Individual provider Active NPI

Stephen Trevor Briscoe, MD

  • Ophthalmology Physician
  • Corbin, KY
National Provider Identifier
1679568661
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
33339 Issued in KY
Practice address
1490 Cumberland Falls Hwy
Corbin, KY 40701-2721
Phone
(606) 526-0433
Fax
(606) 526-0434
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 33339 KY Primary

Addresses

Primary practice location

1490 Cumberland Falls Hwy
Corbin, KY 40701-2721

Mailing address

1470 Cumberland Falls Hwy
Corbin, KY 40701-2721
Phone (606) 526-0433

Other identifiers 2

IdentifierTypeStateIssuer
64060148MedicaidKY
3809558MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20100811000611 KY Practitioner - Ophthalmology 1557334034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kentucky College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

850 Riverview Ave
Pineville, KY 40977-1452
Phone (606) 337-5066

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.65 of 100Reported as individual
Quality
94
Improvement activities
40
Cost
71.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33339KYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of Southeast Kentucky PSC Ophthalmology CurrentSince Feb 14, 2003 Accepting new patients

Locations

1470 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 526-0433

1490 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 526-0433

73 Eula Gray St
Ste 15
Harlan, KY 40831

81 Ball Park Rd
Harlan, KY 40831
Phone (606) 573-8100

37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900

850 Riverview Ave
Pineville, KY 40977
Phone (606) 337-3051

188 Hospital Ln
Jellico, TN 37762
Phone (423) 784-1272

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 3

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1679568661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 CUMBERLAND FALLS HWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012721",
            "telephone_number": "606-526-0433",
            "fax_number": "606-526-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 CUMBERLAND FALLS HWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012721",
            "telephone_number": "606-526-0433",
            "fax_number": "606-526-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISCOE",
        "first_name": "STEPHEN",
        "middle_name": "TREVOR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "33339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64060148",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3809558",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.