DR. JEFFREY MICHAEL GOERGEN O.D. NPI 1598730954
Optometrist in Atlantic, IA

About DR. JEFFREY MICHAEL GOERGEN O.D.

Jeffrey Goergen is a provider established in Atlantic, Iowa and his medical specialization is Optometrist with more than 25 years of experience. He graduated from Pacific University - College Of Optometry in 1998. The NPI number of Jeffrey Goergen is 1598730954 and was assigned on February 2006. The practitioner's primary taxonomy code is 152W00000X with license number 02112 (IA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1598730954
Provider NameDR. JEFFREY MICHAEL GOERGEN O.D.
Location Address1501 E 10TH ST ATLANTIC, IA 50022
Location Phone(712) 243-7540
Mailing Address8 RIDGE RD ATLANTIC, IA 50022
GenderMale
NPI Entity TypeIndividual
Medical School NamePACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year1998
Is Sole Proprietor?N/A
Enumeration Date02-21-2006
Last Update Date07-09-2007

Jeffrey Goergen 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).

Jeffrey Goergen is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 96, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $31.73 for a new patient copayment and $17.28 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.02112
License StateIA
Taxonomy DescriptionDoctors 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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

DR. JEFFREY MICHAEL GOERGEN O.D.
1501 E 10TH ST
ATLANTIC, IA
ZIP 50022
Phone: (712) 243-7540
Fax: (712) 243-7544

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Mailing Address

DR. JEFFREY MICHAEL GOERGEN O.D.
8 RIDGE RD
ATLANTIC, IA
ZIP 50022
Phone: (712) 243-2190
Fax: (712) 243-7540


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID3476689639
PECOS Enrollment IDI20100327000269
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 50022 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$54.88 $167.71 $126.95
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.72 $41.92 $31.73
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.04 $137.36 $69.12
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.26 $34.34 $17.28

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 76.9
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 96
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

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 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 392Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 218Measurement of field of vision during daylight conditions (HCPCS:92083)
  • 180Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • 117Photography of the retina (HCPCS:92250)
  • 72Diagnostic imaging of retina (HCPCS:92134)
  • 45Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1175695MEDICAID (05)IA
0194811MEDICAID (05)IA
03798MEDICARE ID-TYPE UNSPECIFIED (04)IA
04273MEDICARE ID-TYPE UNSPECIFIED (04)IAPROVIDER GROUP #

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.
1598730954
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251881430910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 1 + 4 + 3 + 0 + 9 + 1 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1598730954 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093770083 CHAD L MCCANCE MD
Individual
Surgery1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-7535
1699874685 ELEANOR J GREENWALL ARNP
Individual
Nurse Practitioner1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-2850
1700943719MS. EMILY H KRENGEL R.D.,L.D.
Individual
Dietitian, Registered1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1538280102DR. MARK DAVID MARKHAM D.D.S.
Individual
Dentist (General Practice)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-1833
1437363058DR. SHAWN RAY PETERSEN D.D.S
Individual
Dentist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-1833
1669659108MARK D. MARKHAM, DDS, PLC.
Organization
Dentist (General Practice)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-1833
1407184518MRS. RACHEL JEAN HANSEN MS,OTR/L
Individual
Occupational Therapist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1649567991 BRENT F GOODRICH CRNA
Individual
Nurse Anesthetist, Certified Registered1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1548423726DR. BRIAN SCOTT FIEDLER D.O.
Individual
Family Medicine1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-2850
1073937389 JORDAN MCPHERON DPT
Individual
Physical Therapist1501 E 10TH ST REHABILITATION SERVICES
ATLANTIC, IA 50022
(712) 243-7564
1689081135 LANA FRAIN
Individual
Occupational Therapist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1386045839 TAMARA BIRELINE
Individual
Nurse Practitioner (Family)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-7590
1760581730 TRESSA A WILCOX M.D.
Individual
Family Medicine1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-2850
1326374414DR. ROGER C. DROWN DPM
Individual
Podiatrist (Foot & Ankle Surgery)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1952769911 DANIEL P VOGEL DPT
Individual
Physical Therapist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-7564
1144307810 SUZANNE M BEITZEL ARNP
Individual
Nurse Practitioner (Family)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-2850
1083160030 ALYSSA ROGERS OTR
Individual
Occupational Therapist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1932416724 ANDREW JOHN NIEMANN ATC
Individual
Specialist/Technologist (Athletic Trainer)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 249-7598
1093760944CASS COUNTY MEMORIAL HOSPITAL
Organization
General Acute Care Hospital (Critical Access)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1134143696CASS COUNTY MEMORIAL HOSPITAL
Organization
Medicare Defined Swing Bed Unit1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250

Frequently Asked Questions

What is Dr. Jeffrey Goergen O.D. NPI number?

The NPI number assigned to Dr. Jeffrey Goergen O.D. is 1598730954, registered as an "individual" on February 21, 2006

Where is Dr. Jeffrey Goergen O.D. located?

The provider is located at 1501 E 10th St Atlantic, Ia 50022 and the phone number is (712) 243-7540

Which is Dr. Jeffrey Goergen O.D. specialty?

The provider's speciality is Optometrist

How many years of experience does Dr. Jeffrey Goergen O.D. have?

The provider has more than 25 years of experience. He graduated from Pacific University - College Of Optometry in 1998.

What insurance does Dr. Jeffrey Goergen O.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Dr. Jeffrey Goergen O.D. registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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).

How much is a visit to Dr. Jeffrey Goergen O.D.?

Medicare beneficiaries should expect a typical cost of $126.95 with an average copayment of $31.73 for new patient appointments. Established patients should expect a typical charge of $69.12 and an average copayment of 17.28. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. Jeffrey Goergen O.D.?

The most common procedures or services performed by this practitioner are: 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, Photography of the retina, Diagnostic imaging of retina and Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits.

How do I update my NPI information?

The NPI record of Dr. Jeffrey Goergen O.D. was last updated on February 21, 2006. 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]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]