Individual provider Active NPI

Carl B Tubbs, M.D.

  • Ophthalmology Physician
  • Parker, CO
National Provider Identifier
1033114335
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
36739 Issued in MN
Practice address
11960 Lioness Way
Ste 190
Parker, CO 80134-5640
Phone
(303) 794-1111
Fax
(303) 347-1341
NPI assigned
Jun 15, 2005
Last updated
Aug 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 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 36739 MN Primary

Addresses

Primary practice location

11960 Lioness Way
Ste 190
Parker, CO 80134-5640

Mailing address

11960 Lioness Way
Ste 190
Parker, CO 80134-5640
Phone (303) 794-1111

Other identifiers 3

IdentifierTypeStateIssuer
180015058OtherMNRAILROAD MEDICARE
531263900MedicaidMN
180046282OtherWIRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20131111000655 CO Practitioner - Ophthalmology 8123926193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Washington School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision Eye Care Group LLCGroup PAC ID 2163315854, 21 clinicians

Practice addresses (Care Compare)

1000 Wellington Ave a
Icon Eyecare
Grand Junction, CO 81501-8180
Phone (720) 524-1001

3900 E Mexico Ave
Suite 102
Denver, CO 80210-3941

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
88.72
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery510

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36739MNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision Eye Care Group LLC Ophthalmology CurrentSince Oct 19, 2020 Accepting new patients
Total Vision Eye Care Group LLC Ophthalmology CurrentSince Oct 19, 2020 Accepting new patients
Arlington Anesthesia Group, PLLC Past Accepting new patients
Day Surgery of Grand Junction LLC Past Accepting new patients

Locations

100 Elk Run Dr
Ste 206
Basalt, CO 81621
Phone (970) 256-0400

3900 E Mexico Ave
Ste 102
Denver, CO 80210
Phone (303) 800-2078

1000 Wellington Ave
Ste A
Grand Junction, CO 81501
Phone (970) 256-0400

1190 Bookcliff Ave
Unit 102
Grand Junction, CO 81501
Phone (970) 242-3323

2515 Foresight Cir
Grand Junction, CO 81505
Phone (970) 766-8346

Networks

  • CO HMO
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO D-SNP
  • CO HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: carl.tubbs.p5@direct.keec.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1033114335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11960 LIONESS WAY",
            "address_2": "STE 190",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345640",
            "telephone_number": "303-794-1111",
            "fax_number": "303-347-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11960 LIONESS WAY",
            "address_2": "STE 190",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345640",
            "telephone_number": "303-794-1111",
            "fax_number": "303-347-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBBS",
        "first_name": "CARL",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "36739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180015058",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "531263900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180046282",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.