Individual provider Active NPI

Ryan Leo Scarborough, OD

  • Optometrist
  • Rapid City, SD
National Provider Identifier
1679653240
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
697 Issued in SD
Practice address
2800 3Rd St
Rapid City, SD 57701
Phone
(605) 341-2000
Fax
(605) 341-0278
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001698 VA
Optometrist 152W00000X 697 SD Primary

Addresses

Primary practice location

2800 3Rd St
Rapid City, SD 57701

Mailing address

2800 3Rd St
Rapid City, SD 57701-7374
Phone (605) 341-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140520000910 SD Practitioner - Optometry 7618079534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Black Hills Regional Eye Institute LLPGroup PAC ID 0547156762, 13 clinicians
Community Health Center of the Black Hills IncGroup PAC ID 7618886334, 12 clinicians

Practice addresses (Care Compare)

2800 3Rd St
Rapid City, SD 57701-7374
Phone (605) 341-2000

350 Pine St
Rapid City, SD 57701-1669
Phone (605) 721-8939

Merit-based Incentive Payment System (MIPS)

Final score
80.21 of 100Reported as group
Quality
98.64
Promoting interoperability
100
Improvement activities
40
Cost
35.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001698VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Black Hills Regional Eye Institute, LLP Optometrist CurrentSince May 1, 2014 Accepting new patients
Black Hills Regional Eye Institute, LLP Optometrist CurrentSince May 1, 2014 Accepting new patients
Community Health Center of the Black Hills Inc CurrentSince Jan 5, 2020 Accepting new patients
Community Health Center of the Black Hills, Inc Past Accepting new patients
DHHS PHS Naihs Kayenta Health Center Past Accepting new patients

Locations

504 E Monroe St
Rapid City, SD 57701
Phone (605) 394-6665

2800 3rd St
Rapid City, SD 57701
Phone (605) 341-2000

10 Van Buren St
Rapid City, SD 57701
Phone (605) 721-8939

350 Pine St
Rapid City, SD 57701
Phone (605) 721-8939

Interoperability endpoints

  • Direct secure messaging: rscarborough@bhrei.emadirect.md
  • Direct secure messaging: ryan.scarborough.1@32387.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1679653240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 3RD ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017374",
            "telephone_number": "605-341-2000",
            "fax_number": "605-341-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 3RD ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57701",
            "telephone_number": "605-341-2000",
            "fax_number": "605-341-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARBOROUGH",
        "first_name": "RYAN",
        "middle_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001698",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.