Craig A Merrill, M.D.
Individual provider Active NPI Ophthalmology Physician · Pismo Beach, CA
NPI 1528060746 · NPPES record last updated Mar 30, 2016
Key facts
- NPI
- 1528060746
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- G81899 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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
- Pacific Eye Surgeons a California Professional Medical Corporation
Practice addresses (Care Compare)
931 Oak Park Blvd
Suite 201
Pismo Beach, CA 93449-3404
Phone (805) 473-6640
Hospital & facility affiliations
- Marian Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.53 of 100
- Quality
- 99.63
- Improvement activities
- 40
- Cost
- 82.25
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 212 |
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 |
|---|---|---|---|---|
| I20050125000705 | CA | Practitioner - Ophthalmology | 4789634163 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81899 | CA | MD | Clinical Social Worker |
| G81899 | CA | MD | Ophthalmology Physician |
Practice roles (7 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Eye Surgeons, a California Professional Medical Corporation | Ophthalmology | Current |
Accepting new patients |
| Pacific Eye Surgeons, a California Professional Medical Corporation | Current |
Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Limberg Eye Surgery a Medical Corporation | Ophthalmology | Past |
Accepting new patients |
| Doctors Medical Center of Modesto, Inc. | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients | |
| Pacific Eye Surgeons, a California Professional Medical Corporation | Ophthalmology | Past |
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
816 E Enos Dr
Ste A
Santa Maria, CA 93454
Phone (805) 346-1717
816 E Enos Dr
Santa Maria, CA 93454
230 E Betteravia Rd
Ste S
Santa Maria, CA 93454
Phone (800) 898-8509
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G81899 | CA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G81899 | Other | CA | MEDICAL LICENSE NUMBER |
Other providers in Pismo Beach, CA
- Ruben Marquez
- Barbara Hayek Marsden
- Ann Marie McDonald
- Ann Louise McNeil
- Megan Richert, Licensed Clinical Social Worker, Inc
- Laura Melissa Michaels
- Jonathan Mielziner
- Stacy D Mierau
- Vanessa Rose Miller
- Gerry Ann Mitchell
All providers in Pismo Beach, 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 Mar 30, 2016. 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.