Active NPI
Eugene J McCabe, M.D.
- Ophthalmology Physician
- Saint Charles, MO
National Provider Identifier
1689677106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- R9550
- Practice address
- 1005 Fairgrounds Rd
Saint Charles, MO 63301-2338 - Phone
- (636) 724-7116
- Fax
- (636) 916-4627
- NPI assigned
- May 30, 2005
- Last updated
- Jul 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | R9550 | MO | Primary |
Addresses
Primary practice location
1005 Fairgrounds Rd
Saint Charles, MO 63301-2338
Mailing address
1005 Fairgrounds Rd
Saint Charles, MO 63301-2338
Phone (636) 724-7116
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100995 | Other | MO | HEALTHLINK |
| 2235 | Other | MO | GHP |
| 8035 | Other | MO | EXCLUSIVE CHOICE |
| 0951302 | Other | MO | AETNA |
| 4000687 | Other | MO | AETNA |
| 0800026 | Other | MO | UNITED HEALTHCARE |
| 11946 | Other | MO | OPTICARE |
| 22466 | Other | MO | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9550 | MO | MD | Ophthalmology Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Saint Charles, MO
- NPI 1063526804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1689677106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 FAIRGROUNDS RD",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012338",
"telephone_number": "636-724-7116",
"fax_number": "636-916-4627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 FAIRGROUNDS RD",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012338",
"telephone_number": "636-724-7116",
"fax_number": "636-916-4627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCABE",
"first_name": "EUGENE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MO",
"license": "R9550",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "100995",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "2235",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCLUSIVE CHOICE",
"identifier": "8035",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0951302",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4000687",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0800026",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTICARE",
"identifier": "11946",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "22466",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.