Individual provider Active NPI

Michael J Bartiss, MD OD

  • Ophthalmology Physician
  • Aberdeen, NC
National Provider Identifier
1194737965
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
9300025 Issued in NC
Practice address
1902 N Sandhills Blvd
Aberdeen, NC 28315-2382
Phone
(910) 692-2020
Fax
(800) 308-9356
NPI assigned
Aug 12, 2006
Last updated
May 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 9300025 NC Primary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 9300025 NC

Addresses

Primary practice location

1902 N Sandhills Blvd
Aberdeen, NC 28315-2382

Mailing address

1902 N Sandhills Blvd Ste E
Aberdeen, NC 28315-2347
Phone (910) 692-2020

Other identifiers 4

IdentifierTypeStateIssuer
012T9OtherBCBS
8913620MedicaidNC
A0760OtherMEDCOST
FHZ000030OtherFIRST CAROLINA CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20070720000462 NC Practitioner - Ophthalmology 2860402914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York - State College Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eye Care of the Carolinas PAGroup PAC ID 0345341350, 2 clinicians

Practice addresses (Care Compare)

1902 N Sandhills Blvd
Suite E
Aberdeen, NC 28315-2347
Phone (910) 692-2020

Merit-based Incentive Payment System (MIPS)

Final score
98.97 of 100Reported as group
Quality
97.94
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9300025NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Facial & Ocular Plastic Surgery Center, PA Past Accepting new patients

Organizations & group practices 2

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1194737965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 N SANDHILLS BLVD STE E",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152347",
            "telephone_number": "910-692-2020",
            "fax_number": "800-308-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 N SANDHILLS BLVD",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152382",
            "telephone_number": "910-692-2020",
            "fax_number": "800-308-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTISS",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "9300025",
            "primary": true
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "NC",
            "license": "9300025",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "012T9",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913620",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "A0760",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CAROLINA CARE",
            "identifier": "FHZ000030",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, NC

Sources for this page

Verify at the official NPI Registry.