Individual provider Active NPI

Philip Lodge Ames, M.D.

  • Ophthalmology Physician
  • Bradenton, FL
National Provider Identifier
1295116242
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
58966 Issued in TN
Practice address
217 Manatee Ave E
Bradenton, FL 34208-1931
Phone
(941) 748-1818
Fax
(941) 746-1055
NPI assigned
Jun 16, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 26687 MS
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 58966 TN Primary

Addresses

Primary practice location

217 Manatee Ave E
Bradenton, FL 34208-1931

Mailing address

217 Manatee Ave E
Bradenton, FL 34208-1931
Phone (941) 748-1818

Other practice location 1

1432 Kimbrough Rd
Germantown, TN 38138
Phone (901) 767-4499

Other practice location 2

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 273-8787

Other practice location 3

6947 Crumpler Blvd Ste 101
Olive Branch, MS 38654-1922
Phone (901) 767-4499

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
I20210901002133 FL Practitioner - Ophthalmology 7911291125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manatee Sarasota Eye Clinic PAGroup PAC ID 2466414925, 10 clinicians

Practice addresses (Care Compare)

217 Manatee Ave E
Bradenton, FL 34208-1931
Phone (941) 748-1818

Merit-based Incentive Payment System (MIPS)

Final score
97.35 of 100Reported as individual
Quality
94.71
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Manatee Sarasota Eye Clinic PA Single Specialty CurrentSince Jul 12, 2021 Accepting new patients

Locations

217 Manatee Ave E
Bradenton, FL 34208
Phone (941) 748-1818

6310 Health Park Way
Ste 340
Lakewood Ranch, FL 34202
Phone (914) 748-1818

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1295116242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081931",
            "telephone_number": "941-748-1818",
            "fax_number": "941-746-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081931",
            "telephone_number": "941-748-1818",
            "fax_number": "941-746-1055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1432 Kimbrough Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "38138",
            "country_code": "US",
            "telephone_number": "901-767-4499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-273-8787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6947 Crumpler Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Olive Branch",
            "state": "MS",
            "postal_code": "386541922",
            "country_code": "US",
            "telephone_number": "901-767-4499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMES",
        "first_name": "PHILIP",
        "middle_name": "LODGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "26687",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "58966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.