Individual provider Active NPI

Andrew M Plummer

  • Ophthalmology Physician
  • W Lake Hills, TX
National Provider Identifier
1467982710
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
S8758 Issued in TX
Practice address
5656 Bee Caves Rd Ste F200
W Lake Hills, TX 78746-5236
Phone
(512) 472-4011
Fax
(512) 472-5057
NPI assigned
Jun 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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 S8758 TX Primary

Addresses

Primary practice location

5656 Bee Caves Rd Ste F200
W Lake Hills, TX 78746-5236

Mailing address

5656 Bee Caves Rd Ste F200
W Lake Hills, TX 78746-5236
Phone (512) 472-4011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210701003814 TX Practitioner - Ophthalmology 7214207760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Southwestern Medical School at Dallas, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1180 Seton Pkwy
Suite 330
Kyle, TX 78640-6179
Phone (512) 287-7071

Merit-based Incentive Payment System (MIPS)

Final score
81.84 of 100Reported as group
Quality
80.96
Improvement activities
40
Cost
64.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spark Eye Care PLLC Ophthalmology CurrentSince Aug 1, 2024 Accepting new patients
Westlake Eye Obs LLC PastSince Feb 4, 2024 Accepting new patients

Locations

1180 Seton Pkwy
Ste 330
Kyle, TX 78640
Phone (512) 550-0321

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.

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1467982710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD STE F200",
            "city": "W LAKE HILLS",
            "state": "TX",
            "postal_code": "787465236",
            "telephone_number": "512-472-4011",
            "fax_number": "512-472-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD STE F200",
            "city": "W LAKE HILLS",
            "state": "TX",
            "postal_code": "787465236",
            "telephone_number": "512-472-4011",
            "fax_number": "512-472-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMMER",
        "first_name": "ANDREW",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "S8758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in W Lake Hills, TX

Sources for this page

Verify at the official NPI Registry.