DR. JAMES SMERIGLIO O.D. NPI 1003011636
Optometrist in Hunt Valley, MD
About DR. JAMES SMERIGLIO O.D.
James Smeriglio is a provider established in Hunt Valley, Maryland and his medical specialization is Optometrist with more than 33 years of experience. He graduated from Pennsylvania College Of Optometry in 1990. The NPI number of this provider is 1003011636 and was assigned on June 2007. The practitioner's primary taxonomy code is 152W00000X with license number TA1092 (MD). The provider is registered as an individual and his NPI record was last updated 2 years ago.
|Provider Name||DR. JAMES SMERIGLIO O.D.|
|Location Address||118 SHAWAN RD STE S HUNT VALLEY, MD 21030|
|Location Phone||(410) 584-8224|
|Mailing Address||1950 OLD GALLOWS RD STE 520 VIENNA, VA 22182|
|NPI Entity Type||Individual|
|Medical School Name||PENNSYLVANIA COLLEGE OF OPTOMETRY|
|Is Sole Proprietor?||No|
|Last Update Date||02-16-2021|
James Smeriglio is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
James Smeriglio is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The typical physician office visit costs for Medicare beneficiaries in this area are: $36.36 for a new patient copayment and $19.8 for an established patient copayment.
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
|Type||Eye and Vision Services Providers|
|Taxonomy Description||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.|
118 SHAWAN RD STE S
HUNT VALLEY, MD
Phone: (410) 584-8224
Fax: (410) 584-8225
1950 OLD GALLOWS RD STE 520
Phone: (703) 847-8899
Fax: (571) 223-6780
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
|Registered in PECOS?||Yes|
|PECOS PAC ID||2163673096|
|PECOS Enrollment ID||I20121127000120|
|Accepts Medicare Assignment?|| Yes "What does it mean "accepts medicare assignment"?|
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
|Eligible order / refer Part B Clinical Laboratory and Imaging||Yes|
|Eligible order / refer Durable Medical Equipment||Yes|
|Eligible order / refer Home Health Agency (HHA)||Yes|
|Eligible order / refer Power Mobility Devices||No|
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 21030 ZIP code area.
|New Patients Office Visits Costs *|
|Most Utilized Procedure Code for new patients office visits: 99204|
|Minimum New Patient Pricing||Maximum New Patient Pricing||Typical New Patient Pricing|
|Minimum New Patient Copayment||Maximum New Patient Copayment||Typical New Patient Copayment|
|Established Patients Office Visits Costs *|
|Most Utilized Procedure Code for established patients office visits: 99213|
|Minimum Established Patient Pricing||Maximum Established Patient Pricing||Typical Established Patient Pricing|
|Minimum Established Patient Copayment||Maximum Established Patient Copayment||Typical Established Patient Copayment|
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
|Start with the original NPI number, the last digit is the check digit and is not used in the calculation.|
|Step 1: Double the value of the alternate digits, beginning with the rightmost digit.|
|Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.|
|2 + 0 + 0 + 3 + 0 + 1 + 2 + 6 + 6 + 24 = 44|
|Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.|
|50 - 44 = 6||6|
The NPI number 1003011636 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
What is Dr. James Smeriglio O.D. NPI number?
The NPI number assigned to this healthcare provider is 1003011636, registered as an "individual" on June 14, 2007
Where is Dr. James Smeriglio O.D. located?
The provider is located at 118 Shawan Rd Ste S Hunt Valley, Md 21030 and the phone number is (410) 584-8224
Which is Dr. James Smeriglio O.D. specialty?
The provider's speciality is Optometrist
How many years of experience does Dr. James Smeriglio O.D. have?
The provider has more than 33 years of experience. He graduated from Pennsylvania College Of Optometry in 1990.
Is Dr. James Smeriglio O.D. registered in PECOS?
Yes, as of March 13, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
How much is a visit to Dr. James Smeriglio O.D.?
Medicare beneficiaries should expect a typical cost of $145.45 with an average copayment of $36.36 for new patient appointments. Established patients should expect a typical charge of $79.21 and an average copayment of 19.8. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
The NPI record of Dr. James Smeriglio O.D. was last updated on June 14, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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