Individual provider Active NPI

Michael S Tanner, MD

  • Ophthalmology Physician
  • Lexington, KY
National Provider Identifier
1588026181
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
53534 Issued in KY
Practice address
2720 Old Rosebud Rd Ste 110
Lexington, KY 40509-8005
Phone
(859) 373-0300
Fax
(859) 373-0024
NPI assigned
Mar 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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 53534 KY Primary

Addresses

Primary practice location

2720 Old Rosebud Rd Ste 110
Lexington, KY 40509-8005

Mailing address

2720 Old Rosebud Rd Ste 110
Lexington, KY 40509-8005
Phone (859) 373-0300

Other practice location 1

1800 Old Lebanon Rd
Campbellsville, KY 42718-9663
Phone (270) 789-2023

Other identifiers 1

IdentifierTypeStateIssuer
7100680850MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20200813002643 KY Practitioner - Ophthalmology 1850717414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amedco Kentucky PLLCGroup PAC ID 7911142310, 4 clinicians

Practice addresses (Care Compare)

1800 Old Lebanon Rd
Campbellsville, KY 42718-9663
Phone (270) 789-2023

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.44 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery229

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amedco Kentucky PLLC Ophthalmology CurrentSince Oct 1, 2020 Accepting new patients

Locations

1800 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-5361

2720 Old Rosebud Rd
Ste 110
Lexington, KY 40509
Phone (859) 373-0300

Interoperability endpoints

  • Direct secure messaging: mt@abelleyes.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 and National Provider Directory roles.

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1588026181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 OLD ROSEBUD RD STE 110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098005",
            "telephone_number": "859-373-0300",
            "fax_number": "859-373-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 OLD ROSEBUD RD STE 110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098005",
            "telephone_number": "859-373-0300",
            "fax_number": "859-373-0024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Old Lebanon Rd",
            "address_purpose": "LOCATION",
            "city": "Campbellsville",
            "state": "KY",
            "postal_code": "427189663",
            "country_code": "US",
            "telephone_number": "270-789-2023",
            "fax_number": "270-465-5361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANNER",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "53534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100680850",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.