DR. JAMES EDWARD PIPO OD NPI 1639193675
Optometrist in Hilliard, OH

Individual Male Years of Experience 31 Optometrist PECOS Enrolled May Accept Medicare Approved Payment

About DR. JAMES EDWARD PIPO OD

James Pipo is a provider established in Hilliard, Ohio and his medical specialization is Optometrist with more than 31 years of experience. He graduated from Ohio State University - College Of Optometry in 1992. The NPI number of James Pipo is 1639193675 and was assigned on July 2006. The practitioner's primary taxonomy code is 152W00000X with license number 4381T287 (OH). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1639193675
Provider NameDR. JAMES EDWARD PIPO OD
Location Address5555 HILLIARD ROME OFFICE PARK HILLIARD, OH 43026
Location Phone(614) 777-1111
Mailing Address5555 HILLIARD ROME OFFICE PARK HILLIARD, OH 43026
GenderMale
NPI Entity TypeIndividual
Medical School NameOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year1992
Is Sole Proprietor?Yes
Enumeration Date07-26-2006
Last Update Date01-10-2012

James Pipo 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).

James Pipo is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.



Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.4381T287
License StateOH
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. JAMES EDWARD PIPO OD
5555 HILLIARD ROME OFFICE PARK
HILLIARD, OH
ZIP 43026
Phone: (614) 777-1111
Fax: (614) 777-7920

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Mailing Address

DR. JAMES EDWARD PIPO OD
5555 HILLIARD ROME OFFICE PARK
HILLIARD, OH
ZIP 43026
Phone: (614) 777-1111
Fax: (614) 777-7920


Location Map

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 ID7113999277
PECOS Enrollment IDI20040809001437
Accepts Medicare Assignment? Maybe "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

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.

  • 81Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 16Measurement of field of vision during daylight conditions (HCPCS:92083)
  • 16Diagnostic imaging of retina (HCPCS:92134)

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
PI0882844MEDICARE PIN (08)OH
U76022MEDICARE UPIN (02)OH
PI0882845MEDICARE PIN (08)OH
PI0882843MEDICARE PIN (08)OH

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.
1639193675
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669296614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 2 + 9 + 6 + 6 + 1 + 4 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1639193675 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194843847PROFESSIONAL VISION CENTER, LLC
Organization
Optometrist5555 HILLIARD ROME OFFICE PARK
HILLIARD, OH 43026
(614) 777-1111
1174616924 WILLIAM D MURRAY O.D.
Individual
Optometrist5555 HILLIARD ROME OFFICE PARK
HILLIARD, OH 43026
(614) 777-1111
1003011040 ARCHANA RANI CHITKARA OD
Individual
Optometrist5555 HILLIARD ROME OFFICE PARK
HILLIARD, OH 43026
(614) 777-1111

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
Dr. James Edward Pipo Od 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.