Individual provider Active NPI

Priscilla J Metcalf, MD

  • Ophthalmology Physician
  • Wharton, TX
National Provider Identifier
1699739797
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G2783 Issued in TX
Practice address
10119 US Highway 59 South
Suite 4
Wharton, TX 77488-9719
Phone
(979) 533-7337
Fax
(979) 488-2918
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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 G2783 TX Primary

Addresses

Primary practice location

10119 US Highway 59 South
Suite 4
Wharton, TX 77488-9719

Mailing address

10119 US Highway 59 South
Suite 4
Wharton, TX 77488-9719
Phone (979) 533-7337

Other practice location 1

111 Avenue F
Bay City, TX 77414-4117
Phone (979) 245-2008

Other identifiers 3

IdentifierTypeStateIssuer
P01948495OtherTXRAILROAD MEDICARE PTAN
119164508MedicaidTX
8HB479OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100729000364 TX Practitioner - Ophthalmology 4688707508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Wisconsin, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matagorda Episcopal Health Outreach Program CorporationGroup PAC ID 6002853538, 9 clinicians

Practice addresses (Care Compare)

101 Ave F
Bay City, TX 77414-4117

10119 Hwy 59 S
Suite 4
Wharton, TX 77488
Phone (979) 533-7337

111 Ave F
Bay City, TX 77414-4117
Phone 9792452008300

Hospital & facility affiliations

  • Matagorda Regional Medical Center Hospital, Bay City, TX, CCN 450465
  • Oakbend Medical Center Hospital, Richmond, TX, CCN 450330

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Matagorda Episcopal Health Outreach Program CurrentSince Jun 1, 2017 Accepting new patients
Wharton Eye Associates PA Ophthalmology CurrentSince Jun 5, 2017 Accepting new patients
Matagorda Episcopal Health Outreach Program Corporation CurrentSince Jun 1, 2017 Accepting new patients
Matagorda Episcopal Health Outreach Program PastSince Aug 25, 2019 Accepting new patients
Matagorda Episcopal Health Outreach Program Past Accepting new patients
South Texas Medical Clinics, P.a. Past Accepting new patients
South Texas Medical Clinics, P.a. Past Accepting new patients

Locations

111 Avenue F
Bay City, TX 77414
Phone 9792452008300

111 Avenue F N
Bay City, TX 77414
Phone 9792452008302

1700 Golden Ave
Bay City, TX 77414

307 Green Ave
Ste A
Palacios, TX 77465
Phone 9792452008300

10119 US 59 Hwy
Ste 4
Wharton, TX 77488
Phone (979) 533-7337

Interoperability endpoints

  • Direct secure messaging: priscilla.metcalf.1@17406.direct.athenahealth.com
  • Direct secure messaging: priscilla.metcalf.1@17133.direct.athenahealth.com
  • Direct secure messaging: priscilla.metcalf@mehop.directbygreenway.com

Organizations & group practices 7

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 2

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1699739797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10119 US HIGHWAY 59 SOUTH",
            "address_2": "SUITE 4",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774889719",
            "telephone_number": "979-533-7337",
            "fax_number": "979-488-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10119 US HIGHWAY 59 SOUTH",
            "address_2": "SUITE 4",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774889719",
            "telephone_number": "979-533-7337",
            "fax_number": "979-488-2918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Avenue F",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "TX",
            "postal_code": "774144117",
            "country_code": "US",
            "telephone_number": "979-245-2008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METCALF",
        "first_name": "PRISCILLA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "G2783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P01948495",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119164508",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8HB479",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wharton, TX

Sources for this page

Verify at the official NPI Registry.