Individual provider Active NPI

Scott Conrad Jamerson, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Charleston, WV
National Provider Identifier
1710180534
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
22199 Issued in WV
Practice address
331 Laidley St.
Suite 301
Charleston, WV 25339-3970
Phone
(304) 346-4400
Fax
(304) 346-0704
NPI assigned
Jun 8, 2007
Last updated
May 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 22199 WV
Retina Specialist (Ophthalmology) Physician 207WX0107X 35093192 OH
Retina Specialist (Ophthalmology) Physician 207WX0107X 22199 WV Primary

Addresses

Primary practice location

331 Laidley St.
Suite 301
Charleston, WV 25339-3970

Mailing address

PO Box 3970
Charleston, WV 25301
Phone (304) 346-4400

Other identifiers 1

IdentifierTypeStateIssuer
3810020136MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20110525000245 WV Practitioner - Ophthalmology 4981753233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
JC Edwards School of Medicine, Marshall University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants PLLCGroup PAC ID 3375636178, 7 clinicians

Practice addresses (Care Compare)

331 Laidley St
Charleston, WV 25301-1605
Phone (304) 346-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Specialists of Ohio LLC Ophthalmology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sjamerson@directaddress.net

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1710180534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3970",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25301",
            "telephone_number": "304-346-4400",
            "fax_number": "304-346-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 LAIDLEY ST.",
            "address_2": "SUITE 301",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253393970",
            "telephone_number": "304-346-4400",
            "fax_number": "304-346-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMERSON",
        "first_name": "SCOTT",
        "middle_name": "CONRAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "22199",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OH",
            "license": "35093192",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "WV",
            "license": "22199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810020136",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.