Jacqueline R Carrasco, MD

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

License

MD416985 Issued in PA

Practice address

100 E Lancaster Ave Ste 54
Wynnewood, PA 19096-3438

Phone

(610) 649-1970

NPI assigned

Jul 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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 2

Specialty

OphthalmologyAlso: Plastic and Reconstructive Surgery

Education

University of Miami, LM Miller School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Annesley Flanagan Fischer Stefanyszyn and AssociatesGroup PAC ID 3476452848, 5 clinicians

Wills Eye Ophthalmology Clinic, IncGroup PAC ID 9133025166, 146 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
• Wills Eye Hospital Hospital, Philadelphia, PA, CCN 390331
• Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
• Chester County Hospital Hospital, West Chester, PA, CCN 390179

Merit-based Incentive Payment System (MIPS)

Final score

95.89 of 100Reported as group

Quality

95.81

Promoting interoperability

94

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

87.34 of 100Reported as group

Quality

80.85

Promoting interoperability

100

Improvement activities

40

Cost

76.95

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacqueline.carrasco@afsa.eclinicaldirectplus.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/EDBFBA

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.

• Annesley Flanagan Fischer Stefanyszyn and Associates

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Wynnewood, PA
  • NPI 1396731501

  NJ, Ophthalmology

  Medicare reassignment Care Compare group NPD
• Wills Eye Ophthalmology Clinic, Inc

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1184624009
  Medicare reassignment Care Compare group NPD
• Edmonds & Associates LLC

  • Optometrist
  • Drexel Hill, PA
  • NPI 1285931709
  NPD (past)

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

• Chester County Hospital

  • General Acute Care Hospital
  • West Chester, PA
  • NPI 1356333579
  Care Compare affiliation
• City of Phila Trustee Acting by the BRD of Dir of City Trusts

  • Special Hospital
  • Philadelphia, PA
  • NPI 1881899284
  Care Compare affiliation
• Main Line Hospitals, Inc.

  • General Acute Care Hospital
  • Wynnewood, PA
  • NPI 1245335629
  Care Compare affiliation
• Main Line Hospitals, Inc.

  • General Acute Care Hospital
  • Bryn Mawr, PA
  • NPI 1508971441
  Care Compare affiliation

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1336148410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE 54",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963438",
            "telephone_number": "610-649-1970",
            "fax_number": "610-649-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE 54",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963438",
            "telephone_number": "610-649-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO",
        "first_name": "JACQUELINE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD416985",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA07455900",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD416985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101226829001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Lee Carnesi, PA-C
• Erin Rebecca Carnish
• Mara F Caroline, M.D.
• Ned Z Carp, M.D.
• Robert F Carr, M.D.
• Elena C. Casanova, CRNP
• Timothy W Casee, OTR/L
• Nancy Tienken Casella I, M ED.
• Rosemary D. Casey, MD
• Monica Jeanne Cash, D.C.

• Ophthalmic Plastic and Reconstructive Surgery Physician in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.