Individual provider Active NPI

Orry Carlisle Birdsong, MD

  • Ophthalmology Physician
  • Scottsdale, AZ
National Provider Identifier
1609210699
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
62843 Issued in AZ
Practice address
8416 E Shea Blvd Ste C-101
Scottsdale, AZ 85260-6666
Phone
(480) 483-3937
Fax
(480) 483-8813
NPI assigned
Apr 22, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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 62843 AZ Primary

Addresses

Primary practice location

8416 E Shea Blvd Ste C-101
Scottsdale, AZ 85260-6666

Mailing address

8416 E Shea Blvd Ste C-101
Scottsdale, AZ 85260-6666
Phone (480) 483-3937

Other identifiers 1

IdentifierTypeStateIssuer
62843OtherAZMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210219001400 AZ Practitioner - Ophthalmology 7012286693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical Branch at Galveston, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jay L Schwartz D O P CGroup PAC ID 0143285841, 5 clinicians

Practice addresses (Care Compare)

8416 E Shea Blvd
Suite C101
Scottsdale, AZ 85260-6666
Phone (480) 483-3937

Merit-based Incentive Payment System (MIPS)

Final score
51.63 of 100Reported as group
Quality
0
Improvement activities
40
Cost
72.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery226

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62843AZMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jay L Schwartz D O P C Ophthalmology CurrentSince Mar 1, 2021 Accepting new patients

Locations

18275 N 59th Ave
Ste B108
Glendale, AZ 85308
Phone (480) 483-3937

3130 E Baseline Rd
Ste 101
Mesa, AZ 85204
Phone (480) 483-3937

8416 E Shea Blvd
Ste C101
Scottsdale, AZ 85260
Phone (480) 483-3937

Interoperability endpoints

  • Direct secure messaging: obirdsong@schwartzlaser.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": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1609210699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8416 E SHEA BLVD STE C-101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606666",
            "telephone_number": "480-483-3937",
            "fax_number": "480-483-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8416 E SHEA BLVD STE C-101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606666",
            "telephone_number": "480-483-3937",
            "fax_number": "480-483-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRDSONG",
        "first_name": "ORRY",
        "middle_name": "CARLISLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-22",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "62843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "62843",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.