Individual provider Active NPI

Terrence D McCanna, MD

  • Ophthalmology Physician
  • Chippewa Falls, WI
National Provider Identifier
1285743989
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
36571020 Issued in WI
Practice address
2525 County Hwy I
Chippewa Falls, WI 54729
Phone
(715) 723-9375
Fax
(715) 723-1092
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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 36571020 WI Primary

Addresses

Primary practice location

2525 County Hwy I
Chippewa Falls, WI 54729

Mailing address

2525 County Hwy I
Chippewa Falls, WI 54729
Phone (715) 723-9375

Other identifiers 1

IdentifierTypeStateIssuer
32120800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20100327000325 WI Practitioner - Ophthalmology 8224173687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Wisconsin School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chippewa Valley Eye Clinic SCGroup PAC ID 0446395800, 5 clinicians

Practice addresses (Care Compare)

2525 County Hwy I
Chippewa Falls, WI 54729-1422
Phone (715) 723-9375

Hospital & facility affiliations

  • Cumberland Memorial Hospital Hospital, Cumberland, WI, CCN 521353
  • Aspirus Stanley Hospital Hospital, Stanley, WI, CCN 521311

Merit-based Incentive Payment System (MIPS)

Final score
89.88 of 100Reported as group
Quality
94.46
Improvement activities
40
Cost
73.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery348
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36571020WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chippewa Valley Eye Clinic Chippewa Falls SC CurrentSince Jul 16, 1995 Accepting new patients
Chippewa Valley Eye Clinic SC Ophthalmology CurrentSince Jul 16, 1995 Accepting new patients

Locations

2525 County Highway I
Chippewa Fls, WI 54729
Phone (715) 723-6520

1705 16th Ave
Cumberland, WI 54829
Phone (715) 822-7222

1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": "1256256000000",
    "number": "1285743989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 COUNTY HWY I",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "54729",
            "telephone_number": "715-723-9375",
            "fax_number": "715-723-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 COUNTY HWY I",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "54729",
            "telephone_number": "715-723-9375",
            "fax_number": "715-723-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANNA",
        "first_name": "TERRENCE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2009-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "36571020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32120800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

Verify at the official NPI Registry.