Individual provider Active NPI

Regine M Pappas, MD

  • Ophthalmology Physician
  • Melbourne, FL
National Provider Identifier
1215921275
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME73882 Issued in FL
Practice address
1649 W Eau Gallie Blvd
Ste 100
Melbourne, FL 32935
Phone
(321) 255-4949
Fax
(321) 255-0887
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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 ME73882 FL Primary

Addresses

Primary practice location

1649 W Eau Gallie Blvd
Ste 100
Melbourne, FL 32935

Mailing address

1649 W Eau Gallie Blvd
Ste 100
Melbourne, FL 32935
Phone (321) 255-4949

Other identifiers 2

IdentifierTypeStateIssuer
41999WOtherFLBC BS
252626300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101115001149 FL Practitioner - Ophthalmology 4284668567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Cincinnati College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Eye Center IncGroup PAC ID 0840224127, 3 clinicians

Practice addresses (Care Compare)

1649 W Eau Gallie Blvd
Suite 100
Melbourne, FL 32935-4160
Phone (321) 255-4949

Merit-based Incentive Payment System (MIPS)

Final score
90.17 of 100Reported as group
Quality
92.83
Improvement activities
40
Cost
76.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery141

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Eye Center Inc Ophthalmology CurrentSince Jan 24, 2000 Accepting new patients

Locations

1649 W Eau Gallie Blvd
Ste 100
Melbourne, FL 32935
Phone (321) 255-4949

Interoperability endpoints

  • Direct secure messaging: rpappas@pineye.intellechartdirect.net
  • Direct secure messaging: rpappas71735@epicdirect.hf.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1215921275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 W EAU GALLIE BLVD",
            "address_2": "STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32935",
            "telephone_number": "321-255-4949",
            "fax_number": "321-255-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 W EAU GALLIE BLVD",
            "address_2": "STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32935",
            "telephone_number": "321-255-4949",
            "fax_number": "321-255-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "REGINE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME73882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "41999W",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252626300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.