Active NPI
Rachel Peck Sabo, MD
- Ophthalmology Physician
- Statesville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 2014-01705
- Practice address
- 646 Hartness Rd
Statesville, NC 28677-3423 - Phone
- (704) 872-4108
- Fax
- (704) 873-6517
- NPI assigned
- May 21, 2008
- Last updated
- Oct 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A108010 | CA | |
| Ophthalmology Physician | 207W00000X | 2014-01705 | NC | Primary |
Addresses
Primary practice location
646 Hartness Rd
Statesville, NC 28677-3423
Mailing address
6035 Fairview Rd
Charlotte, NC 28210-3256
Phone (704) 295-3000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1506675 | Other | COVENTRY | |
| Q0170E | Medicaid | SC | |
| 30200419 | Other | SC | SELECT HEALTH OF SC |
| 8314433 | Other | CIGNA | |
| 189PN | Other | NC | BCBSNC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
144 Fountain PL
Mooresville, NC 28117-0162
Phone (704) 658-0595
6035 Fairview Rd
Charlotte, NC 28210-3256
Phone (704) 295-3000
646 Hartness Rd
Statesville, NC 28677-3423
Phone (704) 872-4108
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 187 |
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A108010 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlotte Eye Ear Nose & Throat Associates, P.a. | Ophthalmology | Current | Accepting new patients |
| Charlotte Eye Ear Nose & Throat Associates, PA | Ophthalmology | Current | Accepting new patients |
Locations
6035 Fairview Rd
Charlotte, NC 28210
Phone (336) 718-2078
530 Corporate Cir
Salisbury, NC 28147
Phone (704) 637-0158
646 Hartness Rd
Statesville, NC 28677
Phone (704) 871-0081
Interoperability endpoints
- rsabo5792@direct.ceenta.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Charlotte, NC
- NPI 1043287469
-
- Ophthalmology Physician
- Salisbury, NC
- NPI 1801217948
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Statesville, NC
- NPI 1417944224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445472000000",
"number": "1558528000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6035 FAIRVIEW RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103256",
"telephone_number": "704-295-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "646 HARTNESS RD",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286773423",
"telephone_number": "704-872-4108",
"fax_number": "704-873-6517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABO",
"first_name": "RACHEL",
"middle_name": "PECK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2015-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A108010",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NC",
"license": "2014-01705",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "1506675",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q0170E",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH OF SC",
"identifier": "30200419",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8314433",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "189PN",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Statesville, NC
- Ruach Faith & Courage PLLC
- Ruby Ann Grimm
- Danielle Luna Rudel, LCSW
- Colleen E Russo, M.S., P.T.
- Samantha Loren Ryan, MSW, LCSWA, LCASA
- Samuel Harrison Sackenheim, FNP
- Safrit NC PLLC (Family Dental Health of Statesville)
- Safrit PLLC (Family Dental Health of Davie Avenue)
- Pamela Sailors, RN
- Dana Troutman Sain, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.