Individual provider Active NPI

Craig A Merrill, M.D.

  • Ophthalmology Physician
  • Pismo Beach, CA
National Provider Identifier
1528060746
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G81899 Issued in CA
Practice address
931 Oak Park Blvd
Ste 201
Pismo Beach, CA 93449-3402
Phone
(805) 473-6640
Fax
(805) 473-5873
NPI assigned
Jun 1, 2005
Last updated
Mar 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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 G81899 CA Primary

Addresses

Primary practice location

931 Oak Park Blvd
Ste 201
Pismo Beach, CA 93449-3402

Mailing address

3855 Broad Street
Ste B
San Luis Obispo, CA 93401
Phone (805) 545-7881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050125000705 CA Practitioner - Ophthalmology 4789634163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical University of South Carolina College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

931 Oak Park Blvd
Suite 201
Pismo Beach, CA 93449-3404
Phone (805) 473-6640

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.53 of 100Reported as group
Quality
99.63
Improvement activities
40
Cost
82.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery212

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81899CAMDClinical Social Worker
G81899CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Eye Surgeons, a California Professional Medical Corporation Ophthalmology CurrentSince Nov 1, 2004 Accepting new patients
Pacific Eye Surgeons, a California Professional Medical Corporation CurrentSince Aug 11, 2004 Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
Premier Surgery Center of Santa Maria LLC Past Accepting new patients
Dignity Community Care Past Accepting new patients
Limberg Eye Surgery a Medical Corporation Ophthalmology PastSince Jun 30, 2021 Accepting new patients
Pacific Eye Surgeons, a California Professional Medical Corporation Ophthalmology PastSince Nov 8, 2020 Accepting new patients

Locations

220 Oak Hill Rd
Paso Robles, CA 93446
Phone (805) 227-1477

931 Oak Park Blvd
Ste 201
Pismo Beach, CA 93449
Phone (805) 473-6640

3855 Broad St
#B
San Luis Obispo, CA 93401
Phone (805) 545-7881

230 E Betteravia Rd
Ste S
Santa Maria, CA 93454
Phone (800) 898-8509

816 E Enos Dr
Santa Maria, CA 93454

816 E Enos Dr
Ste A
Santa Maria, CA 93454
Phone (805) 346-1717

628 California Blvd
Ste D
Sn Luis Obisp, CA 93401
Phone (805) 543-1447

2830 W Main St
Visalia, CA 93291
Phone (559) 636-1000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1528060746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 BROAD STREET",
            "address_2": "STE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-545-7881",
            "fax_number": "805-548-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 OAK PARK BLVD",
            "address_2": "STE 201",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493402",
            "telephone_number": "805-473-6640",
            "fax_number": "805-473-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "CRAIG",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G81899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pismo Beach, CA

Sources for this page

Verify at the official NPI Registry.