Tedd R Puckett, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101058838 Issued in VA

Practice address

106 S Franklin St Ste C
Christiansburg, VA 24073-3547

Phone

(540) 381-2013

NPI assigned

Nov 8, 2006

Last updated

Apr 29, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Ophthalmology

Education

Uniformed Services Uhs Fe Hebert School of Med, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.97 of 100Reported as individual

Quality

91.1

Promoting interoperability

95

Improvement activities

40

Cost

89.62

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: teddpuckett@nrveye.direct.eyemdemr.com

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.

• NRV Eye Center, Inc

  • Ophthalmology Physician
  • Christiansburg, VA
  • NPI 1124198122
  Medicare reassignment NPD Authorized official
• Carilion New River Valley Medical Center

  • Psychiatric Hospital Unit
  • Christiansburg, VA
  • NPI 1720042948
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1215007315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S FRANKLIN ST STE C",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240733547",
            "telephone_number": "540-381-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S FRANKLIN ST STE C",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240733547",
            "telephone_number": "540-381-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "TEDD",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101058838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006303293",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM (BLUE CROSS)",
            "identifier": "258585",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5978709",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006303200",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM (BLUE CROSS)",
            "identifier": "452768",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GIGNA",
            "identifier": "0193226",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0800644",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pro Careers Inc./CCD
• Pro Careers Inc./CPC
• Pro Careers Inc./CR
• Professional Therapies of Roanoke, Inc. (CORA Physical Therapy - Christiansburg)
• Nicole Pryor, OTR/L
• Pulmonary Medicine of Virginia PLC
• Quest Diagnostics Clinical Laboratories Inc
• Michael Timothy Quinn
• Michael Quinones
• Moises E Quinones, M.D.

• Ophthalmology Physician in Christiansburg, VA
• Providers in Christiansburg, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.

Verify at the official NPI Registry.