KEITH A BEDNARCZUK OD INC NPI 1972594257

Optometrist in Lebanon, OH

NPI 1972594257 Individual Male Years of Experience 46 Optometrist PECOS Enrolled Accepts Medicare Approved Payment

About KEITH BEDNARCZUK

Keith Bednarczuk is a provider established in Lebanon, Ohio and his medical specialization is optometrist with more than 46 years of experience. He graduated from Ohio State University - College Of Optometry in 1976. The NPI number of Keith Bednarczuk is 1972594257 and was assigned on November 2005. The practitioner's primary taxonomy code is 152W00000X with license number 3215 T351 (OH). The provider is registered as an individual and his NPI record was last updated 12 years ago.

Keith Bednarczuk is enrolled in PECOS and is eligible to order or refer healthcare 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)

Keith Bednarczuk 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: $32.89 for a new patient copayment and $17.8 for an established patient copayment.

NPI

1972594257

Provider Name KEITH A BEDNARCZUK OD INC
Provider Location Address777 COLUMBUS AVE LEBANON, OH 45036
Provider Mailing Address777 COLUMBUS AVE LEBANON, OH 45036
GenderMale
NPI Entity TypeIndividual
Medical School NameOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year1976
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date11-04-2005
Last Update Date08-04-2010


Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.3215 T351
License StateOH
Taxonomy DescriptionDoctors 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.

Business Address

KEITH A BEDNARCZUK OD INC
777 COLUMBUS AVE
LEBANON, OH
ZIP 45036
Phone: (513) 932-3343
Fax: (513) 932-0078

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Mailing Address

KEITH A BEDNARCZUK OD INC
777 COLUMBUS AVE
LEBANON, OH
ZIP 45036
Phone: (513) 932-3343
Fax: (513) 932-0078



Medicare Participation

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 ID5294868311
PECOS Enrollment IDI20100727000016
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

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 45036 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
$56.74 $173.94 $131.59
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.18 $43.48 $32.89
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
$17.31 $141.66 $71.2
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.32 $35.41 $17.8

* 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.

  • 27Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)

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
T47063MEDICARE UPIN (02)OH
4292891MEDICARE PIN (08)OH
0323019MEDICAID (05)OH
0540440001MEDICARE NSC (07)OH

Other Providers at the same location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548334600DELHI DENTAL ASSOC. JS BAXTER DDS INC
Organization
Clinic/Center (Dental)777 COLUMBUS AVE
LEBANON, OH 45036
(513) 932-5856
1689749988DR. JEFFREY SUMNER BAXTER DDS
Individual
Dentist (General Practice)777 COLUMBUS AVE
LEBANON, OH 45036
(513) 932-5856
1457558066DR. LINDA RUTH ALBRIGHT D.D.S.
Individual
Dentist (Prosthodontics)777 COLUMBUS AVE
LEBANON, OH 45036
(513) 932-5856
1104139807KEITH A BEDNARCZUK OD INC
Organization
Optometrist777 COLUMBUS AVE SUITE 12
LEBANON, OH 45036
(513) 932-3343
1447386693MR. ROGER G. FENN LPCC
Individual
Counselor (Mental Health)777 COLUMBUS AVE STE 1-G
LEBANON, OH 45036
(513) 932-2386
1699913517ROGER FENN LPCC AND ASSOCIATES LLC
Organization
Counselor777 COLUMBUS AVE STE 1-G
LEBANON, OH 45036
(513) 932-2386
1336673615 DANIEL REFFITT LCDC II
Individual
Counselor (Addiction (Substance Use Disorder))777 COLUMBUS AVE SUITE 7-D
LEBANON, OH 45036
(937) 701-3246
1538656426 AUTUMN REED BS, CDCA
Individual
Counselor (Addiction (Substance Use Disorder))777 COLUMBUS AVE
LEBANON, OH 45036
(513) 228-6590
1417414962 JENNIFER BURNSIDE LCDCIII
Individual
Counselor777 COLUMBUS AVE
LEBANON, OH 45036
(513) 228-6590
1902435332 MELISSA SUE MILBOWER RN
Individual
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)777 COLUMBUS AVE
LEBANON, OH 45036
(937) 528-3923
1770179624 ABIGAIL HAND
Individual
Licensed Practical Nurse777 COLUMBUS AVE
LEBANON, OH 45036
(513) 228-6590

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.