Individual provider Active NPI

Gregory A Caldwell, O.D.

  • Optometrist
  • Duncansville, PA
National Provider Identifier
1205827912
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000024 Issued in PA
Practice address
108 Olde Farm Office Rd
Duncansville, PA 16635-9417
Phone
(814) 695-3141
Fax
(814) 696-4780
NPI assigned
Nov 2, 2005
Last updated
Feb 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000024 PA Primary

Addresses

Primary practice location

108 Olde Farm Office Rd
Duncansville, PA 16635-9417

Mailing address

108 Olde Farm Office Rd
Duncansville, PA 16635-9417
Phone (814) 695-3141

Other identifiers 2

IdentifierTypeStateIssuer
0016242600017MedicaidPA
410031702OtherRR MEDICARE INDIVIDUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080812000127 PA Practitioner - Optometry 5092617167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ryan D Imler OD PCGroup PAC ID 1658498696, 6 clinicians

Practice addresses (Care Compare)

108 Olde Farm Office Rd
Duncansville, PA 16635-9417
Phone (814) 695-3141

Merit-based Incentive Payment System (MIPS)

Final score
97.35 of 100Reported as group
Quality
94.71
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
OEG000024PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan D Imler OD PC Optometrist CurrentSince Nov 11, 2010 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

108 Olde Farm Office Rd
Duncansville, PA 16635
Phone (814) 695-3141

Interoperability endpoints

  • Direct secure messaging: gcaldwell@eyeclinicdirect.net

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1205827912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 OLDE FARM OFFICE RD",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166359417",
            "telephone_number": "814-695-3141",
            "fax_number": "814-696-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 OLDE FARM OFFICE RD",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166359417",
            "telephone_number": "814-695-3141",
            "fax_number": "814-696-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "GREGORY",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016242600017",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE INDIVIDUAL",
            "identifier": "410031702",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncansville, PA

Sources for this page

Verify at the official NPI Registry.