DR. STEPHEN M REINSEL O.D.
NPI 1659626638
Optometrist - Low Vision Rehabilitation in Seneca, PA
NPI Status: Active since July 17, 2012
Contact Information
3285 STATE ROUTE 257
SENECA, PA
ZIP 16346
Phone: (814) 677-6636
Fax: (814) 677-9562
- Individual
- Male
- Optometrist
- Low Vision Rehabilitation
- PECOS Enrolled
- Medicare Quality Reporting
About STEPHEN REINSEL
This page provides the complete NPI Profile along with additional information for Stephen Reinsel, a provider established in Seneca, Pennsylvania with a medical specialization in Optometrist, focusing in low vision rehabilitation . The healthcare provider is registered in the NPI registry with number 1659626638 assigned on July 2012. The practitioner's primary taxonomy code is 152WL0500X with license number OEG002685 (PA). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1659626638
- Provider Name
- DR. STEPHEN M REINSEL O.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3285 STATE ROUTE 257 SENECA, PA 16346
- Location Phone
- (814) 677-6636
- Location Fax
- (814) 677-9562
- Mailing Address
- 3285 STATE ROUTE 257 SENECA, PA 16346
- Mailing Phone
- (814) 677-6636
- Mailing Fax
- (814) 677-9562
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-17-2012
- Last Update Date
- 11-14-2017
- Code Navigator
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 Low Vision Rehabilitation
- Taxonomy Code
- 152WL0500X
- Type
- Eye and Vision Services Providers
- License No.
- OEG002685
- License State
- PA
- Taxonomy Description
- Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 152WP0200X | Eye and Vision Services Providers | Optometrist | OEG002685 (PA) |
| 2 | 152WS0006X | Eye and Vision Services Providers | Optometrist | OEG002685 (PA) |
Medicare Participation & PECOS Enrollment Status
Stephen Reinsel 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
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 16346 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.34
- Minimum New Patient Price $54.64
- Maximum New Patient Price $166.87
- Average New Patient Copayment $31.58
- Minimum New Patient Copayment $13.66
- Maximum New Patient Copayment $41.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.36
- Minimum Established Patient Price $17.33
- Maximum Established Patient Price $135.84
- Average Established Patient Copayment $17.09
- Minimum Established Patient Copayment $4.33
- Maximum Established Patient Copayment $33.96
* 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.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Diabetes: Eye Exam | 100% | 43 |
| Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period | ||
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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 1659626638, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
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 62 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 1659626638, enumerated as an "individual" on July 17, 2012.
The provider is located at 3285 STATE ROUTE 257 SENECA, PA 16346 and the phone number is (814) 677-6636.
Optometrist with taxonomy code 152WL0500X and a focus in Low Vision Rehabilitation.
