ROBERT THEODORE GOLDBERG MD
NPI 1790763399
Ophthalmology in Flushing, NY

NPI Status: Active since January 04, 2006

Contact Information

142-10B ROOSEVELT AVE
FLUSHING, NY
ZIP 11354
Phone: (718) 539-2992
Fax: (718) 539-0284

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  • Individual
  • Male
  • Ophthalmology
  • PECOS Enrolled

About ROBERT GOLDBERG

This page provides the complete NPI Profile along with additional information for Robert Goldberg, a provider established in Flushing, New York with a medical specialization in Ophthalmology. The healthcare provider is registered in the NPI registry with number 1790763399 assigned on January 2006. The practitioner's primary taxonomy code is 207W00000X with license number 080206 (NY). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1790763399
Provider Name
ROBERT THEODORE GOLDBERG MD
Gender
Male
Entity Type
Individual
Location Address
142-10B ROOSEVELT AVE FLUSHING, NY 11354
Location Phone
(718) 539-2992
Location Fax
(718) 539-0284
Mailing Address
142-10B ROOSEVELT AVE FLUSHING, NY 11354
Mailing Phone
(718) 539-2992
Mailing Fax
(718) 539-0284
Is Sole Proprietor?
Yes
Enumeration Date
01-04-2006
Last Update Date
07-08-2007
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Ophthalmologists like Robert Goldberg 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.

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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.
080206
License State
NY
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C05764MEDICARE UPIN (02) 
37017MEDICARE ID-TYPE UNSPECIFIED (04) 
00113997MEDICAID (05)NY 

Medicare Participation & PECOS Enrollment Status

Robert Goldberg 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

  • 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 11354 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $153.13
  • Minimum New Patient Price $67
  • Maximum New Patient Price $201.98
  • Average New Patient Copayment $38.28
  • Minimum New Patient Copayment $16.75
  • Maximum New Patient Copayment $50.49

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $82.96
  • Minimum Established Patient Price $21.62
  • Maximum Established Patient Price $163.52
  • Average Established Patient Copayment $20.74
  • Minimum Established Patient Copayment $5.4
  • Maximum Established Patient Copayment $40.88

* 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.
1790763399
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271801466318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 4 + 6 + 6 + 3 + 1 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1790763399 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

POLINA FEYGIN MD

Internal Medicine

142-10B ROOSEVELT AVE
FLUSHING, NY
ZIP 11354

(718) 886-5888

JEHYUN CHONG D.D.S

Dentist

142-10B ROOSEVELT AVE
SUITE #21
FLUSHING, NY
ZIP 11354

(718) 358-5488

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790763399, enumerated as an "individual" on January 04, 2006.

The provider is located at 142-10B ROOSEVELT AVE FLUSHING, NY 11354 and the phone number is (718) 539-2992.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.