Individual provider Active NPI

Craig Fredrick McCabe, MD

  • Ophthalmology Physician
  • Murfreesboro, TN
National Provider Identifier
1396747325
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
31525 Issued in TN
Practice address
122 Heritage Park Dr
Murfreesboro, TN 37129
Phone
(615) 904-9024
Fax
(615) 904-0337
NPI assigned
Aug 10, 2005
Reactivated
Mar 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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 MD0000031525 TN
Ophthalmology Physician 207W00000X 31525 TN Primary

Addresses

Primary practice location

122 Heritage Park Dr
Murfreesboro, TN 37129

Mailing address

122 Heritage Park Drive
Murfreesboro, TN 37129
Phone (615) 904-9024

Other identifiers 1

IdentifierTypeStateIssuer
3718467MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20120404000506 TN Practitioner - Ophthalmology 4981707700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Vanderbilt University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

122 Heritage Park Dr
Suite 100
Murfreesboro, TN 37129-0563
Phone (615) 904-9024

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000031525TNMDOphthalmology Physician
31525TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McCabe Vision Center, P.C. Ophthalmology CurrentSince Aug 1, 2003 Accepting new patients
Litchford Eye Clinic, PC Past Accepting new patients

Locations

122 Heritage Park Dr
Ste 100
Murfreesboro, TN 37129
Phone (615) 904-9024

122 Heritage Park Dr
Murfreesboro, TN 37129
Phone (615) 904-9024

Interoperability endpoints

  • Direct secure messaging: cm@mvc.direct.eyemdemr.com

Organizations & group practices 2

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1396747325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 HERITAGE PARK DRIVE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37129",
            "telephone_number": "615-904-9024",
            "fax_number": "615-904-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 HERITAGE PARK DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37129",
            "telephone_number": "615-904-9024",
            "fax_number": "615-904-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "CRAIG",
        "middle_name": "FREDRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2018-07-13",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD0000031525",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "31525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3718467",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.