GUTSHALL KOHLE PELSTER EYECARE
NPI 1497817241
Optometrist in Oneill, NE
NPI Status: Active since December 15, 2006
Contact Information
214 N 10TH ST
ONEILL, NE
ZIP 68763
Phone: (402) 336-2505
Fax: (402) 336-2505
- Organization
- Optometrist
- Accepts Insurance
- Medicare Quality Reporting
- Medicare Supplier
- Accepts Medicare Approved Payment
About GUTSHALL KOHLE PELSTER EYECARE
This page provides the complete NPI Profile along with additional information for Gutshall Kohle Pelster Eyecare, a provider established in Oneill, Nebraska operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1497817241 assigned on December 2006. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Gutshall Kohle Pelster Eyecare. The authorized official of this NPI record is Dr. C Scott Gutshall O.d. (Owner)
- NPI
- 1497817241
- Provider Legal Name
- GUTSHALL KOHLE PELSTER EYECARE, LLC
- Other Organization Name
- GUTSHALL KOHLE PELSTER EYECARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 214 N 10TH ST ONEILL, NE 68763
- Location Phone
- (402) 336-2505
- Location Fax
- (402) 336-2505
- Mailing Address
- PO BOX 378 ONEILL, NE 68763
- Mailing Phone
- (402) 336-2505
- Mailing Fax
- (402) 336-2505
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-15-2006
- Last Update Date
- 04-11-2024
- Code Navigator
Gutshall Kohle Pelster Eyecare is a medicare supplier with PTAN 20565527 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses.
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
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- ConnectPlus $0 Gold - PPO
- ConnectPlus $0 Silver - PPO
- ConnectPlus $10,600 HSA Eligible HDHP - PPO
- ConnectPlus $1800 - PPO
- ConnectPlus $4500 - PPO
- ConnectPlus $6500 HSA Eligible HDHP - PPO
- ConnectPlus $7500 HSA Eligible HDHP - PPO
- ConnectPlus MyWeighForward $2000 - PPO
- ConnectPlus MyWeighForward $6000 - PPO
- ConnectPlus Standard $2000 - PPO
- ConnectPlus Standard $6000 - PPO
- ConnectPlus Standard $7500 HSA Eligible HDHP - PPO
- HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
- HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO - PPO
- HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
- HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO - PPO
- HeartlandBlue Bronze Standard 7500 NEtwork Blue - EPO
- HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO - PPO
- HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue - EPO
- HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue PPO - PPO
- HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision - EPO
- HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO - PPO
- HeartlandBlue Gold Standard 2000 NEtwork Blue - EPO
- HeartlandBlue Gold Standard 2000 NEtwork Blue PPO - PPO
- HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue - EPO
- HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue PPO - PPO
- HeartlandBlue Silver HSA 5500 NEtwork Blue w/ Adult Vision - EPO
- HeartlandBlue Silver HSA 5500 NEtwork Blue w/ Adult Vision PPO - PPO
- HeartlandBlue Silver Standard 6000 NEtwork Blue - EPO
- HeartlandBlue Silver Standard 6000 NEtwork Blue PPO - PPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Medica Insure Bronze Share - EPO
- Medica Insure Expanded Bronze Standard - EPO
- Medica Insure Gold $0 Copay PCP Visits - EPO
- Medica Insure Gold Share - EPO
- Medica Insure Gold Standard - EPO
- Medica Insure Silver $0 Copay PCP Visits - EPO
- Medica Insure Silver Share - EPO
- Medica Insure Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Closing the Referral Loop: Receipt of Specialist Report | 100% | 124 |
| Diabetes: Eye Exam | 96% | 221 |
| Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care | 96% | 46 |
| Documentation of Current Medications in the Medical Record | 89% | 2188 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 95% | 350 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 98% | 350 |
| Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 97% | 74 |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20565527
- Accepts Medicare Assignment
- YES
- Specialities List
- Optometrist.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
- Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
Reviews for GUTSHALL KOHLE PELSTER EYECARE
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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 1497817241, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
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 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497817241, enumerated as an "organization" on December 15, 2006.
The provider is located at 214 N 10TH ST ONEILL, NE 68763 and the phone number is (402) 336-2505.
Optometrist with taxonomy code 152W00000X.
The provider might be accepting Accepts: Avera Health Plans, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to verify.
