Individual provider Active NPI

Christopher Bauer Pesavento, M.D.

  • Ophthalmology Physician
  • Greenwood, IN
National Provider Identifier
1285742163
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01062116A Issued in IN
Practice address
701 E County Line Rd
Suite 202
Greenwood, IN 46143-1072
Phone
(317) 215-2833
Fax
(317) 215-2838
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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 01062116A IN Primary

Addresses

Primary practice location

701 E County Line Rd
Suite 202
Greenwood, IN 46143-1072

Mailing address

701 E County Line Rd
Suite 202
Greenwood, IN 46143-1072
Phone (317) 215-2833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20070103000455 IN Practitioner - Ophthalmology 7113927856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Indiana University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

701 E County Line Rd
Suite 202
Greenwood, IN 46143-1071
Phone (317) 215-2833

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery575

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01062116AINMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Center for Sight Ophthalmology CurrentSince Sep 14, 2015 Accepting new patients
Major Hospital Ophthalmology Past Accepting new patients

Locations

701 E County Line Rd
Ste 202
Greenwood, IN 46143
Phone (317) 215-2833

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/medflow_southsidecenterforsight
  • Direct secure messaging: cpesavento10463@direct.franciscanalliance.org
  • Direct secure messaging: cpesavento@cfs.ecldirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1285742163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E COUNTY LINE RD",
            "address_2": "SUITE 202",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431072",
            "telephone_number": "317-215-2833",
            "fax_number": "317-215-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E COUNTY LINE RD",
            "address_2": "SUITE 202",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431072",
            "telephone_number": "317-215-2833",
            "fax_number": "317-215-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESAVENTO",
        "first_name": "CHRISTOPHER",
        "middle_name": "BAUER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01062116A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.