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Dr. Edmund Leo Prendergast JR.

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NPI Number Detailed Information

Provider Information:

Name: Dr. Edmund Leo Prendergast JR.
Gender: M
Provider License Number If Given: 666D

NPI Information:

NPI: 1134165251
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/20/2006

Last Update Date: 8/18/2022

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 69
Camden On Gauley, WV 26208
Phone Number: 3042265725
Fax Number: 3048725697

Provider Business Practice Location Address:

Address: 651 WATER ST
Summersville, WV 26651
Phone Number: 3048725678
Fax Number: 3048725697

Provider Taxonomy:

Primary: 152W00000X
Secondary (if any):
State: WV

Top Doctors in WV

 

About Dr. Edmund Leo Prendergast JR.

Dr. Edmund Leo Prendergast JR.(DR. EDMUND LEO PRENDERGAST JR.) is Doctors Optometrist Physician in Summersville, WV. The NPI Number for Dr. Edmund Leo Prendergast JR. is 1134165251.
The current location address for Dr. Edmund Leo Prendergast JR. is 651 WATER ST Summersville, WV 26651 and the contact number is 3042265725 and fax number is 3048725697. The mailing address for Dr. Edmund Leo Prendergast JR. is PO BOX 69 Camden On Gauley, WV 26208- 3048725678 (mailing address contact number - 3042265725).
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.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Edmund Leo Prendergast JR.?


Answer: The NPI Number for Dr. Edmund Leo Prendergast JR. is 1134165251

Where is Dr. Edmund Leo Prendergast JR. located?


Answer: Dr. Edmund Leo Prendergast JR. is located at 651 WATER ST Summersville, WV 26651.

What is the specialty for Dr. Edmund Leo Prendergast JR.?


Answer: The Specialty of Dr. Edmund Leo Prendergast JR. is Doctors Optometrist Physician.

Are there any online reviews for Dr. Edmund Leo Prendergast JR.?


Answer: Yes! Check It Now.

Are there any other health care providers in Summersville, WV?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Edmund Leo Prendergast JR.

Number of HCPCS 5
Number of Medicare Beneficiaries 204
Number of Services 241
Total Submitted Charge Amount 21550
Total Medicare Allowed Amount 20825.83
Total Medicare Payment Amount 14114.42
Total Medicare Standardized Payment Amount 20046.32
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 5
Number of Medicare Beneficiaries With Medical 204
Number of Medical Services 241
Total Medical Submitted Charge Amount 21550
Total Medical Medicare Allowed Amount 20825.83
Total Medical Medicare Payment Amount 14114.42
Total Medical Medicare Standardized Payment Amount 20046.32
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65 33
Number of Beneficiaries Age 65 to 74 91
Number of Beneficiaries Age 75 to 84 63
Number of Beneficiaries Age Greater 84 17
Number of Female Beneficiaries 133
Number of Male Beneficiaries 71
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 72
Number of Beneficiaries With Medicare Only Entitlement 132
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.12
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.05
Percent (%) of Beneficiaries Identified With Asthma 0.07
Percent (%) of Beneficiaries Identified With Cancer 0.08
Percent (%) of Beneficiaries Identified With Heart Failure 0.14
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.29
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.23
Percent (%) of Beneficiaries Identified With Depression 0.27
Percent (%) of Beneficiaries Identified With Diabetes 0.42
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.7
Percent (%) of Beneficiaries Identified With Hypertension 0.74
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.35
Percent (%) of Beneficiaries Identified With Osteoporosis 0.09
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.49
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.2068

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Optometry
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 92
Number of Standardized 30-Day Fills 152.3
Aggregate Cost Paid for All Claims 24951.03
Number of Day's Supply for All Claims 4230
Number of Medicare Beneficiaries 31
Number of Claims, Including Refills, for Beneficiaries Age 65+ 66
Including Refills, for Beneficiaries Age 65+ 121.36666667
Beneficiaries Age 65+ 20637.91
Number of Day's Supply for All Claims for Beneficaries Age 65+ 3406
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 48
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 44
Aggregate Cost Paid for Generic Drugs 1330.27
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 28
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 3928.07
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 64
Aggregate Cost Paid for Claims Filled by 21022.96
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 50
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 12854.44
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 42
by Low-Income Subsidy 12096.59
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 0
Aggregate Cost Paid for Antibiotic Drugs 0
Antibiotic Claims 0
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 70.935483871
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White 29
Number of Black or African American 0
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 19
Average Hierarchical Condition Category 1.1578064516

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