DR. ASHLEY ANN ESSER OD
NPI 1407426091
Optometrist in Parker, CO

NPI Status: Active since June 28, 2021

Contact Information

11960 LIONESS WAY STE 190
PARKER, CO
ZIP 80134
Phone: (303) 794-1111

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  • Individual
  • Female
  • Years of Experience 4
  • Optometrist
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About ASHLEY ANN ESSER

Ashley Ann Esser is a provider established in Parker, Colorado and her medical specialization is Optometrist with more than 4 years of experience. She graduated from Illinois College Of Optometry At Chicago in 2021. The healthcare provider is registered in the NPI registry with number 1407426091 assigned on June 2021. The practitioner's primary taxonomy code is 152W00000X with license number OPT.0003714 (CO). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1407426091
Provider Name
DR. ASHLEY ANN ESSER OD
Gender
Female
Entity Type
Individual
Location Address
11960 LIONESS WAY STE 190 PARKER, CO 80134
Location Phone
(303) 794-1111
Mailing Address
4400 S MONACO ST APT 826 DENVER, CO 80237
Mailing Phone
(605) 460-1467
Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year
2021
Is Sole Proprietor?
No
Enumeration Date
06-28-2021
Last Update Date
06-28-2021
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Ashley Ann Esser 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: $34.3 for a new patient copayment and $18.75 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

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
OPT.0003714
License State
CO
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.

PECOS Enrollment and Medicare Participation Status

Ashley Ann Esser 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: 3577947977

    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: I20220902002175

    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 80134 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $137.2
  • Minimum New Patient Price $60.06
  • Maximum New Patient Price $181
  • Average New Patient Copayment $34.3
  • Minimum New Patient Copayment $15.01
  • Maximum New Patient Copayment $45.25

Established Patients Visit Costs *

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

  • Average Established Patient Price $75
  • Minimum Established Patient Price $18.98
  • Maximum Established Patient Price $148.2
  • Average Established Patient Copayment $18.75
  • Minimum Established Patient Copayment $4.74
  • Maximum Established Patient Copayment $37.05

* 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.

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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.
1407426091
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24078212018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 0 + 7 + 8 + 2 + 1 + 2 + 0 + 1 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1407426091 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 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164184164ASSOCIATED EYECARE SERVICES, LLC
Organization
Optometrist11960 LIONESS WAY STE 190
PARKER, CO 80134
(303) 794-1111
1215674494 CHRISTINA DESSIE ATHENS OD
Individual
Optometrist11960 LIONESS WAY STE 190
PARKER, CO 80134
(303) 794-1111
1083392088 BROOKE SOSALLA OD
Individual
Optometrist11960 LIONESS WAY STE 190
PARKER, CO 80134
(303) 794-1111
1043625163DR. JULIANNE MICHELLE IMSEIS-LOSH DO
Individual
Internal Medicine11960 LIONESS WAY STE 190
PARKER, CO 80134
(720) 321-3500
1801017702 TODD SCOTT GASSER APRN, CNP
Individual
Nurse Practitioner (Family)11960 LIONESS WAY STE 190
PARKER, CO 80134
(720) 321-3500
1366220675CATHOLIC HEALTH INITIATIVES COLORADO
Organization
Internal Medicine11960 LIONESS WAY STE 190
PARKER, CO 80134
(720) 321-3500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407426091, enumerated in the NPI registry as an "individual" on June 28, 2021

The provider is located at 11960 Lioness Way Ste 190 Parker, Co 80134 and the phone number is (303) 794-1111

The provider's speciality is Optometrist with taxonomy code 152W00000X

The provider has more than 4 years of experience. She graduated from Illinois College Of Optometry At Chicago in 2021.

Yes, as of July 16, 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 $137.2 with an average copayment of $34.3 for new patient appointments. Established patients should expect a typical charge of $75 and an average copayment of 18.75. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on June 28, 2021. 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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