Robert Shelby Haymond, MD
Individual provider Active NPI Ophthalmology Physician · Angels Camp, CA
NPI 1477596096 · NPPES record last updated Jan 13, 2020
Key facts
- NPI
- 1477596096
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- G070921 (CA)
- Practice address
- 1300 Kurt Dr
Ste 102
Angels Camp, CA 95222 - Phone
- (209) 736-6760
- Fax
- (209) 736-0450
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- University of Southern California Keck School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1300 Kurt Dr
Suite 102
Angels Camp, CA 95222-9324
Phone (209) 736-6760
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101026000496 | CA | Practitioner - Ophthalmology | 6204946197 | Practice locations: Angels Camp, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70921 | CA | MD | Clinical Social Worker |
| G070921 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Twain Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G070921 | CA | Yes |
Addresses
Primary practice location
1300 Kurt Dr
Ste 102
Angels Camp, CA 95222
Mailing address
PO Box 309
Angels Camp, CA 95222-0309
Phone (209) 736-6760
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0975590001 | Other | CA | PALMETTO GBA |
Other providers in Angels Camp, CA
- David Anthony Groat
- Gut Hormone Health LLC
- Rebecca Lynn Hancock
- Christina Hauer
- Gabriella Rose Gomez Hawkins
- Star Hildabrand
- Kyrstyn Hildreth
- Chris H. Iwata
- Paul Allen Jacobson
- Priya Tara Johnston
All providers in Angels Camp, CA · Ophthalmology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.