DR. BRAD C GOLLINGER O.D. NPI 1699779678
Optometrist in Monroe, NY
About DR. BRAD C GOLLINGER O.D.
Brad Gollinger is a provider established in Monroe, New York and his medical specialization is Optometrist with more than 27 years of experience. The NPI number of this provider is 1699779678 and was assigned on June 2005. The practitioner's primary taxonomy code is 152W00000X with license number VUT005741 (NY). The provider is registered as an individual and his NPI record was last updated 13 years ago.
| NPI | 1699779678 |
| Provider Name | DR. BRAD C GOLLINGER O.D. |
| Location Address | 91 LAKES RD MONROE, NY 10950 |
| Location Phone | (845) 783-1224 |
| Mailing Address | 91 LAKES RD MONROE, NY 10950 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1996 |
| Is Sole Proprietor? | No |
| Enumeration Date | 06-08-2005 |
| Last Update Date | 10-08-2010 |
Brad Gollinger 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).
Brad Gollinger 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 typical physician office visit costs for Medicare beneficiaries in this area are: $37 for a new patient copayment and $20.1 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 Code | 152W00000X |
| Classification | Optometrist |
| Type | Eye and Vision Services Providers |
| License No. | VUT005741 |
| License State | NY |
| Taxonomy Description | Doctors 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 health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
91 LAKES RD
MONROE, NY
ZIP 10950
Phone: (845) 783-1224
Fax: (845) 783-3905
Mailing Address
91 LAKES RD
MONROE, NY
ZIP 10950
Phone: (845) 783-1224
Fax: (845) 783-3905
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 ID | 7012966146 |
| PECOS Enrollment ID | I20050131001063 |
| 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 Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | No |
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 10950 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 |
| $64.72 | $195.4 | $148.03 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $16.18 | $48.85 | $37 |
| 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 |
| $20.12 | $159.01 | $80.42 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $5.03 | $39.75 | $20.1 |
* 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.
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.
- 137Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
- 77Photography of the retina (HCPCS:92250)
- 23Measurement of field of vision during daylight conditions (HCPCS:92083)
- 20Diagnostic imaging of optic nerve of eye (HCPCS:92133)
- 20Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
- 13Diagnostic 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 |
|---|---|---|
| C13621 | MEDICARE ID-TYPE UNSPECIFIED (04) | |
| U62838 | MEDICARE UPIN (02) | NY |
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. | |||||||||
| 1 | 6 | 9 | 9 | 7 | 7 | 9 | 6 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 14 | 7 | 18 | 6 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 1 + 4 + 7 + 1 + 8 + 6 + 1 + 4 + 24 = 82 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 90 - 82 = 8 | 8 | ||||||||
The NPI number 1699779678 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023084274 | DR. MICHAEL JAMES SMITH DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 91 LAKES RD MONROE, NY 10950 (845) 782-4220 |
| 1790706125 | DR. HARRY MONASTERSKY DDS Individual | Dentist (General Practice) | 91 LAKES RD MONROE, NY 10950 (845) 782-8606 |
| 1144390170 | DAVID ALLAN SIEGEL O.D. Individual | Optometrist | 91 LAKES RD MONROE, NY 10950 (845) 783-1224 |
| 1497829600 | DR. TODD DAVID PUNIM O.D. Individual | Optometrist (Low Vision Rehabilitation) | 91 LAKES RD MONROE, NY 10950 (845) 783-1224 |
| 1427117936 | DR. HARVEY OWEN FELDMAN O.D. Individual | Optometrist | 91 LAKES RD MONROE MEDICAL ARTS BLDG MONROE, NY 10950 (845) 783-1224 |
| 1932372976 | GENUINE DENTAL PC Organization | Dentist (General Practice) | 91 LAKES RD MONROE, NY 10950 (845) 709-0571 |
| 1396844973 | PEDIATRIC ARTS OF MONROE Organization | Pediatrics | 91 LAKES RD MONROE MEDICAL ARTS BUILDING MONROE, NY 10950 (847) 782-8608 |
| 1588664692 | DR. ANDREW PAUL HANNES MD Individual | Pediatrics | 91 LAKES RD MED ARTS BLDG MONROE, NY 10950 (845) 782-8608 |
| 1366986226 | MRS. IRENE EVA GEOSITS Individual | Dental Hygienist | 91 LAKES RD MONROE, NY 10950 (845) 782-8606 |
| 1306228051 | DR. AARON MICHAEL PUNIM O.D. Individual | Optometrist (Pediatrics) | 91 LAKES RD MONROE, NY 10950 (845) 783-1224 |
| 1013088822 | MONROE FAMILY EYECARE ASSOCIATES, LLP Organization | Optometrist | 91 LAKES RD MONROE, NY 10950 (845) 783-1224 |
Frequently Asked Questions
What is Dr. Brad Gollinger O.D. NPI number?
The NPI number assigned to this healthcare provider is 1699779678, registered as an "individual" on June 08, 2005
Where is Dr. Brad Gollinger O.D. located?
The provider is located at 91 Lakes Rd Monroe, Ny 10950 and the phone number is (845) 783-1224
Which is Dr. Brad Gollinger O.D. specialty?
The provider's speciality is Optometrist
How many years of experience does Dr. Brad Gollinger O.D. have?
The provider has more than 27 years of experience.
What insurance does Dr. Brad Gollinger O.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Brad Gollinger O.D. registered in PECOS?
Yes, as of May 11, 2023 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. Brad Gollinger O.D.?
Medicare beneficiaries should expect a typical cost of $148.03 with an average copayment of $37 for new patient appointments. Established patients should expect a typical charge of $80.42 and an average copayment of 20.1. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Brad Gollinger 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, Photography of the retina, Measurement of field of vision during daylight conditions, Diagnostic imaging of optic nerve of eye, Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits and Diagnostic imaging of retina.
How do I update my NPI information?
The NPI record of Dr. Brad Gollinger O.D. was last updated on June 08, 2005. 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]
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