Individual provider Active NPI

Maggie A Cardonell, M.D.

  • Ophthalmology Physician
  • Columbia, MO
National Provider Identifier
1093057630
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2018008043 Issued in MO
Practice address
3215 Wingate Court, Ste 102
Columbia, MO 65201-7214
Phone
(573) 882-8920
Fax
(573) 884-4868
NPI assigned
Mar 21, 2013
Last updated
Nov 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2018008043 MO Primary
Ophthalmology Physician 207W00000X 130882 OH
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 2018008043 MO
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 130882 OH

Addresses

Primary practice location

3215 Wingate Court, Ste 102
Columbia, MO 65201-7214

Mailing address

PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300

Other names 1

  • Maggie A Fey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20180717003207 MO Practitioner - Ophthalmology 3779887260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kansas School of Med (KC/Wich/Sal), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Eye Consultants OptometryGroup PAC ID 2769574714, 14 clinicians

Practice addresses (Care Compare)

500 N Keene St
Suite 103
Columbia, MO 65201-8104
Phone (573) 874-2030

Merit-based Incentive Payment System (MIPS)

Final score
91.71 of 100Reported as group
Quality
95.95
Improvement activities
40
Cost
77.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery277

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
130882OHMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Eye Consultants Optometry CurrentSince Apr 1, 2024 Accepting new patients
Columbia Eyewear PastSince Apr 1, 2024 Accepting new patients
Columbia Orthopaedic Group, LLP Past Accepting new patients

Locations

500 N Keene St
Ste 103
Columbia, MO 65201
Phone (573) 874-2030

900 W Nifong Blvd
Ste 125
Columbia, MO 65203
Phone (573) 874-2030

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, 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": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1093057630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843966",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843966",
            "telephone_number": "573-884-3300",
            "fax_number": "573-884-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 WINGATE COURT, STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017214",
            "telephone_number": "573-882-8920",
            "fax_number": "573-884-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONELL",
        "first_name": "MAGGIE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2018008043",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "130882",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "MO",
            "license": "2018008043",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "OH",
            "license": "130882",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGGIE",
            "last_name": "FEY",
            "middle_name": "A",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.