Individual provider Active NPI

Richard E. Dechamplain, M.D.

  • Ophthalmology Physician
  • Georgetown, SC
National Provider Identifier
1154343192
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
16711 Issued in SC
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

Updated by the provider on Jul 9, 2007

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 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

IdentifierTypeStateIssuer
167116MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
16711SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Eye Group, P.C.. CurrentSince Aug 5, 1996 Accepting new patients
Coastal Eye Group, P.C. Ophthalmology Current Accepting new patients
Coastal Eye Group, P.C. Ophthalmology CurrentSince Aug 5, 1996 Accepting new patients
Coastal Optical Incorporated PastSince Oct 22, 2008 Accepting new patients
Bay Microsurgical Unit, Inc. Ophthalmology PastSince Jun 24, 2025 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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. 10 clinicians

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 100Reported as group
Quality
93.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery906

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

Verify at the official NPI Registry.