DR. NADINE AMY COHEN OD NPI 1013085463
Optometrist in Bayside, NY

About DR. NADINE AMY COHEN OD

Nadine Cohen is a provider established in Bayside, New York and her medical specialization is Optometrist with more than 25 years of experience. She graduated from Pennsylvania College Of Optometry in 1998. The NPI number of Nadine Cohen is 1013085463 and was assigned on December 2006. The practitioner's primary taxonomy code is 152W00000X with license number TUV006111-1 (NY). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1013085463
Provider NameDR. NADINE AMY COHEN OD
Location Address2634 BELL BLVD BAYSIDE, NY 11360
Location Phone(718) 428-2020
Mailing Address5444 LITTLE NECK PKWY APT 2H LITTLE NECK, NY 11362
GenderFemale
NPI Entity TypeIndividual
Medical School NamePENNSYLVANIA COLLEGE OF OPTOMETRY
Graduation Year1998
Is Sole Proprietor?Yes
Enumeration Date12-02-2006
Last Update Date09-27-2013

Nadine Cohen 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).

Nadine Cohen 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 provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 94.3, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $40.91 for a new patient copayment and $22.15 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 Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.TUV006111-1
License StateNY
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. NADINE AMY COHEN OD
2634 BELL BLVD
BAYSIDE, NY
ZIP 11360
Phone: (718) 428-2020

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Mailing Address

DR. NADINE AMY COHEN OD
5444 LITTLE NECK PKWY
APT 2H
LITTLE NECK, NY
ZIP 11362
Phone:


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 ID9638316987
PECOS Enrollment IDI20130506000474
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 DevicesNo

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 11360 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
$71.8 $216 $163.65
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$17.95 $54 $40.91
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
$22.16 $174.92 $88.6
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.54 $43.73 $22.15

* 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.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 95.6
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 77.5
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 94.3
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

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.

  • 225Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • 201Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 129Diagnostic imaging of retina (HCPCS:92134)
  • 104Measurement of field of vision during daylight conditions (HCPCS:92083)
  • 66Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • 49Photography of the retina (HCPCS:92250)
  • 28Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

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.
1013085463
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230810412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 1 + 0 + 4 + 1 + 2 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1013085463 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 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184877821STEWART A LEVINE MD PC
Organization
Ophthalmology2634 BELL BLVD
BAYSIDE, NY 11360
(718) 428-2020
1760408678 STEWART ALAN LEVINE M.D.
Individual
Ophthalmology2634 BELL BLVD
BAYSIDE, NY 11360
(718) 428-2020
1679751929STEWART A LEVINE MD PC
Organization
Durable Medical Equipment & Medical Supplies2634 BELL BLVD
BAYSIDE, NY 11360
(718) 428-2020

Frequently Asked Questions

What is Dr. Nadine Cohen OD NPI number?

The NPI number assigned to Dr. Nadine Cohen OD is 1013085463, registered as an "individual" on December 02, 2006

Where is Dr. Nadine Cohen OD located?

The provider is located at 2634 Bell Blvd Bayside, Ny 11360 and the phone number is (718) 428-2020

Which is Dr. Nadine Cohen OD specialty?

The provider's speciality is Optometrist

How many years of experience does Dr. Nadine Cohen OD have?

The provider has more than 25 years of experience. She graduated from Pennsylvania College Of Optometry in 1998.

Is Dr. Nadine Cohen OD registered in PECOS?

Yes, as of November 14, 2022 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. Nadine Cohen OD?

Medicare beneficiaries should expect a typical cost of $163.65 with an average copayment of $40.91 for new patient appointments. Established patients should expect a typical charge of $88.6 and an average copayment of 22.15. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. Nadine Cohen OD?

The most common procedures or services performed by this practitioner are: Eye and medical examination for diagnosis and treatment, established patient, Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits, Diagnostic imaging of retina, Measurement of field of vision during daylight conditions, Diagnostic imaging of optic nerve of eye, Photography of the retina and Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits.

How do I update my NPI information?

The NPI record of Dr. Nadine Cohen OD was last updated on December 02, 2006. 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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