DR. DOUGLAS WILLIAM PENTZ PH.D. - NPI 1689884041 - Psychologist in Cincinnati, OH

Q: What is Douglas Pentz's NPI number?

The NPI number for Douglas Pentz is 1689884041. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Q: What is Douglas Pentz's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Douglas Pentz enrolled in Medicare?

No. Douglas Pentz has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Douglas Pentz was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Dr. Douglas William Pentz Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS WILLIAM PENTZ PH.D. (NPI 1689884041) is an individual clinical provider in Cincinnati, Ohio, licensed in Ohio (4773) and active in the NPI registry since May 2007. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689884041

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DOUGLAS WILLIAM PENTZCredential: PH.D.

Location Address7826 COOPER RDCincinnati, OH 45242-7619

Mailing Address7826 Cooper RdCincinnati, OH 45242-7619 · (513) 984-1000 · Fax (513) 985-2182

Phone(513) 984-1000

Fax(513) 985-2182

Sole ProprietorNo

Enumeration DateMay 23, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1689884041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OH · 4773

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

7826 COOPER RD, Cincinnati, OH 45242

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Douglas William Pentz Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2019 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2019

Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. THOMAS EMIL D'ERMINIO LISW

Social Worker (Clinical)