Individual provider Active NPI

David J Weissgold, M.D.

  • Ophthalmology Physician
  • South Burlington, VT
National Provider Identifier
1437169661
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0420009488 Issued in VT
Practice address
99 Swift St Ste 200
South Burlington, VT 05403-7359
Phone
(802) 864-3937
Fax
(802) 864-3936
NPI assigned
Aug 9, 2006
Last updated
Oct 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 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 0420009488 VT Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X 042.0009488 VT

Addresses

Primary practice location

99 Swift St Ste 200
South Burlington, VT 05403-7359

Mailing address

99 Swift St Ste 200
South Burlington, VT 05403-7359
Phone (802) 864-3937

Other identifiers 1

IdentifierTypeStateIssuer
0VN1571MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20051003000122 VT Practitioner - OphthalmologyPractitioner - Optometry 1759316391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of Ny Upstate Medical University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Center of Vermont IncGroup PAC ID 8022036946, 3 clinicians

Practice addresses (Care Compare)

99 Swift St
Suite 200
South Burlington, VT 05403-7359
Phone (802) 864-3937

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0420009488VTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Center of Vermont, Inc Ophthalmology CurrentSince Jun 23, 2005 Accepting new patients
Afterhours Imaging, LLC CurrentSince Dec 18, 2018 Accepting new patients
Vermont Diagnostic Imaging LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

99 Swift St
Ste 200
South Burlington, VT 05403
Phone (802) 495-0821

Interoperability endpoints

  • Direct secure messaging: david.weissgold.p1@direct.retinacentervermont.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1437169661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 SWIFT ST STE 200",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037359",
            "telephone_number": "802-864-3937",
            "fax_number": "802-864-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 SWIFT ST STE 200",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037359",
            "telephone_number": "802-864-3937",
            "fax_number": "802-864-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSGOLD",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VT",
            "license": "0420009488",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "VT",
            "license": "042.0009488",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN1571",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.