Individual provider Active NPI

Scott Gregory Womack, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Charlottesville, VA
National Provider Identifier
1649393679
Registry record updated Sep 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
0101241345 Issued in VA
Practice address
110 S Pantops Dr
Charlottesville, VA 22911-8672
Phone
(434) 977-5160
Fax
(434) 977-5202
NPI assigned
Apr 6, 2007
Last updated
Sep 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2017

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 0101241345 VA
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 0101241345 VA Primary

Addresses

Primary practice location

110 S Pantops Dr
Charlottesville, VA 22911-8672

Mailing address

110 South Pantops Dr.
Charlottesville, VA 22911
Phone (434) 977-5160

Other identifiers 3

IdentifierTypeStateIssuer
0756400001OtherVADMERC
P00427498OtherVAPALMETTO RR MEDICARE
301551OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20071010000775 VA Practitioner - Ophthalmology 1658467352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Virginia Commonwealth University, School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 S Pantops Dr
Charlottesville, VA 22911-8672
Phone (434) 977-5160

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.74 of 100Reported as individual
Quality
87.47
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
0101241345VAMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charlottesville Eye Associates Ophthalmology CurrentSince Aug 1, 2007 Accepting new patients
Charlottesville Eye Associates LTD Ophthalmology CurrentSince Aug 1, 2007 Accepting new patients

Locations

110 S Pantops Dr
Charlottesvle, VA 22911
Phone (434) 977-5160

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.

Hospital & facility affiliations 1

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1649393679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SOUTH PANTOPS DR.",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22911",
            "telephone_number": "434-977-5160",
            "fax_number": "434-977-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S PANTOPS DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118672",
            "telephone_number": "434-977-5160",
            "fax_number": "434-977-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "SCOTT",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101241345",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "VA",
            "license": "0101241345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0756400001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR MEDICARE",
            "identifier": "P00427498",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "301551",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.