Individual provider Active NPI

James Benjamin Earl, MD PHD

  • Retina Specialist (Ophthalmology) Physician
  • Boise, ID
National Provider Identifier
1720248305
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
M-12414 Issued in ID
Practice address
13923 W. Wainwright Dr Ste 301
Boise, ID 83713
Phone
(208) 938-5624
Fax
(208) 938-5764
NPI assigned
Jun 17, 2008
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X M-12414 ID Primary

Addresses

Primary practice location

13923 W. Wainwright Dr Ste 301
Boise, ID 83713

Mailing address

13923 W. Wainwright Dr Ste 301
Boise, ID 83713
Phone (208) 938-5624

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address james.earl.p1@direct.retinaidaho.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20150105002039 ID Practitioner - OphthalmologyPractitioner - Other (Physician) 9638335375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Colorado School of Medicine, Denver, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Specialists of Idaho Partners PLLCGroup PAC ID 8224256284, 2 clinicians

Practice addresses (Care Compare)

13923 W Wainwright Dr
Suite 301
Boise, ID 83713-1969

13923 W Wainwright Dr
Suite 301
Boise, ID 83713-2075
Phone (208) 938-5624

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.78 of 100Reported as group
Quality
93.57
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-12414IDMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Specialists of Idaho Partners, PLLC Ophthalmology CurrentSince Oct 19, 2014 Accepting new patients
Retina Specialists of Idaho, PLLC Ophthalmology PastSince Aug 1, 2008 Accepting new patients
Francois D Trotta MD PA Ophthalmology PastSince Apr 14, 2003 Accepting new patients

Locations

128 E Mallard Dr
Boise, ID 83706
Phone (208) 323-8660

13923 W Wainwright Dr
Ste 301
Boise, ID 83713
Phone (208) 938-5624

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: james.earl.p1@direct.retinaidaho.nextgenshare.com

Organizations & group practices 3

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1720248305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13923 W. WAINWRIGHT DR STE 301",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83713",
            "telephone_number": "208-938-5624",
            "fax_number": "208-938-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13923 W. WAINWRIGHT DR STE 301",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83713",
            "telephone_number": "208-938-5624",
            "fax_number": "208-938-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARL",
        "first_name": "JAMES",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "ID",
            "license": "M-12414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "james.earl.p1@direct.retinaidaho.nextgenshare.com",
            "affiliation": "N",
            "address_1": "13923 W. Wainwright Dr Ste 301",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "83713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.