Individual provider Active NPI

Scott Alan Storck, M.D.

  • Ophthalmology Physician
  • Springfield, OH
National Provider Identifier
1639331358
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35.095337 Issued in OH
Practice address
2330 E High St
Springfield, OH 45505-1371
Phone
(937) 324-3937
Fax
(937) 324-8943
NPI assigned
Jun 25, 2008
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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 35.095337 OH Primary
Ophthalmology Physician 207W00000X 11013273A IN

Addresses

Primary practice location

2330 E High St
Springfield, OH 45505-1371

Mailing address

2330 E High St
Springfield, OH 45505-1371
Phone (937) 324-3937

Other identifiers 3

IdentifierTypeStateIssuer
9911559OtherOHAETNA
1639331358OtherOHNATIONAL NPI NUMBER
3082499MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sstorck@directaddress.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100727001113 OH Practitioner - Ophthalmology 4587797576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Ohio, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care and Surgery Assoc., Inc.Group PAC ID 6507855145, 3 clinicians

Practice addresses (Care Compare)

915 Michigan St
Sidney, OH 45365-2401
Phone (937) 492-8040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.12 of 100Reported as group
Quality
99.62
Improvement activities
40
Cost
70.91

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery459

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11013273AINMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Medical Center, LLC Current Accepting new patients
Eye Care & Surgery Assoc., Inc. Ophthalmology CurrentSince Oct 1, 2024 Accepting new patients
Goes Physicians Inc Ophthalmology CurrentSince Sep 20, 2012 Accepting new patients

Locations

715 Rush Ave
Bellefontaine, OH 43311
Phone (937) 593-3937

921 Rush Ave
Bellefontaine, OH 43311
Phone (937) 324-3937

801 Pro Dr
Celina, OH 45822
Phone (419) 586-6489

915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311

915 Michigan St
Ste 101
Sidney, OH 45365
Phone (937) 492-8040

2330 E High St
Springfield, OH 45505
Phone (937) 324-3937

2330 E High St
Ste 1
Springfield, OH 45505

1935 Prime Ct
Troy, OH 45373

31 S Stanfield Rd
Ste 202
Troy, OH 45373
Phone (800) 492-8040

900 Scioto St
Urbana, OH 43078
Phone (937) 652-1834

Interoperability endpoints

  • Direct secure messaging: sstorck@direct.ovsurgical.com
  • Direct secure messaging: sstorck@directaddress.net
  • Direct secure messaging: sstorck@ohvision.intellechartdirect.net

Organizations & group practices 3

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.

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1639331358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 E HIGH ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051371",
            "telephone_number": "937-324-3937",
            "fax_number": "937-324-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 E HIGH ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051371",
            "telephone_number": "937-324-3937",
            "fax_number": "937-324-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORCK",
        "first_name": "SCOTT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.095337",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "11013273A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9911559",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL NPI NUMBER",
            "identifier": "1639331358",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3082499",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sstorck@directaddress.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2330 E High St",
            "city": "Springfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "455051371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.