DR. DANIEL M COTTER M.D. NPI 1003018102

Ophthalmology in Williamsville, NY

NPI 1003018102 Individual Male Years of Experience 19 Ophthalmology PECOS Enrolled Accepts Medicare Approved Payment

About DANIEL COTTER

Daniel Cotter is a provider established in Williamsville, New York and his medical specialization is ophthalmology with more than 19 years of experience. He graduated from State University Of New York At Buffalo School Of Medicine in 2003. The NPI number of Daniel Cotter is 1003018102 and was assigned on June 2007. The practitioner's primary taxonomy code is 207W00000X with license number 233935 (NY). The provider is registered as an individual and his NPI record was last updated 3 years ago.

Daniel Cotter is enrolled in PECOS and is eligible to order or refer healthcare 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

Daniel Cotter 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 he has hospital affiliations with Kaleida Health.

NPI

1003018102

Provider NameDR. DANIEL M COTTER M.D.
Provider Location Address811 MAPLE RD WILLIAMSVILLE, NY 14221
Provider Mailing Address3712 SOUTHWESTERN BLVD ORCHARD PARK, NY 14127
GenderMale
NPI Entity TypeIndividual
Medical School NameSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year2003
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-01-2007
Last Update Date04-16-2019


Primary Taxonomy

Taxonomy Code207W00000X
ClassificationOphthalmology
TypeAllopathic & Osteopathic Physicians
License No.233935
License StateNY
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

DR. DANIEL M COTTER M.D.
811 MAPLE RD
WILLIAMSVILLE, NY
ZIP 14221
Phone: (716) 631-8888
Fax: (716) 648-3185

Get Directions


Mailing Address

DR. DANIEL M COTTER M.D.
3712 SOUTHWESTERN BLVD
ORCHARD PARK, NY
ZIP 14127
Phone: (716) 432-2253



Medicare Participation

Registered in PECOS? Yes 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.
PECOS PAC ID3375635238
PECOS Enrollment IDI20090505000421
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

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.

  • 500Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 261Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • 196Photography of the retina (HCPCS:92250)
  • 157Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • 116Measurement of field of vision during daylight conditions (HCPCS:92083)
  • 77Diagnostic imaging of retina (HCPCS:92134)
  • 33Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

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. Daniel Cotter is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
KALEIDA HEALTH100 HIGH STREET
BUFFALO, NY 14210
(716) 859-8620Acute Care Hospitals330005

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyA100203CANo

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.

Additional Identifiers


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
233935OTHER (01)NY

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194822346DR. RIYAZ HASSANALI M.D.
Individual
Specialist811 MAPLE RD
WILLIAMSVILLE, NY 14221
(716) 626-1593
1144223439DR. EUGENE J. MCDONOUGH O.D.
Individual
Specialist811 MAPLE RD
WILLIAMSVILLE, NY 14221
(716) 648-5329
1245231067DR. JOHN T HAMMERSMITH OD
Individual
Optometrist811 MAPLE RD
WILLIAMSVILLE, NY 14221
(716) 631-8888
1225039043DR. PAUL C HOLMWOOD MD
Individual
Ophthalmology811 MAPLE RD
WILLIAMSVILLE, NY 14221
(716) 631-8888
1558556761EYE CARE AND VISION ASSOCIATES OPHTHALMOLOGY LLP
Organization
Eyewear Supplier811 MAPLE RD
WILLIAMSVILLE, NY 14221
(716) 648-5329
1558327742 JON L DUSSE MD
Individual
Ophthalmology811 MAPLE RD
WILLIAMSVILLE, NY 14221
(716) 631-8888
1285686402DR. STEVEN AWNER MD
Individual
Ophthalmology811 MAPLE RD
WILLIAMSVILLE, NY 14221
(716) 631-8888

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
The code describing 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.