Sarah Rebecca Burgett, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.010509 Issued in IL

Practice address

4731 45TH Street CT
Rock Island, IL 61201-7102

Phone

(309) 793-2020

Fax

(309) 793-2602

NPI assigned

Jun 18, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL, IA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Surgeons Associates PCGroup PAC ID 4183521206, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.56 of 100Reported as group

Quality

97.61

Promoting interoperability

98

Improvement activities

40

Cost

32.58

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sarah.burgettod.p1@direct.esaeyecare.nextgenshare.com

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.

• Eye Surgeons Associates PC

  • Ophthalmology Physician
  • Bettendorf, IA
  • NPI 1386607562

  IL, Optometrist

  Medicare reassignment Care Compare group NPD
• Eye Surgeons Associates PC

  • Eyewear Supplier
  • Rock Island, IL
  • NPI 1316030034

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1467715276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 TANGLEFOOT LN",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221650",
            "telephone_number": "563-323-2020",
            "fax_number": "563-328-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4731 45TH STREET CT",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612017102",
            "telephone_number": "309-793-2020",
            "fax_number": "309-793-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGETT",
        "first_name": "SARAH",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL GROUP MEDICARE #",
            "identifier": "977130",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "O46010509",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas A Brozovich, D.C.
• Deidra J Brunat, M.H.P.
• Camara Lynn Harris Buckles
• Bradley William Buckrop, DPM
• Lyndsea N Bulfer, DC
• Stephanie Burrows, MD
• Ginger I Busby
• Jack Buzek, MD
• Robert Byram, PHD
• Jeanette Byrd

• Optometrist in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.