Individual provider Active NPI

Kyle Maclean, M.D.

  • Ophthalmology Physician
  • Irving, TX
National Provider Identifier
1053706184
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
S1447 Issued in TX
Practice address
440 W Interstate 635 #300
Irving, TX 75063
Phone
(214) 574-9600
NPI assigned
Apr 6, 2015
Last updated
Jul 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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 S1447 TX Primary

Addresses

Primary practice location

440 W Interstate 635 #300
Irving, TX 75063

Mailing address

440 W Interstate 635 #300
Irving, TX 75063

Other practice location 1

1910 E State Highway 114
Southlake, TX 76092
Phone (817) 481-2727

Other practice location 2

4708 Alliance Blvd Ste 620
Plano, TX 75093
Phone (469) 331-8585

Other practice location 3

440 W Interstate 635 #300
Irving, TX 75063
Phone (214) 574-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190731000551 TX Practitioner - Ophthalmology 3779872973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Rochester School of Medicine and Dentistry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lasercare Eye Center PAGroup PAC ID 0143252130, 3 clinicians

Practice addresses (Care Compare)

1900 E Hwy 114
Suite 100
Southlake, TX 76092-6510
Phone (817) 481-2727

4708 Dexter Dr
Suite 450
Plano, TX 75093-5288
Phone (469) 331-8585

5303 Harry Hines Blvd
Dallas, TX 75390-7208
Phone (214) 645-0624

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S1447TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lasercare Eye Center, P.a. Single Specialty CurrentSince Jul 1, 2019 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Nov 1, 2020 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Ophthalmology CurrentSince Nov 1, 2020 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Single Specialty Current Accepting new patients

Locations

12200 Park Central Dr
Ste 300
Dallas, TX 75251
Phone (972) 661-0505

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

440 W Lyndon B Johnson Fwy
Ste 300
Irving, TX 75063

4708 Dexter Dr
Ste 450
Plano, TX 75093
Phone (469) 331-8585

1900 E State Highway 114
Southlake, TX 76092

1900 E State Highway 114
Ste 100
Southlake, TX 76092
Phone (817) 481-2727

1910 E State Highway 114
Southlake, TX 76092
Phone (214) 207-4233

5303 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Phone (214) 645-2300

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: kmaclean1773973@direct.texashealth.org

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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1053706184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W INTERSTATE 635 #300",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W INTERSTATE 635 #300",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "214-574-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 E State Highway 114",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "76092",
            "country_code": "US",
            "telephone_number": "817-481-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4708 Alliance Blvd Ste 620",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "75093",
            "country_code": "US",
            "telephone_number": "469-331-8585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 W Interstate 635 #300",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "75063",
            "country_code": "US",
            "telephone_number": "214-574-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACLEAN",
        "first_name": "KYLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "S1447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.