DR. RONALD SIDNEY POGACH O.D. NPI 1013087725
Optometrist in Wilmington, DE

About DR. RONALD SIDNEY POGACH O.D.

Ronald Pogach is a provider established in Wilmington, Delaware and his medical specialization is Optometrist. The NPI number of Ronald Pogach is 1013087725 and was assigned on November 2006. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1013087725
Provider NameDR. RONALD SIDNEY POGACH O.D.
Location Address5503 KIRKWOOD HWY WILMINGTON, DE 19808
Location Phone(302) 994-3300
Mailing Address5503 KIRKWOOD HWY WILMINGTON, DE 19808
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Enumeration Date11-09-2006
Last Update Date08-30-2007

Ronald Pogach 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)..



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 StateDE
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. RONALD SIDNEY POGACH O.D.
5503 KIRKWOOD HWY
WILMINGTON, DE
ZIP 19808
Phone: (302) 994-3300
Fax: (302) 994-3782

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Mailing Address

DR. RONALD SIDNEY POGACH O.D.
5503 KIRKWOOD HWY
WILMINGTON, DE
ZIP 19808
Phone: (302) 994-3300
Fax: (302) 994-3782


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
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

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.

  • 144Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 11Photography of the retina (HCPCS:92250)

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 Identifier Issuer
33296OTHER (01)DECOVENTRY I.D.
81370OTHER (01)DESPECTERA I.D.
DE1130OTHER (01)DEVBA I.D.
51-0228512 DE 1130OTHER (01)DEEYEMED I.D.
T-26918MEDICARE UPIN (02)DE
0526820001MEDICARE UPIN (02)DE
30504OTHER (01)DEGVA I.D.

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.
1013087725
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023081474
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 + 4 + 7 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1013087725 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992982318DR RONALD POGACH
Organization
Optometrist (Corneal and Contact Management)5503 KIRKWOOD HWY
WILMINGTON, DE 19808
(302) 994-3300

Frequently Asked Questions

What is Dr. Ronald Pogach O.D. NPI number?

The NPI number assigned to Dr. Ronald Pogach O.D. is 1013087725, registered as an "individual" on November 09, 2006

Where is Dr. Ronald Pogach O.D. located?

The provider is located at 5503 Kirkwood Hwy Wilmington, De 19808 and the phone number is (302) 994-3300

Which is Dr. Ronald Pogach O.D. specialty?

The provider's speciality is Optometrist

What insurance does Dr. Ronald Pogach 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. Ronald Pogach 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. Ronald Pogach O.D.?

Medicare beneficiaries should expect a typical cost of $137.08 with an average copayment of $34.27 for new patient appointments. Established patients should expect a typical charge of $74.72 and an average copayment of 18.68. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. Ronald Pogach O.D.?

The most common procedures or services performed by this practitioner are: Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits and Photography of the retina.

How do I update my NPI information?

The NPI record of Dr. Ronald Pogach O.D. was last updated on November 09, 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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