JENNIFER LYNN HERSHBERGER M.D. NPI 1003013970

Ophthalmology in Greenwood, SC

NPI 1003013970 Individual Female Years of Experience 16 Ophthalmology PECOS Enrolled Accepts Medicare Approved Payment

NPI Profile for JENNIFER LYNN HERSHBERGER M.D.

Jennifer Hershberger is a provider established in Greenwood, South Carolina and her medical specialization is ophthalmology with more than 16 years of experience. She graduated from Medical University Of South Carolina College Of Medicine in 2007. The NPI number of Jennifer Hershberger is 1003013970 and was assigned on July 2007. The practitioner's primary taxonomy code is 207W00000X with license number LL29776 (SC). The provider is registered as an individual and her NPI record was last updated 9 years ago.

Jennifer Hershberger 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), a Home Health Agency (HHA) and Power Mobility Devices.

Jennifer Hershberger 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. According to Medicare claims data she has hospital affiliations with Self Regional Healthcare.

The typical physician office visit costs for Medicare beneficiaries in this area are: $32.11 for a new patient copayment and $17.43 for an established patient copayment.

NPI

1003013970

Provider Name JENNIFER LYNN HERSHBERGER M.D.
Provider Location Address665 WEST ALEXANDER ROAD GREENWOOD, SC 29646
Provider Mailing AddressPO BOX 369 GREENWOOD, SC 29648
GenderFemale
NPI Entity TypeIndividual
Medical School NameMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year2007
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-02-2007
Last Update Date01-28-2013


Primary Taxonomy

Taxonomy Code207W00000X
ClassificationOphthalmology
TypeAllopathic & Osteopathic Physicians
License No.LL29776
License StateSC
Taxonomy DescriptionAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Business Address

JENNIFER LYNN HERSHBERGER M.D.
665 WEST ALEXANDER ROAD
GREENWOOD, SC
ZIP 29646
Phone: (864) 227-2020

Get Directions


Mailing Address

JENNIFER LYNN HERSHBERGER M.D.
PO BOX 369
GREENWOOD, SC
ZIP 29648
Phone: (864) 227-2020



PECOS Enrollment and Medicare Participation

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 ID3173793346
PECOS Enrollment IDI20110825000169
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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 29646 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
$55.43 $169.76 $128.46
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.85 $42.44 $32.11
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
$17.06 $138.69 $69.73
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.26 $34.67 $17.43

* 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.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 472Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 449Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • 134Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
  • 106Diagnostic imaging of retina (HCPCS:92134)
  • 59Measurement of field of vision during daylight conditions (HCPCS:92083)
  • 54Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • 32Photography of the retina (HCPCS:92250)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jennifer Hershberger is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SELF REGIONAL HEALTHCARE1325 SPRING STREET
GREENWOOD, SC 29646
(864) 227-4111Acute Care Hospitals420071

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1003013970
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003016914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 6 + 9 + 1 + 4 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1003013970 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730186099 MARVIN G. BURDETTE JR. M.D.
Individual
Ophthalmology665 WEST ALEXANDER ROAD
GREENWOOD, SC 29646
(864) 227-2020
1720085087 WILLIAM F. DARBY JR. M.D.
Individual
Ophthalmology665 WEST ALEXANDER ROAD
GREENWOOD, SC 29646
(864) 227-2020
1548267800 STEPHANIE C. TURNER M.D.
Individual
Ophthalmology665 WEST ALEXANDER ROAD
GREENWOOD, SC 29646
(864) 227-2020
1184621443 TIMOTHY L. AUSTIN M.D.
Individual
Ophthalmology665 WEST ALEXANDER ROAD
GREENWOOD, SC 29646
(864) 227-2020
1265418388GREENWOOD EYE CLINIC, P.A.
Organization
Ophthalmology665 WEST ALEXANDER ROAD
GREENWOOD, SC 29646
(864) 227-2020
1649398579 BRIAN PATRICK VAHJEN M.D.
Individual
Ophthalmology665 WEST ALEXANDER ROAD
GREENWOOD, SC 29646
(803) 434-7920

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Jennifer Lynn Hershberger M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.