Individual provider Active NPI

Philip Walton Laird, MD

  • Retina Specialist (Ophthalmology) Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1548416399
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
ME118738 Issued in FL
Practice address
3399 Pga Blvd
Suite 350
Palm Beach Gardens, FL 33410-2804
Phone
(561) 624-0099
Fax
(561) 624-7373
NPI assigned
Aug 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME 118738 FL
Ophthalmology Physician 207W00000X 66203 GA
Student in an Organized Health Care Education/Training Program 390200000X
Retina Specialist (Ophthalmology) Physician 207WX0107X ME118738 FL Primary

Addresses

Primary practice location

3399 Pga Blvd
Suite 350
Palm Beach Gardens, FL 33410-2804

Mailing address

3399 Pga Blvd
Suite 350
Palm Beach Gardens, FL 33410-2819
Phone (561) 624-0099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140908000393 FL Practitioner - Ophthalmology 4981860509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Mayo Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Care Specialists PLLCGroup PAC ID 2264517952, 6 clinicians

Practice addresses (Care Compare)

2090 SE Ocean Blvd
Stuart, FL 34996-3304
Phone (561) 624-0099

2201 S 10TH St
Fort Pierce, FL 34950-5382
Phone (772) 461-2020

3399 Pga Blvd
Suite 350
Palm Beach Gardens, FL 33410-2831
Phone (561) 624-0099

Merit-based Incentive Payment System (MIPS)

Final score
94.43 of 100Reported as group
Quality
88.86
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 118738FLMDOphthalmology Physician
66203GAMDOphthalmology Physician
ME118738FLMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Care Specialists PLLC Ophthalmology CurrentSince Apr 14, 2014 Accepting new patients
Retina Care Specialists Ophthalmology Past Accepting new patients

Locations

2201 S 10th St
Fort Pierce, FL 34950
Phone (772) 461-2020

3399 Pga Blvd
Ste 350
Palm Beach Gardens, FL 33410
Phone (561) 624-0099

1700 SE Hillmoor Dr
Ste 100
Port St Lucie, FL 34952
Phone (772) 878-6242

2090 SE Ocean Blvd
Stuart, FL 34996
Phone (561) 287-8777

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": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1548416399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 PGA BLVD",
            "address_2": "SUITE 350",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102819",
            "telephone_number": "561-624-0099",
            "fax_number": "561-624-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 PGA BLVD",
            "address_2": "SUITE 350",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102804",
            "telephone_number": "561-624-0099",
            "fax_number": "561-624-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIRD",
        "first_name": "PHILIP",
        "middle_name": "WALTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-13",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME 118738",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "66203",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME118738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.