SERAFIMA NISIMOVA OD
NPI 1215662846
Optometrist in Rego Park, NY

NPI Status: Active since July 18, 2022

Contact Information

9519 63RD DR
REGO PARK, NY
ZIP 11374
Phone: (718) 459-2020

NPI Profile Information
Primary Taxonomy
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Optometrist
PECOS Enrolled

About SERAFIMA NISIMOVA

This page provides the complete NPI Profile along with additional information for Serafima Nisimova, a provider established in Rego Park, New York with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1215662846 assigned on July 2022. The practitioner's primary taxonomy code is 152W00000X with license number TUV009572 (NY). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI: 1215662846
Provider Name: SERAFIMA NISIMOVA OD
Gender: Female
Entity Type: Individual
Location Address: 9519 63RD DR REGO PARK, NY 11374
Location Phone: (718) 459-2020
Mailing Address: 8207 TRYON PL JAMAICA, NY 11432
Mailing Phone: (718) 844-4731
Is Sole Proprietor?: No
Enumeration Date: 07-18-2022
Last Update Date: 07-18-2022
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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: Optometrist
Taxonomy Code: 152W00000X
Type: Eye and Vision Services Providers
License No.: TUV009572
License State: NY
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.

Medicare Participation & PECOS Enrollment Status

Serafima Nisimova 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
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

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 11374 ZIP code area.

New Patients Visit Costs *

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

Average New Patient Price $153.13
Minimum New Patient Price $67
Maximum New Patient Price $201.98

Average New Patient Copayment $38.28
Minimum New Patient Copayment $16.75
Maximum New Patient Copayment $50.49

Established Patients Visit Costs *

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

Average Established Patient Price $82.96
Minimum Established Patient Price $21.62
Maximum Established Patient Price $163.52

Average Established Patient Copayment $20.74
Minimum Established Patient Copayment $5.4
Maximum Established Patient Copayment $40.88

* 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.

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.
1	2	1	5	6	6	2	8	4	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	2	5	12	6	4	8	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 2 + 6 + 4 + 8 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 6									6

The NPI number 1215662846 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.