Individual provider Active NPI

Phillip Demott, OD

  • Ophthalmology Physician
  • Seaford, DE
National Provider Identifier
1104412790
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
I3-0011428 Issued in DE
Practice address
8500 Herring Run Rd
Seaford, DE 19973-5795
Phone
(302) 629-6691
Fax
(302) 629-7963
NPI assigned
Dec 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 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 I3-0011428 DE Primary

Addresses

Primary practice location

8500 Herring Run Rd
Seaford, DE 19973-5795

Mailing address

8500 Herring Run Rd
Seaford, DE 19973-5795
Phone (302) 629-6691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201223000541 DE Practitioner - Optometry 2163834771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8500 Herring Run Rd
Seaford, DE 19973-5795
Phone (302) 629-6691

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as individual
Quality
69.56
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I3-0011428DEMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Betts and Demott Eye Care & Optical Boutique CurrentSince Sep 22, 2020 Accepting new patients

Locations

8500 Herring Run Rd
Seaford, DE 19973
Phone (302) 629-6691

Organizations & group practices 1

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": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1104412790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 HERRING RUN RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199735795",
            "telephone_number": "302-629-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 HERRING RUN RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199735795",
            "telephone_number": "302-629-6691",
            "fax_number": "302-629-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOTT",
        "first_name": "PHILLIP",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DE",
            "license": "I3-0011428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

Verify at the official NPI Registry.