Individual provider Active NPI

Brian S Planchard, MD

  • Ophthalmology Physician
  • Fort Walton Beach, FL
National Provider Identifier
1639377096
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME136778 Issued in FL
Practice address
1034 Mar Walt Dr Unit 200
Fort Walton Beach, FL 32547-6637
Phone
(850) 862-4001
Fax
(850) 862-1612
NPI assigned
Jul 6, 2007
Last updated
Sep 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Q9883 TX
Ophthalmology Physician 207W00000X MD.202467 LA
Ophthalmology Physician 207W00000X ME136778 FL Primary

Addresses

Primary practice location

1034 Mar Walt Dr Unit 200
Fort Walton Beach, FL 32547-6637

Mailing address

1034 Mar Walt Dr Unit 200
Fort Walton Beach, FL 32547-6637
Phone (850) 862-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110804000708 LA Practitioner - Ophthalmology 6507999190 Reassigns benefits to 1 organization
I20180924002070 FL Practitioner - Ophthalmology 6507999190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magruder Eye Institute, PLLCGroup PAC ID 3971582024, 23 clinicians

Practice addresses (Care Compare)

2500 W 23Rd St
Panama City, FL 32405-2349
Phone (850) 784-3936

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
89.52
Improvement activities
40
Cost
55.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.202467LAMDOphthalmology Physician
Q9883TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magruder Eye Institute, PLLC Ophthalmology CurrentSince May 1, 2024 Accepting new patients
Planchard Eye & Laser Center, L.L.C. Ophthalmology CurrentSince Apr 1, 2017 Accepting new patients

Locations

1911 N Mills Ave
Orlando, FL 32803
Phone (407) 893-8200

2500 W 23rd St
Panama City, FL 32405
Phone (850) 784-3921

2400 Hospital Dr
Ste 100
Bossier City, LA 71111
Phone (318) 212-7860

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: bplanchard@cohneye.direct.eyemdemr.com
  • Direct secure messaging: bplanchard@especsa.intellechartdirect.net
  • Direct secure messaging: brian.planchard@esmf.direct.eyemdemr.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1639377096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 MAR WALT DR UNIT 200",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476637",
            "telephone_number": "850-862-4001",
            "fax_number": "850-862-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 MAR WALT DR UNIT 200",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476637",
            "telephone_number": "850-862-4001",
            "fax_number": "850-862-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANCHARD",
        "first_name": "BRIAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "Q9883",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "MD.202467",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME136778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.