DR. BRANDON FISH O.D.
NPI 1003015363
Optometrist in Twin Falls, ID

NPI Status: Active since July 16, 2007

Contact Information

731 N COLLEGE RD
TWIN FALLS, ID
ZIP 83301
Phone: (208) 734-3937
Fax: (208) 734-7585

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  • Individual
  • Male
  • Years of Experience 18
  • Optometrist
  • PECOS Enrolled
  • May Accept Medicare Approved Payment

About BRANDON FISH

Brandon Fish is a provider established in Twin Falls, Idaho and his medical specialization is Optometrist with more than 18 years of experience. He graduated from Pacific Medical College in 2007. The healthcare provider is registered in the NPI registry with number 1003015363 assigned on July 2007. The practitioner's primary taxonomy code is 152W00000X with license number ODP100141 (ID). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1003015363
Provider Name
DR. BRANDON FISH O.D.
Gender
Male
Entity Type
Individual
Location Address
731 N COLLEGE RD TWIN FALLS, ID 83301
Location Phone
(208) 734-3937
Location Fax
(208) 734-7585
Mailing Address
731 N COLLEGE RD TWIN FALLS, ID 83301
Mailing Phone
(208) 734-3937
Mailing Fax
(208) 734-7585
Medical School Name
PACIFIC MEDICAL COLLEGE
Graduation Year
2007
Is Sole Proprietor?
Yes
Enumeration Date
07-16-2007
Last Update Date
04-22-2009
Code Navigator

Brandon Fish is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
ODP100141
License State
ID
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Mountain Health CO-OP

    • Connect Bronze Expanded - PPO
    • Connect Bronze Expanded Standard - PPO
    • Connect Bronze HDHP - PPO
    • Connect Catastrophic - PPO
    • Connect Gold - PPO
    • Connect Gold Standard - PPO
    • Connect Silver - PPO
    • Connect Silver Option 2 - PPO
    • Connect Silver Standard - PPO
    • High Plains Bronze HDHP - PPO
    • High Plains Bronze Standard Expanded - PPO
    • High Plains Gold - PPO
    • High Plains Gold HDHP - PPO
    • High Plains Gold Standard - PPO
    • High Plains Silver - PPO
  • PacificSource Health Plans

    • Navigator Bronze 7000 - PPO
    • Navigator Bronze 7000 Exchange - PPO
    • Navigator Bronze 9400 - PPO
    • Navigator Bronze 9400 Exchange - PPO
    • Navigator Bronze HSA 7500 - PPO
    • Navigator Gold 1500 - PPO
    • Navigator Gold 1500 Exchange - PPO
    • Navigator Gold 500 Exchange - PPO
    • Navigator Silver 3500 Exchange - PPO
    • Navigator Silver 4000 Exchange - PPO
    • Navigator Silver 5000 - PPO
    • Navigator Silver HSA 3500 - PPO
    • Navigator Standard Expanded Bronze - PPO
    • Navigator Standard Gold - PPO
    • Navigator Standard Silver - PPO
  • University of Utah Health Plans

    • Healthy Premier Bronze HSA - EPO
    • Healthy Premier Bronze w.3 Copays - EPO
    • Healthy Premier Expanded Bronze - EPO
    • Healthy Premier Expanded Bronze Standard - EPO
    • Healthy Premier Expanded Bronze Standard Choice - EPO
    • Healthy Premier Gold Copay - EPO
    • Healthy Premier Gold Standard - EPO
    • Healthy Premier Silver Copay - EPO
    • Healthy Premier Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Brandon Fish 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).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4385737600

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20070831000590

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 83301 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $125.19
  • Minimum New Patient Price $53.93
  • Maximum New Patient Price $165.44
  • Average New Patient Copayment $31.29
  • Minimum New Patient Copayment $13.48
  • Maximum New Patient Copayment $41.36

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.04
  • Minimum Established Patient Price $16.64
  • Maximum Established Patient Price $135.44
  • Average Established Patient Copayment $17.01
  • Minimum Established Patient Copayment $4.16
  • Maximum Established Patient Copayment $33.86

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Services

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 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 81

    Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)

  • 61

    Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

Reviews for DR. BRANDON FISH O.D.

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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.
1003015363
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030110312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 0 + 3 + 1 + 2 + 24 = 37
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 37 = 33

The NPI number 1003015363 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013116383DR. NICHOLAS JAMES KELSEY OD
Individual
Optometrist731 N COLLEGE RD
TWIN FALLS, ID 83301
(208) 734-3937
1902810757MOUNTAIN WEST OPTICAL INC
Organization
Optometrist731 N COLLEGE RD
TWIN FALLS, ID 83301
(208) 734-3937

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003015363, enumerated in the NPI registry as an "individual" on July 16, 2007

The provider is located at 731 N College Rd Twin Falls, Id 83301 and the phone number is (208) 734-3937

The provider's speciality is Optometrist with taxonomy code 152W00000X

The provider has more than 18 years of experience. He graduated from Pacific Medical College in 2007.

The provider might be accepting Accepts: Mountain Health CO-OP, PacificSource Health Plans. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a 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).

Medicare beneficiaries should expect a typical cost of $125.19 with an average copayment of $31.29 for new patient appointments. Established patients should expect a typical charge of $68.04 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.

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 and Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits.

This NPI record was last updated on July 16, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.