DR. ANDREW XINGYU ZHOU MD
NPI 1245694959
Ophthalmology in Santa Cruz, CA
NPI Status: Active since April 08, 2016
Contact Information
1665 DOMINICAN WAY STE 124
SANTA CRUZ, CA
ZIP 95065
Phone: (831) 475-7012
Fax: (831) 475-1512
- Individual
- Male
- Years of Experience 9
- Ophthalmology
- PECOS Enrolled
- Accepts Medicare Approved Payment
About ANDREW ZHOU
Andrew Zhou is a provider established in Santa Cruz, California and his medical specialization is Ophthalmology with more than 9 years of experience. He graduated from State University Of Ny Upstate Medical University in 2015. The healthcare provider is registered in the NPI registry with number 1245694959 assigned on April 2016. The practitioner's primary taxonomy code is 207W00000X with license number A168208 (CA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
| NPI | 1245694959 |
| Provider Name | DR. ANDREW XINGYU ZHOU MD |
| Location Address | 1665 DOMINICAN WAY STE 124 SANTA CRUZ, CA 95065 |
| Location Phone | (831) 475-7012 |
| Mailing Address | 1665 DOMINICAN WAY STE 124 SANTA CRUZ, CA 95065 |
| Gender | Male |
| Entity Type | Individual |
| Medical School Name | STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY |
| Graduation Year | 2015 |
| Is Sole Proprietor? | No |
| Enumeration Date | 04-08-2016 |
| Last Update Date | 05-23-2022 |
| Code Navigator |
Ophthalmologists like Andrew Zhou 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.
Andrew Zhou is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The typical physician office visit costs for Medicare beneficiaries in this area are: $36.67 for a new patient copayment and $20.17 for an established patient copayment.
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.
- A168208
- License State
- CA
- 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.
Location Map
Mailing Address
1665 DOMINICAN WAY STE 124
SANTA CRUZ, CA
ZIP 95065
Phone: (831) 475-7012
Fax: (831) 475-1512
Secondary Locations
- 65 Aspen Way
Watsonville, CA 95076
(831) 761-5488
PECOS Enrollment and Medicare Participation Status
Andrew Zhou 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: 9830489426
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: I20200610003299
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? 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 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 95065 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $146.71
- Minimum New Patient Price $64.81
- Maximum New Patient Price $193.34
- Average New Patient Copayment $36.67
- Minimum New Patient Copayment $16.2
- Maximum New Patient Copayment $48.33
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $80.68
- Minimum Established Patient Price $20.89
- Maximum Established Patient Price $158.79
- Average Established Patient Copayment $20.17
- Minimum Established Patient Copayment $5.22
- Maximum Established Patient Copayment $39.69
* 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.
Clinician Services
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 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.
- 167
Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
- 63
Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
- 31
Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
- 17
Measurement of field of vision during daylight conditions (HCPCS:92083)
- 13
Diagnostic imaging of optic nerve of eye (HCPCS:92133)
- 12
Diagnostic imaging of retina (HCPCS:92134)
Reviews for DR. ANDREW XINGYU ZHOU MD
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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 | 4 | 5 | 6 | 9 | 4 | 9 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 12 | 9 | 8 | 9 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 1 + 2 + 9 + 8 + 9 + 1 + 0 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1245694959 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245694959, enumerated in the NPI registry as an "individual" on April 08, 2016
The provider is located at 1665 Dominican Way Ste 124 Santa Cruz, Ca 95065 and the phone number is (831) 475-7012
The provider's speciality is Ophthalmology with taxonomy code 207W00000X
The provider has more than 9 years of experience. He graduated from State University Of Ny Upstate Medical University in 2015.
Yes, as of April 12, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.
Medicare beneficiaries should expect a typical cost of $146.71 with an average copayment of $36.67 for new patient appointments. Established patients should expect a typical charge of $80.68 and an average copayment of 20.17. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits, Eye and medical examination for diagnosis and treatment, established patient, Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits, Measurement of field of vision during daylight conditions, Diagnostic imaging of optic nerve of eye and Diagnostic imaging of retina.
This NPI record was last updated on April 08, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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