David Scott Sybesma, OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1996 Issued in IA

Practice address

1408 43Rd Street
Maquoketa, IA 52060

Phone

(563) 652-2795

Fax

(563) 652-5210

NPI assigned

Mar 30, 2006

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 4

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: davidsybesmaod@sybesmaeyecare.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 and National Provider Directory roles.

• David S Sybesma, OD, PC

  dba sybesma eye and vision center

  • Optometrist
  • Maquoketa, IA
  • NPI 1447474630
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418428800000",
    "number": "1255392122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 43RD STREET",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "52060",
            "telephone_number": "563-652-2795",
            "fax_number": "563-652-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 43RD STREET",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "52060",
            "telephone_number": "563-652-2795",
            "fax_number": "563-652-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYBESMA",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "credential": "OD PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2014-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410024770",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1106880",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA DME REGION D",
            "identifier": "5380340001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "14965",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Kindle Smith, CRNA
• Alayna Terasa Soto, BA, TCADC
• Angela Michelle Spannagel, PHARMD
• Tricia Marie Steines, ARNP
• Catherine Nicole Swing, PHARMD
• Destiney Tebbe, LMSW
• Michael Tendall, MSW
• Susan Thiltgen, RN
• Kimberly A Thompson, DO
• Timber City Chiropractic Inc

• Optometrist in Maquoketa, IA
• Providers in Maquoketa, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2014; 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.