DR. JOHN D MACKEY O.D. NPI 1003017690
Optometrist - Corneal and Contact Management in Lexington, KY
About DR. JOHN D MACKEY O.D.
John Mackey is a provider established in Lexington, Kentucky and his medical specialization is Optometrist with a focus in corneal and contact management with more than 36 years of experience. He graduated from University Of Houston - College Of Optometry in 1987. The NPI number of this provider is 1003017690 and was assigned on May 2007. The practitioner's primary taxonomy code is 152WC0802X with license number 1171DT (KY). The provider is registered as an individual and his NPI record was last updated 16 years ago.
|Provider Name||DR. JOHN D MACKEY O.D.|
|Location Address||1240 BELMAR LN LEXINGTON, KY 40515|
|Location Phone||(859) 272-8181|
|Mailing Address||1240 BELMAR LN LEXINGTON, KY 40515|
|NPI Entity Type||Individual|
|Medical School Name||UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY|
|Is Sole Proprietor?||Yes|
|Last Update Date||07-08-2007|
John Mackey 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).
John Mackey 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: $31.84 for a new patient copayment and $17.23 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|
|Specialization||Corneal and Contact Management|
|Taxonomy Description||The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.|
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
1240 BELMAR LN
Phone: (859) 272-8181
1240 BELMAR LN
Phone: (859) 272-8181
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||6305220930|
|PECOS Enrollment ID||I20220831002554|
|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 40515 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.
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
|Identifier||Type / Code||Identifier State|
|1820201||MEDICARE ID-TYPE UNSPECIFIED (04)||KY|
|U25923||MEDICARE UPIN (02)||KY|
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 + 1 + 4 + 6 + 1 + 8 + 24 = 50|
|Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.|
The NPI number 1003017690 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
What is Dr. John Mackey O.D. NPI number?
The NPI number assigned to this healthcare provider is 1003017690, registered as an "individual" on May 30, 2007
Where is Dr. John Mackey O.D. located?
The provider is located at 1240 Belmar Ln Lexington, Ky 40515 and the phone number is (859) 272-8181
Which is Dr. John Mackey O.D. specialty?
The provider's speciality is Optometrist with a focus in Corneal and Contact Management
How many years of experience does Dr. John Mackey O.D. have?
The provider has more than 36 years of experience. He graduated from University Of Houston - College Of Optometry in 1987.
What insurance does Dr. John Mackey O.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. John Mackey O.D. registered in PECOS?
Yes, as of May 11, 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. John Mackey O.D.?
Medicare beneficiaries should expect a typical cost of $127.37 with an average copayment of $31.84 for new patient appointments. Established patients should expect a typical charge of $68.92 and an average copayment of 17.23. 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. John Mackey O.D. was last updated on May 30, 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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