Individual provider Active NPI

Steve R Sickbert, O.D.

  • Optometrist
  • Rushville, IN
National Provider Identifier
1306892971
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001939-IN Issued in IN
Practice address
620 E 11TH St
Rushville, IN 46173-1319
Phone
(765) 932-5553
Fax
(765) 932-1813
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001939-IN IN Primary

Addresses

Primary practice location

620 E 11TH St
Rushville, IN 46173-1319

Mailing address

620 E 11TH St
Rushville, IN 46173-1319
Phone (765) 932-5553

Other identifiers 1

IdentifierTypeStateIssuer
100215980AMedicaidIN

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111013000134 IN Practitioner - Optometry 4385759489 Reassigns benefits to 1 organization
Practice locations: Rushville, IN

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Eye Consultants PCGroup PAC ID 2961399217, 71 clinicians

Practice addresses (Care Compare)

620 E 11TH St
Rushville, IN 46173-1319
Phone (765) 932-5553

Merit-based Incentive Payment System (MIPS)

Final score
55.99 of 100Reported as group
Quality
31.67
Improvement activities
40
Cost
78.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18001939-ININMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sickbert Family Eye Care LLC CurrentSince Oct 1, 1980 Accepting new patients
Midwest Eye Consultants, PC Optometrist CurrentSince Mar 1, 2022 Accepting new patients
Midwest Eye Consultants, P.C. Current Accepting new patients
Midwest Eye Consultants, PC Optometrist CurrentSince Mar 1, 2022 Accepting new patients
Major Hospital Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients

Locations

825 N Lincoln St
#12
Greensburg, IN 47240
Phone (812) 663-7222

301 J St
Laporte, IN 46350
Phone (219) 326-9569

620 E 11th St
Rushville, IN 46173
Phone (765) 932-5553

Organizations & group practices 7

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1306892971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E 11TH ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731319",
            "telephone_number": "765-932-5553",
            "fax_number": "765-932-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E 11TH ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731319",
            "telephone_number": "765-932-5553",
            "fax_number": "765-932-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKBERT",
        "first_name": "STEVE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001939-IN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100215980A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rushville, IN

Sources for this page

Verify at the official NPI Registry.