DR. MARY LEE PEMBERTON O.D. NPI 1003802422

Optometrist in Waynesboro, VA

Individual Female Optometrist PECOS Enrolled Accepts Medicare Years Experience 22

About MARY PEMBERTON

Mary Pemberton is a provider established in Waynesboro, Virginia and her medical specialization is optometrist with more than 22 years of experience. The NPI number of Mary Pemberton is 1003802422 and was assigned on September 2005. The practitioner's primary taxonomy code is 152W00000X with license number 061800738 (VA). The provider is registered as an individual and her NPI record was last updated 12 years ago. Mary Pemberton is enrolled in PECOS and registered with Medicare accepting claims assignment.

NPI

1003802422

Provider NameDR. MARY LEE PEMBERTON O.D.
Provider Location Address2522 JEFFERSON HWY SUITE 106 WAYNESBORO, VA 22980
Provider Mailing Address2522 JEFFERSON HWY SUITE 106 WAYNESBORO, VA 22980
GenderFemale
NPI Entity TypeIndividual
Medical School NameSOUTHERN COLLEGE OF OPTOMETRY
Graduation Year1998
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-21-2005
Last Update Date02-14-2008

Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.061800738
License StateVA
Taxonomy DescriptionDoctors 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.

Business Address

DR. MARY LEE PEMBERTON O.D.
2522 JEFFERSON HWY
SUITE 106
WAYNESBORO, VA
ZIP 22980
Phone: (540) 946-8727
Fax: (540) 949-5526

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Mailing Address

DR. MARY LEE PEMBERTON O.D.
2522 JEFFERSON HWY
SUITE 106
WAYNESBORO, VA
ZIP 22980
Phone: (540) 946-8727
Fax: (540) 949-5526

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID9335218858
PECOS Enrollment IDI20080522000634
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.
EHR Incentive Program Yes "Electronic Health Records (EHR) Incentive Programs"
The Medicare EHR Incentive Program eligible professionals ended with the 2016 reporting period. Starting in 2017, eligible clinicians will report to the Quality Payment Program (QPP).

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.

  • 139Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 62Photography of the retina (HCPCS:92250)
  • 56Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • 54Measurement of field of vision during daylight conditions (HCPCS:92083)
  • 24Diagnostic imaging of retina (HCPCS:92134)
  • 23Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

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
1152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management0618000738VANo

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.

2152WP0200XEye and Vision Services ProvidersOptometristPediatrics0618000738VANo

Taxonomy Description: optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

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
5612691OTHER (01)VA
466350OTHER (01)VA
00V282M57MEDICARE ID-TYPE UNSPECIFIED (04)VA
159075OTHER (01)VA
U94932MEDICARE UPIN (02)VA

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396994646AUGUSTA MEDICAL GROUP
Organization
Family Medicine2522 JEFFERSON HWY SUITE 110
WAYNESBORO, VA 22980
(540) 941-7899
1518072933AUGUSTA HEALTH CARE INC
Organization
Internal Medicine2522 JEFFERSON HWY SUITE 110
WAYNESBORO, VA 22980
(540) 941-7899
1720154974MARY LEE PEMBERTON, OD PC
Organization
Optometrist2522 JEFFERSON HWY SUITE 106
WAYNESBORO, VA 22980
(540) 946-8727

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.

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