CAROLYN ROSE LEDERMAN MD
NPI 1184660904
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Purchase, NY

NPI Status: Active since June 21, 2006

Contact Information

3020 WESTCHESTER AVENUE
SUITE 402
PURCHASE, NY
ZIP 10577
Phone: (914) 417-6441
Fax: (914) 948-2020

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  • Individual
  • Female
  • Years of Experience 34
  • Ophthalmology
  • Pediatric Ophthalmology and Strabismus S...
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About CAROLYN LEDERMAN

This page provides the complete NPI Profile along with additional information for Carolyn Lederman, a provider established in Purchase, New York with a medical specialization in Ophthalmology, focusing in pediatric ophthalmology and strabismus specialist and more than 34 years of experience. The healthcare provider is registered in the NPI registry with number 1184660904 assigned on June 2006. The practitioner's primary taxonomy code is 207WX0110X with license number 193530 (NY). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1184660904
Provider Name
CAROLYN ROSE LEDERMAN MD
Gender
Female
Entity Type
Individual
Location Address
3020 WESTCHESTER AVENUE SUITE 402 PURCHASE, NY 10577
Location Phone
(914) 417-6441
Location Fax
(914) 948-2020
Mailing Address
3020 WESTCHESTER AVENUE SUITE 402 PURCHASE, NY 10577
Mailing Phone
(914) 417-6441
Mailing Fax
(914) 948-2020
Medical School Name
OTHER
Graduation Year
1992
Is Sole Proprietor?
No
Enumeration Date
06-21-2006
Last Update Date
04-20-2020
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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

Ophthalmology Pediatric Ophthalmology and Strabismus Specialist

Taxonomy Code
207WX0110X
Type
Allopathic & Osteopathic Physicians
License No.
193530
License State
NY
Taxonomy Description
An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

039687 (CT)
2207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

193530 (NY)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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
01748329MEDICAID (05)NY 

Medicare Participation & PECOS Enrollment Status

Carolyn Lederman 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.

Carolyn Lederman 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), a Home Health Agency (HHA) and Power Mobility Devices.

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: 4486688702

    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: I20050926000350

    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: Yes

Physician 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 10577 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $154.28
  • Minimum New Patient Price $67.4
  • Maximum New Patient Price $203.53
  • Average New Patient Copayment $38.57
  • Minimum New Patient Copayment $16.85
  • Maximum New Patient Copayment $50.88

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $83.44
  • Minimum Established Patient Price $21.66
  • Maximum Established Patient Price $164.45
  • Average Established Patient Copayment $20.86
  • Minimum Established Patient Copayment $5.41
  • Maximum Established Patient Copayment $41.11

* 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 1184660904, 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 8 → 16 → 7 6 → 12 → 3 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 6 + 4 + 1 + 2 + 6 + 0 + 9 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1184660904.

Other Providers at the Same Location


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

Ophthalmology
3020 WESTCHESTER AVENUE, # 101
PURCHASE, NY 10577
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
3020 WESTCHESTER AVENUE, SUITE 402
PURCHASE, NY 10577
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
3020 WESTCHESTER AVENUE, SUITE 402
PURCHASE, NY 10577

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184660904, enumerated as an "individual" on June 21, 2006.

The provider is located at 3020 WESTCHESTER AVENUE SUITE 402 PURCHASE, NY 10577 and the phone number is (914) 417-6441.

Ophthalmology with taxonomy code 207WX0110X and a focus in Pediatric Ophthalmology and Strabismus Specialist.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.