Michael Pennachio, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME0045426 Issued in FL

Practice address

640 S Lake St
Leesburg, FL 34748-5927

Phone

(352) 728-1717

Fax

(352) 728-8467

NPI assigned

Jul 5, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Ophthalmology

Education

University of South Florida College of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Florida Eye Specialists PLGroup PAC ID 8820184831, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.65 of 100Reported as individual

Quality

99.3

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpennachio@esp.intellechartdirect.net

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.

• Central Florida Eye Specialists PL

  • Ophthalmology Physician
  • Deland, FL
  • NPI 1548259898
  Medicare reassignment Care Compare group NPD
• Michael Pennachio, LLC

  • Ophthalmology Physician
  • Clermont, FL
  • NPI 1477092187
  Medicare reassignment NPD Authorized official
• Michael Pennachio, LLC

  • Ophthalmology Physician
  • Eustis, FL
  • NPI 1730689530
  NPD Authorized official
• Total Eye Care Surgery Center Inc

  • Ambulatory Surgical Clinic/Center
  • Leesburg, FL
  • NPI 1598791105
  NPD Authorized official
• Gainesville Eye Associates LLC

  • Ophthalmology Physician
  • Gainesville, GA
  • NPI 1285617647
  NPD

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1750312005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S GROVE ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327265524",
            "telephone_number": "352-728-1717",
            "fax_number": "352-728-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S LAKE ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485927",
            "telephone_number": "352-728-1717",
            "fax_number": "352-728-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNACHIO",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0045426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC4829",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4779733 003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Health Choice
• Pediatric Health Choice
• Pediatricians of Florida
• Pedro L Geliga MD PA
• Pegasus Pest Solutions LLC
• William N Pepe, PTA
• Kathleen A Perry, LMT
• Barbara Carol Person, M.D.
• Peter Amos Ankoh MD PA
• Brett J Peters, DPT, ATC

• Ophthalmology Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.