DR. ARDITH RENEE PAGAN O.D. NPI 1013086362
Optometrist in Austin, TX

About DR. ARDITH RENEE PAGAN O.D.

Ardith Pagan is a provider established in Austin, Texas and her medical specialization is Optometrist with more than 23 years of experience. The NPI number of Ardith Pagan is 1013086362 and was assigned on November 2006. The practitioner's primary taxonomy code is 152W00000X with license number 6003T (TX). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1013086362
Provider NameDR. ARDITH RENEE PAGAN O.D.
Location Address11005 BURNET RD SUITE 120 AUSTIN, TX 78758
Location Phone(512) 596-2020
Mailing Address11005 BURNET RD SUITE 120 AUSTIN, TX 78758
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2000
Is Sole Proprietor?No
Enumeration Date11-08-2006
Last Update Date04-13-2016

Ardith Pagan 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).

Ardith Pagan 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: $34.08 for a new patient copayment and $18.68 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.6003T
License StateTX
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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

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

Business Address

DR. ARDITH RENEE PAGAN O.D.
11005 BURNET RD
SUITE 120
AUSTIN, TX
ZIP 78758
Phone: (512) 596-2020
Fax: (512) 596-3937

Get Directions


Mailing Address

DR. ARDITH RENEE PAGAN O.D.
11005 BURNET RD
SUITE 120
AUSTIN, TX
ZIP 78758
Phone: (512) 596-2020
Fax: (512) 596-3937


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 ID3072805324
PECOS Enrollment IDI20160707001504
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 78758 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
$59.83 $179.81 $136.34
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.95 $44.95 $34.08
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
$19.07 $147.53 $74.74
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.76 $36.88 $18.68

* 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 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
00323PMEDICARE ID-TYPE UNSPECIFIED (04)TX

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.
1013086362
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230812312
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 + 2 + 3 + 1 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1013086362 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

What is Dr. Ardith Pagan O.D. NPI number?

The NPI number assigned to Dr. Ardith Pagan O.D. is 1013086362, registered as an "individual" on November 08, 2006

Where is Dr. Ardith Pagan O.D. located?

The provider is located at 11005 Burnet Rd Suite 120 Austin, Tx 78758 and the phone number is (512) 596-2020

Which is Dr. Ardith Pagan O.D. specialty?

The provider's speciality is Optometrist

How many years of experience does Dr. Ardith Pagan O.D. have?

The provider has more than 23 years of experience.

What insurance does Dr. Ardith Pagan O.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Dr. Ardith Pagan O.D. 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. Ardith Pagan O.D.?

Medicare beneficiaries should expect a typical cost of $136.34 with an average copayment of $34.08 for new patient appointments. Established patients should expect a typical charge of $74.74 and an average copayment of 18.68. 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. Ardith Pagan O.D. was last updated on November 08, 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]
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 at: [email protected]