Individual provider Active NPI

Jon Curtis Caster, M.D.

  • Specialist
  • Nacogdoches, TX
National Provider Identifier
1558328914
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J2526 Issued in TX
Practice address
1105 N University Dr
Nacogdoches, TX 75961-4211
Phone
(936) 560-5437
Fax
(936) 560-1341
NPI assigned
Apr 28, 2006
Last updated
Dec 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J2526 TX Primary

Addresses

Primary practice location

1105 N University Dr
Nacogdoches, TX 75961-4211

Mailing address

PO Box 631624
Nacogdoches, TX 75963-1624
Phone (936) 560-5437

Other identifiers 2

IdentifierTypeStateIssuer
134548007MedicaidTX
8978J0OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090626000420 TX Practitioner - Ophthalmology 8123179447

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Sanford School of Medicine of University of South Dakota, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1105 N University
Suite 102
Nacodoches, TX 75961-4211

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision35
Skin biopsy14

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
J2526TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Oculofacial Plastic Surgery, PLLC CurrentSince Jun 5, 2009 Accepting new patients

Locations

1105 N University Dr
Nacogdoches, TX 75961
Phone (936) 560-5437

1105 N University Dr
Ste 102
Nacogdoches, TX 75961
Phone (936) 560-5437

Interoperability endpoints

  • Direct secure messaging: jcaster@ops.direct.eyemdemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1558328914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631624",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759631624",
            "telephone_number": "936-560-5437",
            "fax_number": "936-560-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614211",
            "telephone_number": "936-560-5437",
            "fax_number": "936-560-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTER",
        "first_name": "JON",
        "middle_name": "CURTIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J2526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134548007",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8978J0",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.