Michael J Depenbusch, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

30795 Issued in AZ

Practice address

1500 W Ray Rd Ste 1
Chandler, AZ 85224-0002

Phone

(480) 963-3881

Fax

(480) 899-8610

NPI assigned

Nov 9, 2005

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Saint Louis University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.4 of 100Reported as individual

Quality

97.81

Improvement activities

40

Cost

74.26

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• NM HMO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael J. Depenbusch, M.D., PC

  dba Arizona Eye Center

  • Ophthalmology Physician
  • Chandler, AZ
  • NPI 1275755159
  Medicare reassignment NPD
• Arrowhead Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Chandler, AZ
  • NPI 1336687326
  Authorized official Same address or phone
• Santa Cruz Medical Clinic, Inc

  dba Santa Cruz Medical Clinic

  • Family Medicine Physician
  • Santa Cruz, CA
  • NPI 1588775308
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1003897794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W RAY RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852240002",
            "telephone_number": "480-963-3881",
            "fax_number": "480-899-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W RAY RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852240002",
            "telephone_number": "480-963-3881",
            "fax_number": "480-899-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPENBUSCH",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "30795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dentistry by the Nelsons, PLLC (Silvertree Dental)
• Tracee Ann Denton
• Cherish Deoliveira, PSY.D.
• Natasha N Deonarain, MD
• Nicole Deopere
• Nicole Marie Deporzio, FNP
• Janelle Depriest
• Ian Deroock, M.D.
• Caitlin Derouen, LPC
• Valerie Burnham Derrick

• Ophthalmology Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.