Individual provider Active NPI

Russell S Cravey, M.D.

  • Ophthalmology Physician
  • Kerrville, TX
National Provider Identifier
1205990207
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
J6394 Issued in TX
Practice address
1001 Water St
Ste. E100
Kerrville, TX 78028-3523
Phone
(830) 257-4417
Fax
(830) 257-1480
NPI assigned
Dec 21, 2006
Last updated
Mar 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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 J6394 TX Primary

Addresses

Primary practice location

1001 Water St
Ste. E100
Kerrville, TX 78028-3523

Mailing address

PO Box 294869
Kerrville, TX 78029-4869
Phone (830) 257-4417

Other identifiers 3

IdentifierTypeStateIssuer
122036005MedicaidTX
8A7630OtherTXBCBS
P00158163OtherTXMEDICARE RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140102000692 TX Practitioner - Ophthalmology 6507848207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Texas a & M University System, HSC, College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1001 Water St
Suite E100
Kerrville, TX 78028-3761
Phone (830) 257-4417

Merit-based Incentive Payment System (MIPS)

Final score
55.71 of 100Reported as individual
Quality
100
Improvement activities
0
Cost
52.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery607

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J6394TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kerrville Eye Center PA CurrentSince Mar 1, 2000 Accepting new patients
Kerrville Med Express Past Accepting new patients

Locations

1001 Water St
Ste E-100
Kerrville, TX 78028
Phone (210) 664-4446

228 Washington St
Kerrville, TX 78028
Phone (830) 257-0199

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1205990207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 294869",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780294869",
            "telephone_number": "830-257-4417",
            "fax_number": "830-257-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WATER ST",
            "address_2": "STE. E100",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283523",
            "telephone_number": "830-257-4417",
            "fax_number": "830-257-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVEY",
        "first_name": "RUSSELL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "J6394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122036005",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8A7630",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00158163",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.