Charles A Luxenberg, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME0035503 Issued in FL

Practice address

2595 Tampa Rd
Suite a
Palm Harbor, FL 34684-3152

Phone

(727) 785-6777

Fax

(727) 785-7102

NPI assigned

Sep 8, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Ophthalmology

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gregory L Henderson MD Facs IncGroup PAC ID 9739172321, 31 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.32 of 100Reported as group

Quality

96.85

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Gregory L Henderson MD Facs Inc

  • Ophthalmology Physician
  • Brandon, FL
  • NPI 1306839725
  Medicare reassignment Care Compare group NPD
• Gregory L Henderson MD Facs Inc

  • Ophthalmology Physician
  • Tampa, FL
  • NPI 1952139347
  NPD
• Gregory L Henderson MD Facs Inc

  • Ophthalmology Physician
  • Brandon, FL
  • NPI 1144214552
  NPD (past)
• Gregory L Henderson MD Facs Inc

  • Ophthalmology Physician
  • Sun City Center, FL
  • NPI 1821082249
  NPD (past)
• Phycon Medical Sciences Inc

  • Physiological Laboratory
  • Tampa, FL
  • NPI 1467419549
  NPD (past)

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1700870532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 TAMPA RD",
            "address_2": "SUITE A",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843152",
            "telephone_number": "727-785-6777",
            "fax_number": "727-785-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 TAMPA RD",
            "address_2": "SUITE A",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843152",
            "telephone_number": "727-785-6777",
            "fax_number": "727-785-7102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 Vonderburg Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115982",
            "country_code": "US",
            "telephone_number": "813-681-1122",
            "fax_number": "813-684-4924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13106 Vail Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335797187",
            "country_code": "US",
            "telephone_number": "813-392-3311",
            "fax_number": "813-392-3301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Rickenbacker Dr",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335735361",
            "country_code": "US",
            "telephone_number": "813-634-8877",
            "fax_number": "813-634-2266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUXENBERG",
        "first_name": "CHARLES",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2023-03-07",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0035503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL STATE",
            "identifier": "ME0035503",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cluxenberg@floridaeye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "13106 Vail Ridge Dr",
            "city": "Riverview",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335797187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ludmila Kiev United Home Services
• John Joseph Lumpkin, PT
• Vnaessa Luongo
• Robert T Lutz, L.AC.
• Lux Dental and Spa
• Luxusa LLC
• Ren Ly
• Hannah Rose Lybarger
• Lyda D Tymiak MD PA
• Bianca Lyle

• Ophthalmology Physician in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.