Michael David Decourcey, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

89877 Issued in SC

Practice address

735 Johnnie Dodds Blvd Ste 101
Mount Pleasant, SC 29464-3060

Phone

(843) 592-3955

NPI assigned

May 2, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Ophthalmology

Education

State University of Ny Upstate Medical University, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Vision Institute LLCGroup PAC ID 6709153950, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.67 of 100Reported as group

Quality

97.88

Improvement activities

40

Cost

58.41

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Southeastern Vision Institute LLC

  • Ophthalmology Physician
  • Mount Pleasant, SC
  • NPI 1679014138
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688774400000",
    "number": "1477042711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 JOHNNIE DODDS BLVD STE 101",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 JOHNNIE DODDS BLVD STE 101",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643060",
            "telephone_number": "843-592-3955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 S Edgerton Rd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Brecksville",
            "state": "OH",
            "postal_code": "441414206",
            "country_code": "US",
            "telephone_number": "440-526-1974",
            "fax_number": "440-526-2352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECOURCEY",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-02",
        "last_updated": "2023-07-08",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.144347",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "89877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Paul De Villier, MSW, LPC
• Dana Debalko
• Deborah Brunner
• Justine De la Rosa Decastro, M.D.
• Allison Decory, PT, DPT
• Larry Deem, HIS
• Delaney Nicole Dehertogh, APRN
• Robin Delaney, PHD
• Loren Delisle
• Tiffany Dellinger, NP

• Ophthalmology Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2023; 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.