DR. VITALIY PELIKHATYY O.D
NPI 1740515824
Optometrist in Boise, ID

Q: What is Vitaliy Pelikhatyy's NPI number?

The NPI number for Vitaliy Pelikhatyy is 1740515824. It was assigned to this individual provider in the NPPES registry on October 7, 2009.

Q: What is Vitaliy Pelikhatyy's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since October 07, 2009PECOS Enrolled

8359 W EMERALD ST, BOISE, ID 83704(208) 321-0901 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Vitaliy Pelikhatyy O.d NPPES

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

DR. VITALIY PELIKHATYY O.D (NPI 1740515824) is an individual optometrist in Boise, Idaho, licensed in Idaho (100541) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740515824

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. VITALIY PELIKHATYYCredential: O.D

Location Address8359 W EMERALD STBoise, ID 83704-8304

Mailing Address8359 W Emerald StBoise, ID 83704-8304 · (360) 721-7293

Phone(208) 321-0901

Sole ProprietorYes

Enumeration DateOctober 7, 2009

Last NPPES UpdateJune 8, 2023

NPPES CertifiedJune 8, 2023

✔ NPI 1740515824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in ID · 100541

Definition

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.

8359 W EMERALD ST, Boise, ID 83704

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vitaliy Pelikhatyy O.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Eye Exam

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

94%108 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

LUXOTTICA OF AMERICA INC.

Eyewear Supplier

8359 W EMERALD ST
BOISE, ID 83704

Ada County (208) 376-2062

DALLAS STEVENS OD PA

Optometrist

8359 W EMERALD ST
BOISE, ID 83704

Ada County (209) 376-2062

OIC EYE CARE LLC

Optometrist

8359 W EMERALD ST
BOISE, ID 83704

Ada County (360) 721-7293

EYES OF IDAHO PC

Optometrist

8359 W EMERALD ST
BOISE, ID 83704

Ada County (208) 376-2062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vitaliy Pelikhatyy's NPI number?

The NPI number for Vitaliy Pelikhatyy is 1740515824. It was assigned to this individual provider in the NPPES registry on October 7, 2009.

Where is Vitaliy Pelikhatyy located?

Vitaliy Pelikhatyy practices at 8359 W Emerald St, Boise, ID 83704. The listed phone number is (208) 321-0901.

What is Vitaliy Pelikhatyy's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Vitaliy Pelikhatyy enrolled in Medicare?

Yes. Vitaliy Pelikhatyy is registered in the Medicare PECOS enrollment system.

What insurance does Vitaliy Pelikhatyy accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 1 other insurer list Vitaliy Pelikhatyy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vitaliy Pelikhatyy was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.