DIX PETTEY O.D., M.S. NPI 1629457262
Optometrist in Salt Lake City, UT

Individual Male Years of Experience 13 Optometrist PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 88.2

About DIX PETTEY O.D., M.S.

Dix Pettey is a provider established in Salt Lake City, Utah and his medical specialization is Optometrist with more than 13 years of experience. He graduated from Ohio State University - College Of Optometry in 2010. The NPI number of Dix Pettey is 1629457262 and was assigned on May 2015. The practitioner's primary taxonomy code is 152W00000X with license number 9418444-9934 (UT). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1629457262
Provider Name DIX PETTEY O.D., M.S.
Provider Location Address65 S MARIO CAPECCHI DR SALT LAKE CITY, UT 84132
Provider Mailing Address65 S MARIO CAPECCHI DR SALT LAKE CITY, UT 84132
GenderMale
NPI Entity TypeIndividual
Medical School NameOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year2010
Is Sole Proprietor?No
Enumeration Date05-28-2015
Last Update Date11-11-2021

Dix Pettey 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).

Dix Pettey 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. According to Medicare claims data he has hospital affiliations with University Of Utah Hospitals And Clinics.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 88.2, 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: $32.51 for a new patient copayment and $17.64 for an established patient copayment.



Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.9418444-9934
License StateUT
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.

Business Address

DIX PETTEY O.D., M.S.
65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84132
Phone: (801) 581-2352

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Mailing Address

DIX PETTEY O.D., M.S.
65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84132
Phone: (801) 581-2352


PECOS Enrollment and Medicare Participation

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 ID1658683735
PECOS Enrollment IDI20150701002664
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 84132 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
$56.18 $171.82 $130.04
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.04 $42.95 $32.51
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
$17.3 $140.3 $70.58
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.32 $35.07 $17.64

* 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% 96.6
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% 70
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% 67.3
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 - 88.2
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.

  • 21Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Dix Pettey is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
UNIVERSITY OF UTAH HOSPITALS AND CLINICS50 NORTH MEDICAL DRIVE
SALT LAKE CITY, UT 84132
(801) 581-2121Acute Care Hospitals460009

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.
1629457262
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26498514212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 8 + 5 + 1 + 4 + 2 + 1 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1629457262 is valid because the calculated check digit 2 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
1225490444DR. REBEKAH GENSURE M.D., PH.D.
Individual
Student in an Organized Health Care Education/Training Program65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1790239408 AMY HENDERSON LCSW
Individual
Social Worker (Clinical)65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 585-0499
1871884254 LAURA LUNDT HANSON
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1962989467 EMILY SPOTH LCGC
Individual
Genetic Counselor, MS65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1225418791 INNA GRISHKAN STROH M.D., PH.D.
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1033679840 SEAN M. COLLON MD
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1760942833 ALLIE M. SIMPSON MD
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1942761739 ABIGAIL P. JEBARAJ MD
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1740741545 COLE J. SWISTON MD
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1669853750UNIVERSITY OF UTAH BEHAVIORAL HEALTH SERVICES
Organization
Social Worker (Clinical)65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2121
1295824886UNIVERSITY OF UTAH
Organization
Pharmacy (Community/Retail Pharmacy)65 S MARIO CAPECCHI DR SUITE 2430
SALT LAKE CITY, UT 84132
(801) 585-6522
1346869815 LYDIA SAUER MD
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1518595958 TYLER J. ETHERIDGE MD
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 585-6701
1699394874 ANTHONY P. MAI MD
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 585-6701
1245763390DR. CHRISTOPHER MICHAEL BAIR M.D.
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1669675229 AKBAR SHAKOOR MBBS
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1104045566 AMY LIN MD
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2121
1295266815 COLIN SIU-TAK IP MD
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1366821688 AUSTIN NAKATSUKA M.D.
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 585-6701
1952941106PROF. MARC STEFFEN SCHMITZ-VALCKENBERG MD
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 213-2424

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dix Pettey O.d., M.s. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.