DR. DOUGLAS FREDERICK RITCHIE O.D.
NPI 1255333829
Optometrist in Vienna, WV
NPI Status: Active since August 12, 2005
Contact Information
1500 GRAND CENTRAL AVE
SUITE 112
VIENNA, WV
ZIP 26105
Phone: (304) 295-5025
Fax: (304) 295-7178
- Individual
- Male
- Optometrist
- PECOS Enrolled
- Medicare Quality Reporting
About DOUGLAS RITCHIE
This page provides the complete NPI Profile along with additional information for Douglas Ritchie, a provider established in Vienna, West Virginia with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1255333829 assigned on August 2005. The practitioner's primary taxonomy code is 152W00000X with license number 636D (WV). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1255333829
- Provider Name
- DR. DOUGLAS FREDERICK RITCHIE O.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1500 GRAND CENTRAL AVE SUITE 112 VIENNA, WV 26105
- Location Phone
- (304) 295-5025
- Location Fax
- (304) 295-7178
- Mailing Address
- 1500 GRAND CENTRAL AVE SUITE 112 VIENNA, WV 26105
- Mailing Phone
- (304) 295-5025
- Mailing Fax
- (304) 295-7178
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-12-2005
- Last Update Date
- 10-27-2011
- Code Navigator
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
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- License No.
- 636D
- License State
- WV
- Taxonomy Description
- 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.
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 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | 21556 (WV) |
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 |
|---|---|---|---|
| T46812 | MEDICARE UPIN (02) | WV | |
| RI0815534 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 2315780002 | MEDICARE NSC (07) | WV | |
| 0150423000 | MEDICAID (05) | WV |
Medicare Participation & PECOS Enrollment Status
Douglas Ritchie 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: Durable Medical Equipment (DME).
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: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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 26105 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $124.46
- Minimum New Patient Price $53.2
- Maximum New Patient Price $164.59
- Average New Patient Copayment $31.11
- Minimum New Patient Copayment $13.3
- Maximum New Patient Copayment $41.14
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.84
- Minimum Established Patient Price $16.47
- Maximum Established Patient Price $133.29
- Average Established Patient Copayment $16.71
- Minimum Established Patient Copayment $4.11
- Maximum Established Patient Copayment $33.32
* 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.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Annual registration in the Prescription Drug Monitoring Program | Yes | N/A |
| Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months. | ||
| Care transition standard operational improvements | Yes | N/A |
| Establish standard operations to manage transitions of care that could include one or more of the following: Establish formalized lines of communication with local settings in which empaneled patients receive care to ensure documented flow of information and seamless transitions in care; and/or Partner with community or hospital-based transitional care services. | ||
| Collection and use of patient experience and satisfaction data on access | Yes | N/A |
| Collection of patient experience and satisfaction data on access to care and development of an improvement plan, such as outlining steps for improving communications with patients to help understanding of urgent access needs. | ||
| Diabetes: Eye Exam | 100% | 21 |
| Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period | ||
| Implementation of analytic capabilities to manage total cost of care for practice population | Yes | N/A |
| Build the analytic capability required to manage total cost of care for the practice population that could include one or more of the following: Train appropriate staff on interpretation of cost and utilization information; and/or Use available data regularly to analyze opportunities to reduce cost through improved care. | ||
| Patient-Specific Education | 41% | 217 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Provide Patient Access | 40% | 217 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Use of QCDR data for quality improvement such as comparative analysis reports across patient populations | Yes | N/A |
| Participation in a QCDR, clinical data registries, or other registries run by other government agencies such as FDA, or private entities such as a hospital or medical or surgical society. Activity must include use of QCDR data for quality improvement (e.g., comparative analysis across specific patient populations for adverse outcomes after an outpatient surgical procedure and corrective steps to address adverse outcome). | ||
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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 | 2 | 5 | 5 | 3 | 3 | 3 | 8 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 6 | 3 | 6 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 6 + 3 + 6 + 8 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1255333829 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1669471561 | DR. MICHAEL EDWARD BEANE MD Individual | Family Medicine | 1500 GRAND CENTRAL AVE VIENNA, WV 26105 (304) 485-3627 |
| 1972585099 | MEDEXPRESS URGENT CARE, PLLC - PARKERSBURG Organization | Clinic/Center (Urgent Care) | 1500 GRAND CENTRAL AVE STE 115 VIENNA, WV 26105 (304) 295-2311 |
| 1487604120 | MS. ADRIENNE VACCA MPT Individual | Physical Therapist | 1500 GRAND CENTRAL AVE SUITE 101 VIENNA, WV 26105 (304) 295-3060 |
| 1730139403 | MR. RICHARD WILLIAM WILLY II MPT Individual | Physical Therapist | 1500 GRAND CENTRAL AVE SUITE 101 VIENNA, WV 26105 (304) 295-3060 |
| 1144272550 | MS. DIANA THERESIA BENTON MPT Individual | Physical Therapist | 1500 GRAND CENTRAL AVE SUITE 101 VIENNA, WV 26105 (304) 295-3060 |
| 1508808270 | ECHARD DRUG CO. INC. Organization | Pharmacy (Community/Retail Pharmacy) | 1500 GRAND CENTRAL AVE SUITE 116 VIENNA, WV 26105 (304) 295-2352 |
| 1912155102 | RENEE'S BIRKENSTOCK PARKERSBURG, LLC Organization | Non-Pharmacy Dispensing Site | 1500 GRAND CENTRAL AVE SUITE 106A VIENNA, WV 26105 (304) 865-2315 |
| 1669422515 | MR. THOMAS PATRICK BILLINGSLEY DPT Individual | Physical Therapist | 1500 GRAND CENTRAL AVE SUITE 101 VIENNA, WV 26105 (304) 295-3060 |
| 1861800591 | DANIEL DAFO,DDS, INC. Organization | Dentist | 1500 GRAND CENTRAL AVE SUITE 104 VIENNA, WV 26105 (304) 295-8256 |
| 1568762789 | STEPHEN R STANLEY DO INC Organization | Obstetrics & Gynecology | 1500 GRAND CENTRAL AVE SUITE 106 VIENNA, WV 26105 (304) 422-6800 |
| 1205188240 | KELLY JO HAZUKA NP-C Individual | Nurse Practitioner (Family) | 1500 GRAND CENTRAL AVE SUITE 115 VIENNA, WV 26105 (304) 489-3815 |
| 1770913337 | AMANDA MCDONALD DPT Individual | Physical Therapist | 1500 GRAND CENTRAL AVE SUITE 101 VIENNA, WV 26105 (304) 295-3060 |
| 1124521448 | BRYAN SCOTT VAN DINE Individual | Hearing Instrument Specialist | 1500 GRAND CENTRAL AVE VIENNA, WV 26105 (304) 422-2625 |
| 1417320805 | MICHAEL BRET RAMSEY DPT Individual | Physical Therapist | 1500 GRAND CENTRAL AVE SUITE 101 VIENNA, WV 26105 (304) 295-3060 |
| 1033582440 | ANDREW ROBINSON DPT Individual | Physical Therapist | 1500 GRAND CENTRAL AVE SUITE 101 VIENNA, WV 26105 (304) 295-3060 |
| 1497164883 | KARYN PLOTZ FPT Individual | Physical Therapist | 1500 GRAND CENTRAL AVE SUITE 101 VIENNA, WV 26105 (304) 295-3060 |
| 1659424877 | DR. JILL KRISTINE SHOWALTER O.D. Individual | Optometrist | 1500 GRAND CENTRAL AVE SUITE 112 VIENNA, WV 26105 (304) 295-5025 |
| 1376542290 | DR. DAVID RALPH FERRELL MD Individual | Family Medicine | 1500 GRAND CENTRAL AVE STE 115 VIENNA, WV 26105 (304) 295-2311 |
| 1609123868 | LISA HARGUS DPT Individual | Physical Therapist | 1500 GRAND CENTRAL AVE SUITE 101 VIENNA, WV 26105 (304) 295-3060 |
| 1619927274 | MS. HEMA HARGUS PT Individual | Physical Therapist | 1500 GRAND CENTRAL AVE SUITE 101 VIENNA, WV 26105 (304) 295-3060 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255333829, enumerated in the NPI registry as an "individual" on August 12, 2005
The provider is located at 1500 Grand Central Ave Suite 112 Vienna, Wv 26105 and the phone number is (304) 295-5025
The provider's speciality is Optometrist with taxonomy code 152W00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 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: Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $124.46 with an average copayment of $31.11 for new patient appointments. Established patients should expect a typical charge of $66.84 and an average copayment of 16.71. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 12, 2005. 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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