Individual provider Active NPI

Gregory Seth Ford, M.D.

  • Ophthalmology Physician
  • Cleveland, TN
National Provider Identifier
1447382874
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
44754 Issued in TN
Practice address
2560 Business Park Dr NE
Cleveland, TN 37311-6503
Phone
(423) 472-5401
Fax
(423) 479-3060
NPI assigned
Mar 12, 2007
Last updated
Nov 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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 44754 TN Primary

Addresses

Primary practice location

2560 Business Park Dr NE
Cleveland, TN 37311-6503

Mailing address

2560 Business Park Dr NE
Cleveland, TN 37311-6503
Phone (423) 472-5401

Other identifiers 2

IdentifierTypeStateIssuer
1513421MedicaidTN
3041753OtherTNMEDICARE PTAN

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
I20090701000606 TN Practitioner - Ophthalmology 6002967023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of South Carolina School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Eye Clinic, PCGroup PAC ID 3375643984, 5 clinicians

Practice addresses (Care Compare)

2560 Business Park Dr NE
Cleveland, TN 37311-6503
Phone (423) 472-5401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.17 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery325
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Eye Clinic, PC Ophthalmology CurrentSince Jul 13, 2009 Accepting new patients

Locations

1609 Decatur Pike
Athens, TN 37303
Phone (423) 472-5401

2415 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 472-5401

2560 Business Park Dr NE
Cleveland, TN 37311
Phone (423) 472-5401

5545 Little Debbie Pkwy
Ooltewah, TN 37363
Phone (423) 238-5020

Organizations & group practices 1

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 1

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1447382874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 BUSINESS PARK DR NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373116503",
            "telephone_number": "423-472-5401",
            "fax_number": "423-479-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 BUSINESS PARK DR NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373116503",
            "telephone_number": "423-472-5401",
            "fax_number": "423-479-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "GREGORY",
        "middle_name": "SETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "44754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513421",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "3041753",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.