DR. DAVID SCOTT CARPENTER O.D.
NPI 1164530754
Optometrist in Princeton, WV
NPI Status: Active since August 25, 2006
Contact Information
310 LOCUST ST
SUITE #6
PRINCETON, WV
ZIP 24740
Phone: (304) 487-2020
Fax: (304) 431-2020
- Individual
- Male
- Years of Experience 25
- Optometrist
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About DAVID CARPENTER
This page provides the complete NPI Profile along with additional information for David Carpenter, a provider established in Princeton, West Virginia with a medical specialization in Optometrist and more than 25 years of experience. He graduated from Southern College Of Optometry in 2001. The healthcare provider is registered in the NPI registry with number 1164530754 assigned on August 2006. The practitioner's primary taxonomy code is 152W00000X with license number 1001-OD (WV). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1164530754
- Provider Name
- DR. DAVID SCOTT CARPENTER O.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 310 LOCUST ST SUITE #6 PRINCETON, WV 24740
- Location Phone
- (304) 487-2020
- Location Fax
- (304) 431-2020
- Mailing Address
- 310 LOCUST ST. SUITE #6 PRINCETON, WV 24740
- Mailing Phone
- (304) 589-6930
- Medical School Name
- SOUTHERN COLLEGE OF OPTOMETRY
- Graduation Year
- 2001
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-25-2006
- Last Update Date
- 03-01-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- License No.
- 1001-OD
- License State
- WV
- Taxonomy Description
- Doctors 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- my Blue Access WV Major Events PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
- my Blue Access WV PPO Bronze 3800 - PPO
- my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Bronze 9200 - PPO
- my Blue Access WV PPO Gold 0 - PPO
- my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Gold 1700 HSA - PPO
- my Blue Access WV PPO Premier Gold 0 - PPO
- my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Premier Silver 0 - PPO
- my Blue Access WV PPO Premier Silver 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Standard Bronze 7500 - PPO
- my Blue Access WV PPO Standard Gold 2000 - PPO
- my Blue Access WV PPO Standard Gold 2000 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Standard Silver 6000 - PPO
- Connect 1500 Gold - EPO
- Connect 6000 Silver - EPO
- Connect 9800 Bronze - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3101007000 | MEDICAID (05) | WV | |
| 999995836 | OTHER (01) | WV | VSP |
| CA-4054271 | MEDICARE ID-TYPE UNSPECIFIED (04) | WV | |
| 410046671 | OTHER (01) | WV | RAILROAD MEDICARE |
| U85728 | MEDICARE UPIN (02) | WV |
Medicare Participation & PECOS Enrollment Status
David Carpenter is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
David Carpenter 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).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4880582634
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20040304001145
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient complete exam of visual system
Established patient problem focused exam of visual system
Exam of visual field with extended testing
Imaging of optic nerve
Imaging of retina
New patient complete exam of visual system
Photography of the retina
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
This service was performed 128 times for 127 patientsThis is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
This service was performed 84 times for 64 patientsAn extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
This service was performed 28 times for 27 patientsImaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
This service was performed 31 times for 27 patientsImaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
This service was performed 24 times for 23 patientsA new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
This service was performed 42 times for 42 patientsPhotography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
This service was performed 36 times for 36 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 24740 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $124.46
- Minimum New Patient Price $53.2
- Maximum New Patient Price $164.59
- Average New Patient Copayment $31.11
- Minimum New Patient Copayment $13.3
- Maximum New Patient Copayment $41.14
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.84
- Minimum Established Patient Price $16.47
- Maximum Established Patient Price $133.29
- Average Established Patient Copayment $16.71
- Minimum Established Patient Copayment $4.11
- Maximum Established Patient Copayment $33.32
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164530754, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 46 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164530754, enumerated as an "individual" on August 25, 2006.
The provider is located at 310 LOCUST ST SUITE #6 PRINCETON, WV 24740 and the phone number is (304) 487-2020.
Optometrist with taxonomy code 152W00000X.
The provider might be accepting Accepts: Highmark Blue Cross Blue Shield West Virginia,. Please consult your insurance carrier or call the provider to verify.
