Individual provider Active NPI

Robert K Druger, M.D., PHD

  • Ophthalmology Physician
  • Camillus, NY
National Provider Identifier
1013984723
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
210355-1 Issued in NY
Practice address
5633 W Genesee St
Camillus, NY 13031
Phone
(315) 488-1601
Fax
(315) 488-0047
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 210355-1 NY Primary

Addresses

Primary practice location

5633 W Genesee St
Camillus, NY 13031

Mailing address

5633 W Genesee St
Camillus, NY 13031-1324
Phone (315) 488-1601

Other identifiers 1

IdentifierTypeStateIssuer
01856615MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20040826000094 NY Practitioner - Ophthalmology 8426029554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York at Stony Brook, School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert K Druger MD PLLCGroup PAC ID 1456325653, 2 clinicians

Practice addresses (Care Compare)

225 Greenfield Pkwy
Suite 105
Liverpool, NY 13088-6656
Phone (315) 451-6911

5633 W Genesee St
Camillus, NY 13031-1324
Phone (315) 488-1601

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
210355-1NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Medical Service Group Inc Ophthalmology CurrentSince Nov 18, 2009 Accepting new patients
Robert K Druger MD PLLC Ophthalmology CurrentSince May 14, 2004 Accepting new patients
Robert K Druger Druger Optical CurrentSince Feb 1, 2017 Accepting new patients

Locations

4 Fuller St
Alexandria Bay, NY 13607
Phone (315) 482-1277

5700 W Genesee St
Ste 112
Camillus, NY 13031
Phone (315) 488-1601

5633 W Genesee St
Camillus, NY 13031
Phone (315) 488-1601

225 Greenfield Pkwy
Ste 105
Liverpool, NY 13088
Phone (315) 451-6911

550 Harrison St
Ste 340
Syracuse, NY 13202
Phone (315) 464-5230

5075 W Seneca Tpke
Syracuse, NY 13215
Phone (315) 435-5511

Interoperability endpoints

  • Direct secure messaging: drrobertdruger@drugereyecare.medentdirect.com
  • Direct secure messaging: rdruger27875@direct.upstate.edu

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1013984723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5633 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311324",
            "telephone_number": "315-488-1601",
            "fax_number": "315-488-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5633 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "13031",
            "telephone_number": "315-488-1601",
            "fax_number": "315-488-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUGER",
        "first_name": "ROBERT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "210355-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01856615",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camillus, NY

Sources for this page

Verify at the official NPI Registry.