Individual provider Active NPI

Edward McDermott McGill, M.D.

  • Ophthalmology Physician
  • Omaha, NE
National Provider Identifier
1629033972
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20457 Issued in NE
Practice address
10707 Pacific Streett
Suite 205
Omaha, NE 68114-4762
Phone
(402) 399-8055
Fax
(402) 399-8005
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 20457 NE Primary
Ophthalmology Physician 207W00000X 32762 IA

Addresses

Primary practice location

10707 Pacific Streett
Suite 205
Omaha, NE 68114-4762

Mailing address

10707 Pacific St
Suite 205
Omaha, NE 68114-4762
Phone (402) 399-8055

Other identifiers 1

IdentifierTypeStateIssuer
47062838702MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20100804000441 NE Practitioner - Ophthalmology 5991703332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Creighton University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants of the Midlands PCGroup PAC ID 7416056130, 2 clinicians

Practice addresses (Care Compare)

10707 Pacific St
Suite 205
Omaha, NE 68114-4762
Phone (402) 399-8055

8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-4000

Hospital & facility affiliations

  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
  • CHI Health Lakeside Hospital, Omaha, NE, CCN 280130

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32762IAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants of the Midlands PC Ophthalmology CurrentSince Jun 1, 2002 Accepting new patients

Locations

10707 Pacific St
Ste 205
Omaha, NE 68114
Phone (402) 399-8055

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 2

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1629033972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10707 PACIFIC ST",
            "address_2": "SUITE 205",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144762",
            "telephone_number": "402-399-8055",
            "fax_number": "402-399-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10707 PACIFIC STREETT",
            "address_2": "SUITE 205",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144762",
            "telephone_number": "402-399-8055",
            "fax_number": "402-399-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILL",
        "first_name": "EDWARD",
        "middle_name": "MCDERMOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "20457",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "32762",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47062838702",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.