DR. SUSAN M LUSCOMBE M.D.
NPI 1235197377
Ophthalmology in Aventura, FL
NPI Status: Active since May 01, 2006
Contact Information
17971 BISCAYNE BLVD
SUITE 212
AVENTURA, FL
ZIP 33160
Phone: (305) 931-7995
Fax: (305) 931-9599
- Individual
- Female
- Ophthalmology
- PECOS Enrolled
About SUSAN LUSCOMBE
This page provides the complete NPI Profile along with additional information for Susan Luscombe, a provider established in Aventura, Florida with a medical specialization in Ophthalmology. The healthcare provider is registered in the NPI registry with number 1235197377 assigned on May 2006. The practitioner's primary taxonomy code is 207W00000X with license number ME34408 (FL). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1235197377
- Provider Name
- DR. SUSAN M LUSCOMBE M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 17971 BISCAYNE BLVD SUITE 212 AVENTURA, FL 33160
- Location Phone
- (305) 931-7995
- Location Fax
- (305) 931-9599
- Mailing Address
- 17971 BISCAYNE BLVD SUITE 212 AVENTURA, FL 33160
- Mailing Phone
- (305) 931-7995
- Mailing Fax
- (305) 931-9599
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-01-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Ophthalmologists like Susan Luscombe specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
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
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME34408
- License State
- FL
- Taxonomy Description
- An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
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.
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.
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 |
|---|---|---|---|
| 2460010 | OTHER (01) | FL | AETNA HMO |
| 4939228 | OTHER (01) | FL | CIGNA |
| D78917 | MEDICARE UPIN (02) | FL | |
| D78917 | OTHER (01) | FL | VISTA |
| 95484 | OTHER (01) | FL | BCBS OF FLORIDA |
| 95484 | MEDICARE ID-TYPE UNSPECIFIED (04) | FL | |
| 0400333 | OTHER (01) | FL | GHI |
| 156160471572 | OTHER (01) | FL | HUMANA PPO |
| 4548853 | OTHER (01) | FL | AETNA PPO |
| 95484 | OTHER (01) | FL | UNITED HEALTHCARE |
Medicare Participation & PECOS Enrollment Status
Susan Luscombe 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
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
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
Extended exam of the back part of the eye with optic nerve drawing
Extended exam of the back part of the eye with retinal drawing
New patient complete exam of visual system
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 109 times for 71 patientsThis procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
This service was performed 65 times for 59 patientsThis procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
This service was performed 15 times for 15 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 20 times for 20 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 33160 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $141.56
- Minimum New Patient Price $60.92
- Maximum New Patient Price $187.05
- Average New Patient Copayment $35.39
- Minimum New Patient Copayment $15.23
- Maximum New Patient Copayment $46.76
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $75.86
- Minimum Established Patient Price $18.99
- Maximum Established Patient Price $150.24
- Average Established Patient Copayment $18.96
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.56
* 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.
Reviews for DR. SUSAN M LUSCOMBE M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1235197377, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
AVENTURA, FL 33160
AVENTURA, FL 33160
AVENTURA, FL 33160
AVENTURA, FL 33160
AVENTURA, FL 33160
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235197377, enumerated as an "individual" on May 01, 2006.
The provider is located at 17971 BISCAYNE BLVD SUITE 212 AVENTURA, FL 33160 and the phone number is (305) 931-7995.
Ophthalmology with taxonomy code 207W00000X.
The provider might be accepting Accepts: Aetna, Medicare, Medicaid, Cigna, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
