Individual provider Active NPI

Spencer Broady Witcher, MD

  • Ophthalmology Physician
  • Glasgow, KY
National Provider Identifier
1700876455
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
36426 Issued in KY
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

Updated by the provider on May 12, 2011

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 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

IdentifierTypeStateIssuer
64033046MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PLLCGroup PAC ID 5092784033, 4 clinicians

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 100Reported as individual
Quality
82.47
Improvement activities
40
Cost
77.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1314

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McPeak Vision Partners PLLC Ophthalmology CurrentSince Apr 4, 2005 Accepting new patients
Retina Associates, PSC Ophthalmology Past Accepting new patients
Sweet Dreams Anesthesia Inc PastSince Dec 1, 2016 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.