Individual provider Active NPI

Brice B. Dille, M.D.

  • Ophthalmology Physician
  • Boiling Springs, SC
National Provider Identifier
1437151990
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
27661 Issued in SC
Practice address
1520 Boiling Springs Rd
Boiling Springs, SC 29316-5121
Phone
(864) 583-6381
Fax
(864) 583-6390
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 27661 SC Primary

Addresses

Primary practice location

1520 Boiling Springs Rd
Boiling Springs, SC 29316-5121

Mailing address

479 Heywood Avenue
Spartanburg, SC 29307-1726
Phone (864) 583-6381

Other identifiers 5

IdentifierTypeStateIssuer
27661OtherSCSC MEDICAL LICENSE
22N33N45OtherSCSC CONT. DRUG
CJ6730OtherSCRAILROAD MEDICARE GROUP
276613MedicaidSC
P00386245OtherSCRAILROAD MEDICARE INDIVID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20051101000820 SC Practitioner - Ophthalmology 0547287229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Georgia School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Eye and Laser Center LLCGroup PAC ID 1850317819, 6 clinicians

Practice addresses (Care Compare)

1520 Boiling Springs Rd
Boiling Springs, SC 29316-5121
Phone (864) 583-6381

Hospital & facility affiliations

  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery369

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Specialty Eye Surgery, LLC CurrentSince Jul 27, 2016 Accepting new patients
Palmetto Eye & Laser Center, LLC Ophthalmology CurrentSince Jun 18, 2007 Accepting new patients

Locations

479 Heywood Ave
Spartanburg, SC 29307
Phone (864) 583-6381

1530 Boiling Springs Rd
Spartanburg, SC 29316
Phone (864) 583-6381

1520 Boiling Springs Rd
Spartanburg, SC 29316
Phone (864) 583-6381

Interoperability endpoints

  • Direct secure messaging: brice.dille@palmettoeyeandlaser.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.

Hospital & facility affiliations 4

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1437151990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 HEYWOOD AVENUE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071726",
            "telephone_number": "864-583-6381",
            "fax_number": "864-583-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 BOILING SPRINGS RD",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165121",
            "telephone_number": "864-583-6381",
            "fax_number": "864-583-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLE",
        "first_name": "BRICE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "27661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAL LICENSE",
            "identifier": "27661",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC CONT. DRUG",
            "identifier": "22N33N45",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CJ6730",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276613",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE INDIVID",
            "identifier": "P00386245",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boiling Springs, SC

Sources for this page

Verify at the official NPI Registry.