Active NPI
Spencer Broady Witcher, MD
- Ophthalmology Physician
- Glasgow, KY
National Provider Identifier
1700876455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 36426
- Practice address
- 108 Bravo Blvd
Glasgow, KY 42141-3478 - Phone
- (270) 651-2181
- Fax
- (270) 651-2183
- NPI assigned
- Oct 25, 2005
- 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 | 36426 | KY | Primary |
Addresses
Primary practice location
108 Bravo Blvd
Glasgow, KY 42141-3478
Mailing address
108 Bravo Blvd
Glasgow, KY 42141-3478
Phone (270) 651-2181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64033046 | Medicaid | KY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050419000115 | KY | Practitioner - Ophthalmology | 4183662422 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Louisville School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McPeak Vision Partners PLLC
Practice addresses (Care Compare)
108 Bravo Blvd
Glasgow, KY 42141-3412
Phone (270) 651-2181
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.12 of 100
- Quality
- 82.47
- Improvement activities
- 40
- Cost
- 77.1
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1314 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McPeak Vision Partners PLLC | Ophthalmology | Current | Accepting new patients |
| Retina Associates, PSC | Ophthalmology | Past | Accepting new patients |
| Sweet Dreams Anesthesia Inc | Past | Accepting new patients |
Locations
1403 Andrea St
Bowling Green, KY 42104
Phone (270) 651-2181
104 Mohawk St
Brownsville, KY 42210
Phone (270) 597-2155
108 Bravo Blvd
Glasgow, KY 42141
Phone (270) 651-2181
Interoperability endpoints
- spencerwitcher@mcpeakvision.direct.eyemdemr.com
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Glasgow, KY
- NPI 1316922891
-
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1508133497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1700876455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 BRAVO BLVD",
"city": "GLASGOW",
"state": "KY",
"postal_code": "421413478",
"telephone_number": "270-651-2181",
"fax_number": "270-651-2183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 BRAVO BLVD",
"city": "GLASGOW",
"state": "KY",
"postal_code": "421413478",
"telephone_number": "270-651-2181",
"fax_number": "270-651-2183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITCHER",
"first_name": "SPENCER",
"middle_name": "BROADY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "KY",
"license": "36426",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64033046",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glasgow, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.