DR. TIMOTHY J DUCEY M.D.
NPI 1780023960
Ophthalmology in Warner Robins, GA
NPI Status: Active since June 20, 2013
Contact Information
216 CORDER RD
WARNER ROBINS, GA
ZIP 31088
Phone: (478) 923-5872
Fax: (478) 929-6266
- Individual
- Male
- Years of Experience 11
- Ophthalmology
- PECOS Enrolled
- Accepts Medicare Approved Payment
About TIMOTHY DUCEY
Timothy Ducey is a provider established in Warner Robins, Georgia and his medical specialization is Ophthalmology with more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1780023960 assigned on June 2013. The practitioner's primary taxonomy code is 207W00000X with license number 91060 (GA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1780023960
- Provider Name
- DR. TIMOTHY J DUCEY M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 216 CORDER RD WARNER ROBINS, GA 31088
- Location Phone
- (478) 923-5872
- Location Fax
- (478) 929-6266
- Mailing Address
- PO BOX 6479 WARNER ROBINS, GA 31095
- Mailing Phone
- (478) 923-5872
- Mailing Fax
- (478) 929-6266
- Medical School Name
- OTHER
- Graduation Year
- 2013
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-20-2013
- Last Update Date
- 08-10-2022
- Code Navigator
Ophthalmologists like Timothy Ducey specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
Timothy Ducey is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that 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: $32.09 for a new patient copayment and $17.36 for an established patient copayment.
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
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 91060
- License State
- GA
- Taxonomy Description
- An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Location Map
Secondary Locations
- 100 Spillers Way
Warner Robins, GA 31088
(478) 923-5872 - 1011 N 4th St
Cordele, GA 31015
(229) 273-0435 - 182 Perry House Rd Ste G
Fitzgerald, GA 31750
(229) 423-0481 - 440 Taylors Mill Rd
Fort Valley, GA 31030
(478) 825-8223 - 117 W. Jackson St.
Dublin, GA 31021
(478) 923-5872 - 220 Corder Rd
Warner Robins, GA 31088
(478) 922-5015
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 | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology | 0101257297 (VA) |
| 2 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | 0101257297 (VA) |
| 3 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Aetna CVS Health
- Bronze 2 HSA: Aetna network of doctors & hospitals + walk-in clinic + Virtual Care 24/7 - HMO
- Bronze 4: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
- Bronze S: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
- Gold 3: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
- Gold 4: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
- Gold S: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
- Silver 5: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
- Silver 6: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
- Silver 7: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
- Silver S: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 - HMO
Alliant Health Plans
- SoloCare Bronze No Referral HMO Chiro HDHP 7050 - HMO
- SoloCare Bronze No Referral HMO HDHP 7050 - HMO
- SoloCare Bronze PPO Chiro HDHP 7050 - PPO
- SoloCare Bronze PPO HDHP 7050 - PPO
- SoloCare Catastrophic No Referral HMO - HMO
- SoloCare Catastrophic No Referral HMO Chiro - HMO
- SoloCare Catastrophic PPO - PPO
- SoloCare Catastrophic PPO Chiro - PPO
- SoloCare Exp Bronze No Referral HMO 9450 - $0 Generic Rx - HMO
- SoloCare Exp Bronze No Referral HMO Chiro 9450 - $0 Generic Rx - HMO
- SoloCare Exp Bronze PPO 9450 - $0 Generic Rx - PPO
- SoloCare Exp Bronze PPO Chiro 9450 - $0 Generic Rx - PPO
- SoloCare Gold No Referral HMO 1500 - 3 Free PCP Visits - HMO
- SoloCare Gold No Referral HMO 2300 - 3 Free PCP Visits, $5 Generic Rx - HMO
- SoloCare Gold No Referral HMO Chiro 1500 - 3 Free PCP Visits - HMO
Anthem Blue Cross and Blue Shield
- Anthem Bronze Pathway Guided Access HMO 0% for HSA - HMO
- Anthem Bronze Pathway Guided Access HMO 5000($0 Virtual PCP+$0 Select Drugs) - HMO
- Anthem Bronze Pathway Guided Access HMO 6000($0 Virtual PCP+$0 Select Drugs) - HMO
- Anthem Bronze Pathway Guided Access HMO 7500/50% Standard - HMO
- Anthem Bronze Pathway Guided Access HMO 8000($0 Virtual PCP+$0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 0% for HSA - HMO
- Anthem Bronze Pathway HMO 5000($0 Virtual PCP+$0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 6000($0 Virtual PCP+$0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 7500/50% Standard - HMO
- Anthem Bronze Pathway HMO 8000($0 Virtual PCP+$0 Select Drugs) - HMO
- Anthem Bronze Pathway PCP Copay Choice X 6000($0 Virtual PCP+$0 Select Drugs) - HMO
- Anthem Bronze Pathway X Guided Access HMO 7500/50% Standard - HMO
- Anthem Catastrophic Pathway X Guided Access HMO 9450 - HMO
- Anthem Catastrophic Pathway X HMO 9450 - HMO
- Anthem Gold Pathway Guided Access HMO 1350($0 Virtual PCP+$0 Select Drugs) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
PECOS Enrollment and Medicare Participation Status
Timothy Ducey 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), a Home Health Agency (HHA) and Power Mobility Devices.
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
PECOS PAC ID: 7113338690
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20220505002061
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.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 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: Yes
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 31088 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $128.37
- Minimum New Patient Price $55.19
- Maximum New Patient Price $169.73
- Average New Patient Copayment $32.09
- Minimum New Patient Copayment $13.79
- Maximum New Patient Copayment $42.43
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.44
- Minimum Established Patient Price $16.8
- Maximum Established Patient Price $138.36
- Average Established Patient Copayment $17.36
- Minimum Established Patient Copayment $4.2
- Maximum Established Patient Copayment $34.59
* 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.
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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 | 7 | 8 | 0 | 0 | 2 | 3 | 9 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 16 | 0 | 0 | 2 | 6 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 6 + 0 + 0 + 2 + 6 + 9 + 1 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1780023960 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1477557957 | LOUIS M SCHLESINGER O.D. Individual | Optometrist (Corneal and Contact Management) | 216 CORDER RD WARNER ROBINS, GA 31088 (478) 923-5872 |
| 1124249982 | CURTIS CLAYTON HOWELL II CRNA Individual | Nurse Anesthetist, Certified Registered | 216 CORDER RD WARNER ROBINS, GA 31088 (478) 322-4100 |
| 1841294386 | DAVID K GROGAN P.A. Individual | Physician Assistant | 216 CORDER RD WARNER ROBINS, GA 31088 (478) 923-5872 |
| 1144224627 | JOHNNY L GAYTON M.D. Individual | Ophthalmology | 216 CORDER RD WARNER ROBINS, GA 31088 (478) 923-5872 |
| 1518903608 | DR. CLYDE KENT PRICE MD Individual | Ophthalmology | 216 CORDER RD WARNER ROBINS, GA 31088 (478) 923-5872 |
| 1306867387 | MICHAEL B MINIX M.D. Individual | Ophthalmology | 216 CORDER RD WARNER ROBINS, GA 31088 (478) 923-5872 |
| 1912039595 | STEPHEN D SUMMEROW O.D. Individual | Optometrist | 216 CORDER RD WARNER ROBINS, GA 31088 (478) 923-5872 |
| 1679707541 | DR. JACKIE H JOHNSON JR. MD Individual | Ophthalmology | 216 CORDER RD WARNER ROBINS, GA 31088 (478) 923-5872 |
| 1710290754 | TAMARA ALANNA BECKETT O.D. Individual | Optometrist | 216 CORDER RD WARNER ROBINS, GA 31088 (478) 923-5872 |
| 1205316296 | DR. JEFFREY N. COFIE Individual | Optometrist | 216 CORDER RD WARNER ROBINS, GA 31088 (478) 923-5872 |
| 1376516567 | GAYTON HEALTH CENTRE, PC Organization | Eyewear Supplier | 216 CORDER RD WARNER ROBINS, GA 31088 (478) 923-5872 |
| 1801860796 | GAYTON HEALTH CENTRE, PC Organization | Ophthalmology | 216 CORDER RD WARNER ROBINS, GA 31088 (478) 923-5872 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780023960, enumerated in the NPI registry as an "individual" on June 20, 2013
The provider is located at 216 Corder Rd Warner Robins, Ga 31088 and the phone number is (478) 923-5872
The provider's speciality is Ophthalmology with taxonomy code 207W00000X
The provider has more than 11 years of experience.
The provider might be accepting Accepts: Aetna CVS Health, Alliant Health Plans and Anthem. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $128.37 with an average copayment of $32.09 for new patient appointments. Established patients should expect a typical charge of $69.44 and an average copayment of 17.36. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 20, 2013. 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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