Michael G Tedford I, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

203269 Issued in NY

Practice address

254 Route 17K Ste 204
Newburgh, NY 12550

Phone

(845) 561-4466

Fax

(845) 561-7190

NPI assigned

Nov 14, 2006

Last updated

Aug 28, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

New York Medical College, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

74.4 of 100Reported as individual

Quality

53.33

Promoting interoperability

93

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1418/brand/1/csg/1/fhir/r4
• Direct secure messaging: michael.tedford.1@1418.direct.athenahealth.com

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.

• Michael Tedford MD LLC

  • Ophthalmology Physician
  • Newburgh, NY
  • NPI 1689856395
  Medicare reassignment NPD Authorized official
• Tri State Eye Ophthalmology of Middletown PC

  • Specialist
  • Middletown, NY
  • NPI 1053430256
  NPD (past)
• Bon Secours Medical Group Hampton Roads Specialty Care LLC

  • Cardiovascular Disease Physician
  • Richmond, VA
  • NPI 1629637475
  NPD (past)
• Tri-State Eye Inc

  • Ophthalmology Physician
  • Milford, PA
  • NPI 1255450581
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1750453742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 ROUTE 17K STE 204",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125508300",
            "telephone_number": "845-561-4466",
            "fax_number": "845-561-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 ROUTE 17K STE 204",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "12550",
            "telephone_number": "845-561-4466",
            "fax_number": "845-561-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDFORD",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "203269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01899169",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lois Tannenbaum, PSYD
• Nilson Tapia
• Ammarah Tariq, M.D.
• Nefertiti Nandi Taylor, LPN
• Patricia Iorio Teare, LMHC
• Kim Marie Tessin I, LCSWR
• Thresiakutty Vincent Thanchan
• The Caring PT Group, PLLC
• The Children's Medical Group PLLC
• The Eckardt Adult Health NP PLLC (The Eckardt Adult Health and Well-Nest)

• Ophthalmology Physician in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.