Jeffrey Kenneth Chaulk, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301405077 Issued in MI

Practice address

350 W North St
Gaylord, MI 49735-1525

Phone

(989) 732-6455

Fax

(989) 732-1102

NPI assigned

Jun 4, 2006

Last updated

Dec 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Merit-based Incentive Payment System (MIPS)

Final score

87.39 of 100Reported as group

Quality

89.51

Improvement activities

40

Cost

71.97

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jchaulk@alpineeyecare.ecldirect.net

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.

• Alpine Eye Care, PC

  dba Alpine Eye Care

  • Ophthalmology Physician
  • Gaylord, MI
  • NPI 1215065727
  Medicare reassignment NPD
• Jeffrey K Chaulk MD PC

  dba Alpine Eye Care

  • Ophthalmology Physician
  • Cheboygan, MI
  • NPI 1902093701
  NPD Authorized official
• Jeffrey K Chaulk MD PC

  dba Alpine Eye Care

  • Ophthalmology Physician
  • Grayling, MI
  • NPI 1558557454
  Authorized official Same address or phone

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1710925334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1665",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497345665",
            "telephone_number": "989-732-6455",
            "fax_number": "989-732-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W NORTH ST",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351525",
            "telephone_number": "989-732-6455",
            "fax_number": "989-732-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAULK",
        "first_name": "JEFFREY",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301405077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180012703",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3038315",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PLUS BLUE",
            "identifier": "0F94502001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINASTAR FEDERAL",
            "identifier": "0585020001",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1806920011",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jchaulk@alpineeyecare.direct.medflow.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "350 W North St",
            "city": "Gaylord",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497351525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Catholic Human Services Inc.
• Jay Chambers, COUNSELOR PROFESSION
• Scott Jude Chandler, CRNA
• Adam Chapko, MA, LPC, CAADC
• Rachel Chapko, PA-C
• Mason Allen Checks
• Stefanie J Clemens
• Rachel Anastasia Cleminson, MD
• Ava Star Cole
• Luis Raul Collazo, M.D.

• Ophthalmology Physician in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.