Active NPI
Richard E. Dechamplain, M.D.
- Ophthalmology Physician
- Georgetown, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 16711
- Practice address
- 1200 Highmarket St
Suite 200
Georgetown, SC 29440-3227 - Phone
- (843) 546-8421
- Fax
- (843) 546-1173
- NPI assigned
- Jul 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 16711 | SC | Primary |
Addresses
Primary practice location
1200 Highmarket St
Suite 200
Georgetown, SC 29440-3227
Mailing address
1200 Highmarket St
Suite 200
Georgetown, SC 29440-3227
Phone (843) 546-8421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167116 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101130000251 | SC | Practitioner - Ophthalmology | 0547152811 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16711 | SC | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Eye Group, P.C.. | Current | Accepting new patients | |
| Coastal Eye Group, P.C. | Ophthalmology | Current | Accepting new patients |
| Coastal Eye Group, P.C. | Ophthalmology | Current | Accepting new patients |
| Coastal Optical Incorporated | Past | Accepting new patients | |
| Bay Microsurgical Unit, Inc. | Ophthalmology | Past | Accepting new patients |
Locations
1200 Highmarket St
Ste 200
Georgetown, SC 29440
Phone (803) 546-8421
123 Epps St
Lake City, SC 29560
Phone (843) 374-5487
90 Cedar Light Ln
Little River, SC 29566
Phone (843) 280-8779
401 79th Ave N
Myrtle Beach, SC 29572
Phone (843) 449-7115
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- rdechamplain@ceg.intellechartdirect.net
Organizations & group practices 8
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.
-
- Optician
- Lake City, SC
- NPI 1013219823
-
- Optician
- Georgetown, SC
- NPI 1104128917
-
- Ophthalmology Physician
- Murrells Inlet, SC
- NPI 1821142266
-
- Optometrist
- Lake City, SC
- NPI 1205145455
-
- Ambulatory Surgical Clinic/Center
- Myrtle Beach, SC
- NPI 1972336311
Ophthalmology
-
- Optician
- Georgetown, SC
- NPI 1508910977
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Medical University of South Carolina College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coastal Eye Group, P.C.
Practice addresses (Care Compare)
1200 Highmarket St
Suite 200
Georgetown, SC 29440-3227
Phone (843) 546-8421
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.67 of 100
- Quality
- 93.33
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 906 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1154343192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 HIGHMARKET ST",
"address_2": "SUITE 200",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294403227",
"telephone_number": "843-546-8421",
"fax_number": "843-546-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 HIGHMARKET ST",
"address_2": "SUITE 200",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294403227",
"telephone_number": "843-546-8421",
"fax_number": "843-546-1173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECHAMPLAIN",
"first_name": "RICHARD",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "SC",
"license": "16711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167116",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.