Individual provider Active NPI

Nathan Farley, MD

  • Retina Specialist (Ophthalmology) Physician
  • Traverse City, MI
National Provider Identifier
1427476035
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
4301105376 Issued in MI
Practice address
860 E Front St
Traverse City, MI 49686-2704
Phone
(231) 938-0710
Fax
(231) 938-0264
NPI assigned
Apr 1, 2014
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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 4301105376 MI
Retina Specialist (Ophthalmology) Physician 207WX0107X 4301105376 MI Primary

Addresses

Primary practice location

860 E Front St
Traverse City, MI 49686-2704

Mailing address

39650 Orchard Hill PL Ste 200
Novi, MI 48375-5391
Phone (248) 319-0161

Other practice location 1

952 N Center Ave
Gaylord, MI 49735-9318
Phone (989) 448-0937

Other practice location 2

4085 Cedar Bluff Dr
Petoskey, MI 49770-8697
Phone (231) 439-9230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20180514001520 MI Practitioner - Ophthalmology 4385869361 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Retinal Consultants PCGroup PAC ID 2264344746, 30 clinicians

Practice addresses (Care Compare)

3555 W 13 Mile Rd
Suite LL 20
Royal Oak, MI 48073-6710
Phone (248) 288-2280

860 E Front St
Traverse City, MI 49686-2704
Phone (231) 938-0710

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as group
Quality
91.39
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Retinal Consultants, PC Ophthalmology CurrentSince Jul 1, 2018 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Jul 1, 2018 Accepting new patients
Alliance Physicians Inc PastSince Jul 1, 2018 Accepting new patients
Diabetes Reimbursement Specialists Ophthalmology Past Accepting new patients
Associated Retinal Consultants, PC Ophthalmology Past Accepting new patients

Locations

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

952 N Center Ave
Gaylord, MI 49735
Phone (989) 448-0937

5957 Harvey St
Ste 100
Norton Shores, MI 49444
Phone (231) 733-7832

4085 Cedar Bluff Dr
Petoskey, MI 49770
Phone (231) 439-9230

3535 W 13 Mile Rd
Ste 555
Royal Oak, MI 48073
Phone (248) 551-2020

3555 W 13 Mile Rd
#20
Royal Oak, MI 48073
Phone (248) 288-2280

3555 W 13 Mile Rd
Ste LL20
Royal Oak, MI 48073
Phone (248) 288-2280

860 E Front St
Traverse City, MI 49686
Phone (231) 938-0710

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1427476035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39650 ORCHARD HILL PL STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755391",
            "telephone_number": "248-319-0161",
            "fax_number": "248-319-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 E FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862704",
            "telephone_number": "231-938-0710",
            "fax_number": "231-938-0264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "952 N Center Ave",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497359318",
            "country_code": "US",
            "telephone_number": "989-448-0937",
            "fax_number": "989-448-0941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4085 Cedar Bluff Dr",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497708697",
            "country_code": "US",
            "telephone_number": "231-439-9230",
            "fax_number": "231-439-9296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "NATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301105376",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MI",
            "license": "4301105376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.