Charles Gregory Maddux, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD61051076 Issued in WA

Practice address

11332 Mountain View Ave Ste C
Loma Linda, CA 92354

Phone

(909) 558-6131

Fax

(909) 558-0430

NPI assigned

Mar 31, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Ophthalmology

Education

Loma Linda University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Cascade Eye Associates PSGroup PAC ID 5991699498, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cmaddux@cascadia.emadirect.md
• FHIR API: https://b77485b4-c1a7-4e91-916d-278628085702.gastro.prod.fhir.ema-api.com/fhir/r4/
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• North Cascade Eye Associates PS

  • Ophthalmology Physician
  • Mount Vernon, WA
  • NPI 1093750481
  Medicare reassignment Care Compare group NPD
• Eye Associates Surgery Center Inc

  dba Cascadia Surgical

  • Ambulatory Surgical Clinic/Center
  • Mount Vernon, WA
  • NPI 1225252257
  NPD
• North Cascade Eye Associates PS

  dba Cascadia Eye

  • Ophthalmology Physician
  • Mount Vernon, WA
  • NPI 1811749013
  NPD
• North Cascade Eye Associates PS

  • Ophthalmology Physician
  • Stanwood, WA
  • NPI 1235372251
  NPD (past)
• North Cascade Eye Associates PS

  • Ophthalmology Physician
  • Coupeville, WA
  • NPI 1518495282
  NPD (past)

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

• Public Hospital Dist No 1 Skagit

  dba Skagit Valley Hospital

  • General Acute Care Hospital
  • Mount Vernon, WA
  • NPI 1053357244
  Care Compare affiliation

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346603974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LITTLE MOUNTAIN LN",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982748752",
            "telephone_number": "360-416-6735",
            "fax_number": "360-424-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11332 MOUNTAIN VIEW AVE STE C",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "92354",
            "telephone_number": "909-558-6131",
            "fax_number": "909-558-0430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 S 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "601533328",
            "country_code": "US",
            "telephone_number": "708-216-5368",
            "fax_number": "708-216-3375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2131 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Sedro Woolley",
            "state": "WA",
            "postal_code": "982844301",
            "country_code": "US",
            "telephone_number": "360-416-6735",
            "fax_number": "360-424-6954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDUX",
        "first_name": "CHARLES",
        "middle_name": "GREGORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2022-07-21",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD61051076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Cheree Macknet, ARNP
• Mark R Macknet, M.D.
• Joshua Stuart Maclaughlan, MD
• Jenae Fumiko Maclean
• Carrie Macwhorter, PHARM. D., ,MBA
• Anagha Jaidev Madgulkar
• Erik Madsen
• Kevin Prescott Maeda
• Mary Ann Alonzo Magallanes, DO
• Veronica Rae Magallanes

• Ophthalmology Physician in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.