Active NPI
Brian S Planchard, MD
- Ophthalmology Physician
- Fort Walton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME136778
- 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, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- Quality
- 89.52
- Improvement activities
- 40
- Cost
- 55.31
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 89 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.202467 | LA | MD | Ophthalmology Physician |
| Q9883 | TX | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magruder Eye Institute, PLLC | Ophthalmology | Current | Accepting new patients |
| Planchard Eye & Laser Center, L.L.C. | Ophthalmology | Current | 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
- bplanchard@cohneye.direct.eyemdemr.com
- bplanchard@especsa.intellechartdirect.net
- 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.
-
dba Advanced Eye Care
- Ophthalmology Physician
- Orlando, FL
- NPI 1881661692
-
- Ophthalmology Physician
- Bossier City, LA
- NPI 1902258312
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.