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Burton Worrell, OD

Optometry · San Jose

NPI 1083762512

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
8
3 carriers
Offices
2

Offices

2 locations · Advance Vision Center of Optometry P C · 4 clinicians in this group

Looking this up.

Plans that list them

8 plans · 3 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Worrell’s office at (408) 947-2020 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

8 of 8 plans

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026

Original Medicare doctor bills

$9,891

Medicare paid this office $9,891 for 66 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Established patient complete exam of visual system43$4,616$107
Return visit (30+ min)13$1,888$111
Short return visit (20+ min)22$1,588$69

Who their Medicare patients are

66 Original Medicare patients in 2024. Average age 78 · Women 55% · Health risk score 1.06. Above the middle of the specialty; the typical optometry clinician is at 0.97.

Conditions among them: High blood pressure 68% · Coronary heart disease 23% · Diabetes 18% · Chronic kidney disease 18% · Atrial fibrillation 18% · Cancer 17% · Depression 17%.

The office billed $18,134, Medicare allowed $13,736 and paid $9,891; for 114 services of 9 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
202466114781.06$18,134$9,891
202383147760.92$20,226$11,086
202277147770.87$21,167$12,447
202185206760.75$27,741$15,607
202065124760.67$16,402$8,475
2019104219740.91$28,878$14,679
2018123251740.98$32,409$16,162
2017123224730.88$28,677$15,432
201683184730.85$23,203$12,353
2015130289730.80$37,653$20,140
2014113227740.79$29,235$16,903
2013109213720.83$27,359$16,003

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 4 services

Original Medicare services billed in 2023
Established patient complete exam of visual system55$5,209$95
Short return visit (20+ min)30$2,293$66
Return visit (30+ min)17$1,928$96
Imaging of optic nerve13$421$32

2022: 4 services

Original Medicare services billed in 2022
Established patient complete exam of visual system55$5,033$92
Return visit (30+ min)26$3,524$110
Short return visit (20+ min)20$2,018$75
Imaging of optic nerve15$455$30

2021: 4 services

Original Medicare services billed in 2021
Short return visit (20+ min)40$5,598$75
Established patient complete exam of visual system55$4,864$87
Return visit (30+ min)14$2,514$120
Imaging of optic nerve20$934$32

2020: 2 services

Original Medicare services billed in 2020
Established patient complete exam of visual system44$3,755$83
Short return visit (20+ min)29$2,810$61

2019: 4 services

Original Medicare services billed in 2019
Established patient complete exam of visual system74$5,756$78
Short return visit (20+ min)44$4,675$60
Photography of the retina11$565$47
Imaging of optic nerve12$483$32

2018: 3 services

Original Medicare services billed in 2018
Established patient complete exam of visual system79$6,083$77
Short return visit (20+ min)51$5,937$56
Multiple measurements of eye fluid pressure over an extended time period12$1,249$69

2017: 4 services

Original Medicare services billed in 2017
Established patient complete exam of visual system75$6,461$86
Short return visit (20+ min)55$4,248$55
Multiple measurements of eye fluid pressure over an extended time period15$1,554$71
Exam of visual field with extended testing12$804$57

2016: 3 services

Original Medicare services billed in 2016
Short return visit (20+ min)50$4,918$59
Established patient complete exam of visual system35$3,322$95
Exam of visual field with extended testing15$1,070$56

2015: 6 services

Original Medicare services billed in 2015
Established patient complete exam of visual system85$7,403$86
Short return visit (20+ min)60$6,263$56
New patient complete exam of visual system12$1,103$92
Exam of visual field with extended testing12$927$58
Photography of the retina12$863$66
Imaging of optic nerve11$387$35

2014: 4 services

Original Medicare services billed in 2014
Established patient complete exam of visual system74$6,255$83
Short return visit (20+ min)43$4,433$58
Return visit (30+ min)18$2,472$95
Photography of the retina14$831$52

2013: 3 services

Original Medicare services billed in 2013
Established patient complete exam of visual system73$5,995$81
Short return visit (20+ min)44$4,975$61
Return visit (30+ min)13$1,361$91

Money from drug and device companies

$35 in 2025

Industry payments by year
202511None$35
202422None$173
202212None$157
202111None$34
202033None$185
201934None$448

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
OptosOct Ophthalmoscope$35
1 payment
  • Entertainment for Oct Ophthalmoscope · 2025-12-05 · $35
See the published payment
Every published payment
OptosEntertainment · 2025-12-05Oct Ophthalmoscope$35
See earlier years (2024, 2022, 2021, 2020, 2019)

2024: $173

Payments by company in 2024
Sight SciencesOmni Surgical System$150
1 payment
  • Meals for Omni Surgical System · 2024-11-20 · $150
Johnson & Johnson Vision CareNone$23
1 payment
  • Meals · 2024-02-02 · $23

2022: $157

Payments by company in 2022
Johnson & Johnson Vision CareAcuvue$157
2 payments
  • Meals for Acuvue · 2022-09-19 · $93
  • Meals for Acuvue · 2022-09-08 · $65

2021: $34

Payments by company in 2021
Mallinckrodt Hospital ProductsActhar$34
1 payment
  • Meals for Acthar · 2021-09-02 · $34

2020: $185

Payments by company in 2020
AllerganLumigan$125
1 payment
  • Meals for Lumigan · 2020-03-04 · $125
Novartis PharmaceuticalsXiidra$32
1 payment
  • Meals for Xiidra · 2020-11-03 · $32
OptosP200dtx$28
1 payment
  • Meals for P200dtx · 2020-11-20 · $28

2019: $448

Payments by company in 2019
MacuLogixAdaptdx$185
1 payment
  • Meals for Adaptdx · 2019-09-14 · $185
Johnson & Johnson Vision CareAcuvue$138
2 payments
  • Meals for Acuvue · 2019-08-09 · $21
  • Meals for Acuvue · 2019-04-30 · $117
Bausch & Lomb a division of Bausch Health USBiotrue$125
1 payment
  • Meals for Biotrue · 2019-07-09 · $125

Professional record

NPI
1083762512
Licence
CA 4977T
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 152WS0006X (152WS0006X)
Mailing address
545 Meridian Ave Ste G, San Jose, CA, 95126
NPI first listed
2007-01-08
NPI last updated
2007-07-08

This is when the NPI record was last certified, not a medical board exam.