Individual provider Active NPI

Robert T McMahon, MD

  • Ophthalmology Physician
  • Victoria, TX
National Provider Identifier
1750362422
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
F2350 Issued in TX
Practice address
4406 N Laurent
Victoria, TX 77901-2791
Phone
(361) 578-0107
Fax
(361) 578-1320
NPI assigned
Nov 9, 2005
Last updated
Aug 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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 F2350 TX Primary

Addresses

Primary practice location

4406 N Laurent
Victoria, TX 77901-2791

Mailing address

4406 N Laurent
Victoria, TX 77901-2791
Phone (361) 578-0107

Other identifiers 2

IdentifierTypeStateIssuer
089611003MedicaidTX
0880170001OtherTXCIGNA GOVERNMENT SUPPLIER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100622000170 TX Practitioner - Ophthalmology 5597892182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Creighton University School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Eye AssociatesGroup PAC ID 0840392981, 2 clinicians

Practice addresses (Care Compare)

4406 N Laurent
Victoria, TX 77901-2742

4406 N Laurent St
Victoria, TX 77901-2742
Phone (361) 578-0107

Merit-based Incentive Payment System (MIPS)

Final score
95.79 of 100Reported as individual
Quality
92.89
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery199

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F2350TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Eye Surgicenter Inc CurrentSince Oct 1, 1985 Accepting new patients
South Texas Eye Associates Ophthalmology CurrentSince Mar 16, 1999 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Robert T McMahon PastSince Jun 24, 2002 Accepting new patients

Locations

4406 N Laurent St
Victoria, TX 77901
Phone (361) 578-0107

Interoperability endpoints

  • Direct secure messaging: bobmcmahon@southtexaseyecenter.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1750362422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 N LAURENT",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012791",
            "telephone_number": "361-578-0107",
            "fax_number": "361-578-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 N LAURENT",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012791",
            "telephone_number": "361-578-0107",
            "fax_number": "361-578-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "ROBERT",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "F2350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089611003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT SUPPLIER NUMBER",
            "identifier": "0880170001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.