Active NPI
William G Carey, MD
- Ophthalmology Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 01036414A
- Practice address
- 954 S Kenmore Dr
Evansville, IN 47714-7513 - Phone
- (812) 402-2020
- Fax
- (812) 402-5300
- NPI assigned
- Jun 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 01036414A | IN | Primary |
| Ophthalmology Physician | 207W00000X | 36323 | KY | |
| Ophthalmology Physician | 207W00000X | 00010857 | AL | |
| Ophthalmology Physician | 207W00000X | 23447 | CO |
Addresses
Primary practice location
954 S Kenmore Dr
Evansville, IN 47714-7513
Mailing address
954 S Kenmore Dr
Evansville, IN 47714-7513
Phone (812) 402-2020
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100248150A | Medicaid | IN | |
| 180006861 | Other | IN | PALMENTO GBA |
| 4198430 | Other | IN | AETNA |
| G1369707 | Other | IN | OXFORD LIFE |
| 64759061 | Medicaid | KY | |
| 87791 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Colorado School of Medicine, Denver, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
954 S Kenmore Dr
Evansville, IN 47714-7513
Phone (812) 402-2020
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 239 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00010857 | AL | MD | Ophthalmology Physician |
| 23447 | CO | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Eyecare of Evansville, LLC | Ophthalmology | Current | Accepting new patients |
| Norman D. Radtke, MD, PSC | Ophthalmology | Past | Accepting new patients |
| Anesthesiology Group Associates PC | Past | Accepting new patients |
Locations
954 S Kenmore Dr
Evansville, IN 47714
Phone (812) 402-2020
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.
-
- Ophthalmology Physician
- Evansville, IN
- NPI 1407195449
-
- Anesthesiology Physician
- Evansville, IN
- NPI 1194761262
-
dba Retina Vitreous Resource Center
- Ophthalmology Physician
- Louisville, KY
- NPI 1992813810
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension St. Vincent Evansville
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
-
dba Ascension St. Vincent Warrick
- Critical Access Hospital
- Boonville, IN
- NPI 1205828803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452211200000",
"number": "1104821966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "954 S KENMORE DR",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477147513",
"telephone_number": "812-402-2020",
"fax_number": "812-402-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "954 S KENMORE DR",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477147513",
"telephone_number": "812-402-2020",
"fax_number": "812-402-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAREY",
"first_name": "WILLIAM",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2016-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IN",
"license": "01036414A",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "KY",
"license": "36323",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AL",
"license": "00010857",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CO",
"license": "23447",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100248150A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMENTO GBA",
"identifier": "180006861",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4198430",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD LIFE",
"identifier": "G1369707",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64759061",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "87791",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.