DR. AARON MICHAEL PUNIM O.D.
NPI 1306228051
Optometrist - Pediatrics in Monroe, NY
NPI Status: Active since June 18, 2015
Contact Information
91 LAKES RD
MONROE, NY
ZIP 10950
Phone: (845) 783-1224
Fax: (845) 783-3905
- Individual
- Male
- Years of Experience 9
- Optometrist
- Pediatrics
- PECOS Enrolled
- Accepts Medicare Approved Payment
About AARON PUNIM
Aaron Punim is a provider established in Monroe, New York and his medical specialization is Optometrist with a focus in pediatrics with more than 9 years of experience. He graduated from Pennsylvania College Of Optometry in 2015. The healthcare provider is registered in the NPI registry with number 1306228051 assigned on June 2015. The practitioner's primary taxonomy code is 152WP0200X with license number TUV008263 (NY). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1306228051
- Provider Name
- DR. AARON MICHAEL PUNIM O.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 91 LAKES RD MONROE, NY 10950
- Location Phone
- (845) 783-1224
- Location Fax
- (845) 783-3905
- Mailing Address
- 91 LAKES RD MONROE, NY 10950
- Mailing Phone
- (845) 783-1223
- Mailing Fax
- (845) 783-3905
- Medical School Name
- PENNSYLVANIA COLLEGE OF OPTOMETRY
- Graduation Year
- 2015
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-18-2015
- Last Update Date
- 01-06-2019
- Code Navigator
Aaron Punim 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: $37 for a new patient copayment and $20.1 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
Optometrist Pediatrics
- Taxonomy Code
- 152WP0200X
- Type
- Eye and Vision Services Providers
- License No.
- TUV008263
- License State
- NY
- Taxonomy Description
- Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
Location Map
Secondary Locations
- 91 Lakes Rd
Monroe, NY 10950
(845) 783-1224
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) |
|---|---|---|---|---|
| 1 | 152W00000X | Eye and Vision Services Providers | Optometrist | TUV008263 (NY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Blue Cross and Blue Shield of Louisiana
- Blue Max 100/100 $9450 - PPO
- Blue Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay 50/50 $3300 - PPO
- Blue Max Copay 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay 60/40 $5900 Standardized Plan - PPO
- Blue Max Copay 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3400 - PPO
Blue Cross Blue Shield of Wyoming
- BlueSelect Bronze Balance - PPO
- BlueSelect Bronze Basic - PPO
- BlueSelect Bronze Core - PPO
- BlueSelect Bronze Value - PPO
- BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
- BlueSelect Gold Balance - PPO
- BlueSelect Gold Classic - PPO
- BlueSelect Gold Core - PPO
- BlueSelect Gold HealthPlus - PPO
- BlueSelect Gold Standard without Kid's Dental - PPO
- BlueSelect Silver Balance - PPO
- BlueSelect Silver Balance without Kid's Dental - PPO
- BlueSelect Silver Classic - PPO
- BlueSelect Silver Classic without Kid's Dental - PPO
- BlueSelect Silver HealthPlus - PPO
- BlueSelect Silver Standard without Kid's Dental - PPO
- BlueSelect Silver Value - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
PECOS Enrollment and Medicare Participation Status
Aaron Punim 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
PECOS PAC ID: 4981912912
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: I20150924002046
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: 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 10950 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $148.03
- Minimum New Patient Price $64.72
- Maximum New Patient Price $195.4
- Average New Patient Copayment $37
- Minimum New Patient Copayment $16.18
- Maximum New Patient Copayment $48.85
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $80.42
- Minimum Established Patient Price $20.12
- Maximum Established Patient Price $159.01
- Average Established Patient Copayment $20.1
- Minimum Established Patient Copayment $5.03
- Maximum Established Patient Copayment $39.75
* 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.
- 50
Photography of the retina (HCPCS:92250)
- 47
Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
- 16
Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
- 13
Measurement of field of vision during daylight conditions (HCPCS:92083)
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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 | 3 | 0 | 6 | 2 | 2 | 8 | 0 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 0 | 6 | 4 | 2 | 16 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 0 + 6 + 4 + 2 + 1 + 6 + 0 + 1 + 0 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1306228051 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1699779678 | DR. BRAD C GOLLINGER O.D. Individual | Optometrist | 91 LAKES RD MONROE, NY 10950 (845) 783-1224 |
| 1023084274 | DR. MICHAEL JAMES SMITH DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 91 LAKES RD MONROE, NY 10950 (845) 782-4220 |
| 1790706125 | DR. HARRY MONASTERSKY DDS Individual | Dentist (General Practice) | 91 LAKES RD MONROE, NY 10950 (845) 782-8606 |
| 1144390170 | DAVID ALLAN SIEGEL O.D. Individual | Optometrist | 91 LAKES RD MONROE, NY 10950 (845) 783-1224 |
| 1497829600 | DR. TODD DAVID PUNIM O.D. Individual | Optometrist (Low Vision Rehabilitation) | 91 LAKES RD MONROE, NY 10950 (845) 783-1224 |
| 1427117936 | DR. HARVEY OWEN FELDMAN O.D. Individual | Optometrist | 91 LAKES RD MONROE MEDICAL ARTS BLDG MONROE, NY 10950 (845) 783-1224 |
| 1932372976 | GENUINE DENTAL PC Organization | Dentist (General Practice) | 91 LAKES RD MONROE, NY 10950 (845) 709-0571 |
| 1396844973 | PEDIATRIC ARTS OF MONROE Organization | Pediatrics | 91 LAKES RD MONROE MEDICAL ARTS BUILDING MONROE, NY 10950 (847) 782-8608 |
| 1588664692 | DR. ANDREW PAUL HANNES MD Individual | Pediatrics | 91 LAKES RD MED ARTS BLDG MONROE, NY 10950 (845) 782-8608 |
| 1366986226 | MRS. IRENE EVA GEOSITS Individual | Dental Hygienist | 91 LAKES RD MONROE, NY 10950 (845) 782-8606 |
| 1013088822 | MONROE FAMILY EYECARE ASSOCIATES, LLP Organization | Optometrist | 91 LAKES RD MONROE, NY 10950 (845) 783-1224 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306228051, enumerated in the NPI registry as an "individual" on June 18, 2015
The provider is located at 91 Lakes Rd Monroe, Ny 10950 and the phone number is (845) 783-1224
The provider's speciality is Optometrist with taxonomy code 152WP0200X with a focus in Pediatrics
The provider has more than 9 years of experience. He graduated from Pennsylvania College Of Optometry in 2015.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 10, 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) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $148.03 with an average copayment of $37 for new patient appointments. Established patients should expect a typical charge of $80.42 and an average copayment of 20.1. 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: Photography of the retina, Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits, Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits and Measurement of field of vision during daylight conditions.
This NPI record was last updated on June 18, 2015. 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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