DR. JAMES C STAUP III O.D. NPI 1225067697

Optometrist in Owens Cross Roads, AL

NPI 1225067697 Individual Male Years of Experience 29 Optometrist PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About JAMES STAUP

James Staup is a provider established in Owens Cross Roads, Alabama and his medical specialization is optometrist with more than 29 years of experience. He graduated from University Alabama Birmingham - School Of Optometry in 1993. The NPI number of James Staup is 1225067697 and was assigned on June 2006. The practitioner's primary taxonomy code is 152W00000X with license number S-783-TA-295 (AL). The provider is registered as an individual and his NPI record was last updated 10 years ago.

James Staup is enrolled in PECOS and is eligible to order or refer healthcare 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)

James Staup 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 provider participated in Medicare's Quality Payment Program and the following quality measures were reported: diabetes: eye exam. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1225067697

Provider NameDR. JAMES C STAUP III O.D.
Provider Location Address6838 HIGHWAY 431 S SUITE A OWENS CROSS ROADS, AL 35763
Provider Mailing Address6838 HIGHWAY 431 S SUITE A OWENS CROSS ROADS, AL 35763
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Graduation Year1993
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-30-2006
Last Update Date05-04-2012


Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.S-783-TA-295
License StateAL
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.

Business Address

DR. JAMES C STAUP III O.D.
6838 HIGHWAY 431 S
SUITE A
OWENS CROSS ROADS, AL
ZIP 35763
Phone: (256) 534-3900
Fax: (256) 534-6994

Get Directions


Mailing Address

DR. JAMES C STAUP III O.D.
6838 HIGHWAY 431 S
SUITE A
OWENS CROSS ROADS, AL
ZIP 35763
Phone: (256) 534-3900
Fax: (256) 534-6994



Medicare Participation

Registered in PECOS? Yes 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.
PECOS PAC ID6800979303
PECOS Enrollment IDI20080206000611
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

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.

  • 154Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 24Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Diabetes: Eye Exam 100% 34
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

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
DN3541OTHER (01)
58571MEDICARE ID-TYPE UNSPECIFIED (04)AL
58571MEDICARE PIN (08)AL
000058571MEDICAID (05)AL

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962439588DR. DEWANNA K STAUP O.D.
Individual
Optometrist6838 HIGHWAY 431 S SUITE A
OWENS CROSS ROADS, AL 35763
(256) 534-3900
1861573198SOUTH EAST EYECARE
Organization
Optometrist6838 HIGHWAY 431 S SUITE A
OWENS CROSS ROADS, AL 35763
(256) 534-3900

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.