Individual provider Active NPI

Bob Lee Pansick, MD

  • Ophthalmology Physician
  • Dallas, TX
National Provider Identifier
1326102138
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G4042 Issued in TX
Practice address
12200 Park Central Dr Ste 180
Dallas, TX 75251-2123
Phone
(214) 320-8785
Fax
(214) 320-8983
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 G4042 TX Primary

Addresses

Primary practice location

12200 Park Central Dr Ste 180
Dallas, TX 75251-2123

Mailing address

12200 Park Central Dr Ste 180
Dallas, TX 75251-2123
Phone (214) 320-8785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060427000021 TX Practitioner - Ophthalmology 8022028646 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12200 Park Central Dr
Dallas, TX 75251-2123
Phone (214) 543-3325

Merit-based Incentive Payment System (MIPS)

Final score
94.26 of 100Reported as group
Quality
88.53
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G4042TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bob L. Pansick, MD, Faao, PA Ophthalmology CurrentSince Jan 1, 1990 Accepting new patients

Locations

12200 Park Central Dr
Ste 180
Dallas, TX 75251
Phone (214) 320-8785

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326102138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 PARK CENTRAL DR STE 180",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512123",
            "telephone_number": "214-320-8785",
            "fax_number": "214-320-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 PARK CENTRAL DR STE 180",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512123",
            "telephone_number": "214-320-8785",
            "fax_number": "214-320-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANSICK",
        "first_name": "BOB",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "G4042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.