Active NPI
Chad Everett McDonald, OD
- Optometrist
- Newburyport, MA
National Provider Identifier
1215909643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4087
- Practice address
- 33 Low St
Newburyport, MA 01950-4048 - Phone
- (978) 462-2020
- Fax
- (978) 462-4263
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4087 | MA | Primary |
Addresses
Primary practice location
33 Low St
Newburyport, MA 01950-4048
Mailing address
33 Low St
Newburyport, MA 01950-4048
Phone (978) 462-2020
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 405740 | Other | MA | TUFTS |
| VMA000316 | Other | MA | AVESIS |
| 151952 | Other | MA | HARVARD PILGRIM |
| 542065263 | Other | MA | TRICARE |
| 542065263 | Other | MA | UNITED HEALTHCARE |
| 542065263 | Other | MA | HEALTHCARE VALUE MANAGEME |
| 387140 | Other | MA | CIGNA |
| 0023858 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 2330207 | Other | MA | AETNA |
| 0317501 | Medicaid | MA | |
| 542065263 | Other | MA | INTEGRATED HEALTH PLAN |
| W20320 | Other | MA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
33 Low St
Newburyport, MA 01950-4114
Phone (978) 464-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4087 | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watts Eye Associates LLC | Optometrist | Current | Accepting new patients |
Locations
33 Low St
Newburyport, MA 01950
Phone (978) 462-2020
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 and National Provider Directory roles.
-
- Optometrist
- Newburyport, MA
- NPI 1952426280
-
- Optometrist
- Malden, MA
- NPI 1063610194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1215909643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 LOW ST",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019504048",
"telephone_number": "978-462-2020",
"fax_number": "978-462-4263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 LOW ST",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019504048",
"telephone_number": "978-462-2020",
"fax_number": "978-462-4263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "CHAD",
"middle_name": "EVERETT",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4087",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "405740",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVESIS",
"identifier": "VMA000316",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "151952",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "542065263",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "542065263",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE VALUE MANAGEME",
"identifier": "542065263",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "387140",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0023858",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2330207",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0317501",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTEGRATED HEALTH PLAN",
"identifier": "542065263",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "W20320",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newburyport, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.