O.D., F.A.A.O
Location Address303 E MAIN STOlney, IL 62450
Mailing Address303 E Main StOlney, IL 62450-2117 · (618) 395-2676 · Fax (618) 395-2720
Fax(618) 395-2720
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateOctober 26, 2005
Last NPPES UpdateAugust 31, 2018
NPI 1861482309 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 IL · 046008793
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.
303 E MAIN ST, Olney, IL 62450

Other Identifiers 3

Medicaid046008793IL
Other09327152IL · Blue Cross Blue Shield
Other5290131IL · Aetna

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

Dr. Clark Edward Deshon O.d., F.a.a.o 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 ID6305895012
PECOS Enrollment IDI20050120000370
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 16

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
6,540 services50 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
2,634 services27 patients
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.
612 services599 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.
322 services201 patients
Extended exam involving color vision testing 92283
An extended exam involving color vision testing helps identify any difficulties in distinguishing colors, often due to genetic conditions or health problems. This non-invasive test involves identifying different colored numbers or patterns.
203 services200 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.
173 services154 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62450 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

80.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality59.97
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
78%383 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
59%73 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
96%3,439 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 539 patients
Patients screened: 99% · 539 patients
100%73 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
64%105 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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
1 supplier36 claims36 services$47.27 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier19 claims37 services$39.19 avg. paid by Medicare
Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens V2212
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier12 claims23 services$38.83 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 3

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

Optometrist
303 E MAIN ST
OLNEY, IL 62450
Optometrist
303 E MAIN ST
OLNEY, IL 62450
Optometrist
303 E MAIN ST
OLNEY, IL 62450

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 Clark Deshon's NPI number?

The NPI number for Clark Deshon is 1861482309. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Clark Deshon located?

Clark Deshon practices at 303 E Main St, Olney, IL 62450. The listed phone number is (618) 395-2676.

What is Clark Deshon's specialty?

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

Is Clark Deshon enrolled in Medicare?

Yes. Clark Deshon 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 Clark Deshon accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Clark Deshon 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 Clark Deshon was last updated on August 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.