DR. JAMES LOWELL DAVIDIAN MD
NPI 1912071036
Ophthalmology in Grants Pass, OR

NPI Status: Active since November 20, 2006

Contact Information

1226 NE 7TH ST
GRANTS PASS, OR
ZIP 97526
Phone: (541) 476-6636
Fax: (541) 476-6690

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Ophthalmology
Accepts Insurance
PECOS Enrolled

About JAMES DAVIDIAN

This page provides the complete NPI Profile along with additional information for James Davidian, a provider established in Grants Pass, Oregon with a medical specialization in Ophthalmology. The healthcare provider is registered in the NPI registry with number 1912071036 assigned on November 2006. The practitioner's primary taxonomy code is 207W00000X with license number G20649 (CA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI: 1912071036
Provider Name: DR. JAMES LOWELL DAVIDIAN MD
Gender: Male
Entity Type: Individual
Location Address: 1226 NE 7TH ST GRANTS PASS, OR 97526
Location Phone: (541) 476-6636
Location Fax: (541) 476-6690
Mailing Address: 1226 NE 7TH ST GRANTS PASS, OR 97526
Mailing Phone: (541) 476-6636
Mailing Fax: (541) 476-6690
Is Sole Proprietor?: No
Enumeration Date: 11-20-2006
Last Update Date: 05-25-2012
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Ophthalmologists like James Davidian 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.

Location Map

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.: G20649
License State: CA
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:

PacificSource Health Plans

Navigator Bronze 7000 Exchange - PPO
Navigator Bronze 9200 - PPO
Navigator Bronze HSA 8050 - PPO
Navigator Gold 1500 - PPO
Navigator Gold 1500 Exchange - PPO
Navigator Gold 500 Exchange - PPO
Navigator Silver 3500 Exchange - PPO
Navigator Silver 4000 Exchange - PPO
Navigator Silver 5000 - PPO
Navigator Silver HSA 3500 - PPO
Navigator Standard Expanded Bronze - PPO
Navigator Standard Gold - PPO
Navigator Standard Silver - PPO
PacificSource Oregon Standard Bronze Plan NAV - PPO
PacificSource Oregon Standard Gold Plan NAV - PPO
PacificSource Oregon Standard Silver Plan NAV - PPO

Medicare

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

Medicaid

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
GR0053850	MEDICAID (05)	CA
ZZZ33909Z	MEDICARE ID-TYPE UNSPECIFIED (04)	CA
A41000	MEDICARE UPIN (02)
953729104	OTHER (01)		TAX ID NUMBER

Medicare Participation & PECOS Enrollment Status

James Davidian 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 97526 ZIP code area.

New Patients Visit Costs *

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

Average New Patient Price $126.25
Minimum New Patient Price $54.96
Maximum New Patient Price $166.64

Average New Patient Copayment $31.56
Minimum New Patient Copayment $13.74
Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

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

Average Established Patient Price $68.64
Minimum Established Patient Price $17.68
Maximum Established Patient Price $136.19

Average Established Patient Copayment $17.16
Minimum Established Patient Copayment $4.42
Maximum Established Patient Copayment $34.04

* 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.

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	9	1	2	0	7	1	0	3	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	9	2	2	0	7	2	0	6
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 0 + 7 + 2 + 0 + 6 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 6									6

The NPI number 1912071036 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.