JENNIFER LYNN HERSHBERGER M.D. NPI 1003013970
Ophthalmology in Greenwood, SC
About 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 this provider 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 10 years ago.
| NPI | 1003013970 |
| Provider Name | JENNIFER LYNN HERSHBERGER M.D. |
| Location Address | 665 WEST ALEXANDER ROAD GREENWOOD, SC 29646 |
| Location Phone | (864) 227-2020 |
| Mailing Address | PO BOX 369 GREENWOOD, SC 29648 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2007 |
| Is Sole Proprietor? | No |
| Enumeration Date | 07-02-2007 |
| Last Update Date | 01-28-2013 |
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.
Primary Taxonomy
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.
| Taxonomy Code | 207W00000X |
| Classification | Ophthalmology |
| Type | Allopathic & Osteopathic Physicians |
| License No. | LL29776 |
| License State | SC |
| Taxonomy Description | An 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
665 WEST ALEXANDER ROAD
GREENWOOD, SC
ZIP 29646
Phone: (864) 227-2020
Mailing Address
PO BOX 369
GREENWOOD, SC
ZIP 29648
Phone: (864) 227-2020
Location Map
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 | 3173793346 |
| PECOS Enrollment ID | I20110825000169 |
| 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 | Yes |
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)
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. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 3 | 9 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 6 | 9 | 14 | |
| 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 | Ophthalmology | 665 WEST ALEXANDER ROAD GREENWOOD, SC 29646 (864) 227-2020 |
| 1720085087 | WILLIAM F. DARBY JR. M.D. Individual | Ophthalmology | 665 WEST ALEXANDER ROAD GREENWOOD, SC 29646 (864) 227-2020 |
| 1548267800 | STEPHANIE C. TURNER M.D. Individual | Ophthalmology | 665 WEST ALEXANDER ROAD GREENWOOD, SC 29646 (864) 227-2020 |
| 1184621443 | TIMOTHY L. AUSTIN M.D. Individual | Ophthalmology | 665 WEST ALEXANDER ROAD GREENWOOD, SC 29646 (864) 227-2020 |
| 1265418388 | GREENWOOD EYE CLINIC, P.A. Organization | Ophthalmology | 665 WEST ALEXANDER ROAD GREENWOOD, SC 29646 (864) 227-2020 |
| 1649398579 | BRIAN PATRICK VAHJEN M.D. Individual | Ophthalmology | 665 WEST ALEXANDER ROAD GREENWOOD, SC 29646 (803) 434-7920 |
Frequently Asked Questions
What is Jennifer Hershberger M.D. NPI number?
The NPI number assigned to this healthcare provider is 1003013970, registered as an "individual" on July 02, 2007
Where is Jennifer Hershberger M.D. located?
The provider is located at 665 West Alexander Road Greenwood, Sc 29646 and the phone number is (864) 227-2020
Which is Jennifer Hershberger M.D. specialty?
The provider's speciality is Ophthalmology
How many years of experience does Jennifer Hershberger M.D. have?
The provider has more than 16 years of experience. She graduated from Medical University Of South Carolina College Of Medicine in 2007.
Is Jennifer Hershberger M.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), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Jennifer Hershberger M.D.?
Medicare beneficiaries should expect a typical cost of $128.46 with an average copayment of $32.11 for new patient appointments. Established patients should expect a typical charge of $69.73 and an average copayment of 17.43. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Jennifer Hershberger M.D.?
The most common procedures or services performed by this practitioner are: Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits, Eye and medical examination for diagnosis and treatment, established patient, Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits, Diagnostic imaging of retina, Measurement of field of vision during daylight conditions, Diagnostic imaging of optic nerve of eye and Photography of the retina.
How do I update my NPI information?
The NPI record of Jennifer Hershberger M.D. was last updated on July 02, 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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